HomeMy WebLinkAbout0133128-Plumbing (water heater)OSHKOSH
ON THE WATER
Job Address 1927 DOTY ST
Contractor KOCH PLUMBING
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
CITY OF OSHKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
Owner JOHN K MRAZ
Category 411 -Residential-Water Heaters
_ Shower Water Softner Wait. St. Shamp Sink
Floor Drain Local Waste Ice Chest Flr/V11st Sink
_ Lndry Tray Clothes Wshr Exam Sink Catch Basin
_ Disposal Bidet Sculry Sink Wash Ftn
Dishwasher Beer Tap Hand Sink Urinal
_ Sump Pump Lab Sink Plaster Sink Standp Rec
1 Classrm Sink Sterilizer Surgeons Sink Ice Maker
_ Breakrm Sink Dip Well F Prep Sink Gar Drain
_ Ejector/Grind Drink Ftn Serv Sink Soda Disp
No 133128
Create Date 09/25/2008
Plan
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Valuation $300.00 Plan Approval $0.00 Permit Fees $25.00 ^ Permit Voided
Issued By Date 09/25/2008
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the
easement holder(s) and to secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address 2005 DOTY ST OSHKOSH WI 54902 - 7040 Telephone Number 920-231-6661 or 235
T. .
• ~ ~~••a~~•~ ~~~~r~...~~~~~ N~~,ase cau me mspeczion reequest line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
~p 25 08 12:20p
City of Oshlmsh
Inspection Services I}ivision
P O Box 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
Clarence Koch
[9201 235-0282 p.l
fH
oru TME wntt:a
Plumbing Permi# Apptica#ion
1 hereby apply for a permit to do and iasrall the foIlowiag phimbing oa the premises hcreiIIafter described, the work to conform to the
• Wiswnsin Slate Plumbing Code, m the performance of which all parties hereto agree to and arc bound by said statutes.
• Application(s) and fee(s) can be brought to City Hall, Room 205 or mazled to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1 I28. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
Lf you area COI[traCtoT DRTI1C1Dattnt? Tn the Permit Fee Account System and have adeorrate funds check here
tf vov want this arocessed through your account
Job AdrIresS ~~2 7 ~~,' "~ ..•~ ~ Valve (Tztetudiaglaborctd mater;ak) ~' -`-° Date
Owner .~::j~-~'!:~` ~y~t '~ ~ Contractor ~ _ ~~yll-~' !'~'°~%1~~~~'.~.;{a,,.~'
~.,
Single Family []Duplex [~Vinlti Famr7y ^Rental []Commercial
Qlndustrial
Number of Fii:tures:
Bathtub
Lavatory
Toilet
Rss. Sink
Bar Sink
Water Heater
~~Cns D Elect D PwrVnt
Shower
Floor Dtain
Lndry Tray
Lab Sink
Plaster Sink
Strn'Iizer
Misc.
Fuhms
Electric Contractor
OR Electric Installation Verification form attached
(n' ~p~ea~»t)
Use / Natare of Work ,~~:~~:`' •,~"Q" ~ ~ '~;.~,'~`° ~ fir: - „~- .
~, r..
Size Material Type T Cotui Type
Sanitary Sewer
Storm Sewer
Wattr Service
Disposal Drink Ftn ~~ g~
Dishvrasha Wait. St. Wash Ftn
S'tTTtP pip lee Chest Urinal
EjectadGrind E~rt Sink Car Drain
Water Softner Scttlry 5iak Soda ~~
Loeal Waste Head Sink Coffin Maker
Clothes Wshr F Prcp Sink Cohan lee Maker
Bidet Sav Sink Sine Drain
Bea Tap Int Gtease Trap Roaf Dnria
Clusrm Sink ~ Gtmse T
raP
Sta,dp Rec
Surgeons Sink R.PZ Valve Eye Wash Stn
Btsalcrn Sink Shamp Sink Wtr 5ew2r Mtts
Dip wen FMWst Sink Deduct Meters
Hose Bbs
Wtr Usage Mtrs
.w... ~ 'i+. a ~~r. ~ .. ~. 4cti..