HomeMy WebLinkAbout0133133-Plumbing (water heater)OSHKOSH
ON THE WATER
Job Address 906 HARNEY AVE
Contractor KOCH PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
Owner LORI J MILLER
No 133133
Create Date 09/25/2008
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
Category 411 -Residential-Water Heaters Plan
Shower Water Softner Wait. St. Shamp Sink
_ Floor Drain Local Waste ice Chest FIrIWst 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
Coffee Maker __
Int Grease Trap ____
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Oeduct Meters __
Wtr Usage Mtrs
Valuation $650.00 ~~,, Plan Approval $0.00 Permit Fees $25.00 ^ Permit Voided
Issued By ~~%~J?'~/J 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
To schedule inspections please call the Inspection Request 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 speci>Fied otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not pertormed within two business days from the time the project is ready.
~p 25 08 01:24p
City of Oshkosh
' Inspection Services Division
P O Boa 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
Clarence Koch
(9201 235-0282 p.l
ON THE WATER
Plumbing Permit Applica#ion
I hertby apply for a permit to do and insiall the foIlowing ph~birtg oa the premises heteinat3ier desrnbcd, the wot9c to confonta to the
• Wisconsin Slate Piumbiag Code, in the performance of which all parties hcst:to agree to and acts boLmd by said statutes.
• Application{s) and fee(s) can be brought to City. Hall, Room 205 or mailed to inspection Services, PO Box 1128,
Oshkosh WI 54903-I 128. Commencing work without permit(s) w111 result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
Job Address ~~(s- ,~`=~~f:~,~.~ ~ Value ]nit ~~-- ~/"•--~5
( uamg labor and ttrateriaLs) ~.~ ~ Date •~~
Owner J14 ~/L ,~/ _~~.;~1 Contractor ~~ ,ji:'%s ~ r~'~ ..%~~ '•'~`~ ' f..:~•~-:.s
.-~
QSingle FatniIy QDuplez Q1Vlnlti-Fanl]><1y ^Rental QCommercial []Industrial
Number of Fiatnres: •
Bathtub Disposal Dtatk Ftn Cash Basin
Wha9poot Dishwasher Wait St Wash Fm
Lavatory Sump ~P Ice C]-esi LFrittal
Toilet Ejector/GriRa Foam Sink
Cra Drain
rtes. Sink Water 5oftacr Scuhy Sink Soda
Bar Sink Laeat Waste Hand Sink Coffin Maker
Water Heatcc ~_
~•Gas O IIezt O PwrVat Clothes Wshr
F ~t'P Smk
Comm Ice Maker
•
Shower Bidet Sin Sink
Site Drain •
Floor Duda Beer Tap Inc Grrase ?rap rtcof Drain
Lndry Tray Classrtn Sink
~ Crrz:s+e Try
Sonde Roc
Iab Sink Sorgeotts Sink RP.Z Valve Eye Wuh Sht
Plastrr Sisk Breakrrn Sink
$hart>p Sitilt
Wtr Sewer Mtts
Sterilizer ~ Wen F1rJWst Siak
Deduct Meters
dose Btlu
Misc. Wtr Usage Mtrs
FnRures
Electric Contractor O,i4 QElectric Installati
V
rif
_
on e
~caiion form attached
Use /Nature of Wor - N~>' • " _ ' ~ ~•' ^r-- •^ - :~ ~ : ~.r
,
:
~
_
t
Size Material Type r Conn. Type
Sanitary Sewer
Storm Sewer '
Water Sezvice
Y