HomeMy WebLinkAbout0133135-Plumbing (2 water heaters)OSHKOSH
ON THE WATER
Job Address 109 E NEW YORK AVE
CITY OF OSHKOSH No 133135
PLUMBING PERMIT -APPLICATION AND RECORD
Owner BRANDY L FORD Create Date 09/25/2008
Category 411 -Residential-Water Heaters Plan
Contractor KOCH PLUMBING
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
_ Shower Water Softner Wait. St. Shamp Sink
Floor Drain Local Waste Ice Chest Flr/Wst 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
2 Classrm Sink Sterilizer Surgeons Sink Ice Maker
Breakrm Sink Dip Well F Prep Sink Gar Drain
_ Ejector/Grind Drink Ftn Serv Sink Soda Disp
Valuation $1,30 00 Plan Approval $0.00 Permit Fees $25.0.0_ ^ Permit Voided)
Issued By ~-
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
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
Address 2005 DOTY ST
AgenUOwner
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 specified 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 01:47p
City of Oshkosh
Inspection Servitxs Division
P O Box 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
(9201 235-0282 p.l
ON THE WATER
Plumbing Permit Application
I hereby apply for a peaait to do and iasta]1 the foIIowing phnnbing on the premises hazinaftez desrnbed, the wor3c to conform to the
• Wisconsin State Phvabing Cede, m the performance of which an parties hereto agree to and axz bowed by said statutes.
• Application{s) and fee(s) can be brought to City Hall, Room 205 or waded to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128. Co~nencing work without permit(s) wdl result in fees being doubled ar $100.00 plus the
normal permit fee, which ever is greater.
OR
Job
Number of Figtares:
r
~UValne(Ineludiaslaborandtnaterists) ~.~Jy'~""°" Date ~ L~~~;-::~;,;;
v
[''~Reatal ^Conzmercial QYndustrial
Bathtub Disposal Drink Fta Cash Basin
Whirlpool Dishwasher Wait St Wash Ftn
Lavatory Sump ~~p 7ce Chest Urinal
Toilet Ejector/Grind Foam Sink Cra Drnn
Ra. Sink Water Sofmcr Seuhy Sink Soda ~~
Bar Sink Loeal Waste Band Sink Co$m Maker
Water Heater _•~
Gas ^ Eket G PwrYnt Clothes Wshr F1'rsp Sink Conran lee Maker
Bidet Sere Sink
Sits Drain
Shows
Flo
D
i
Beer Tap
lni Grease Trap ,
Roof Drain
ur
ra
n Classrm Sink Ett Grace Trap Standp Rte
L1dry Tray Stageo~ Sink Rp.Z valve
Eye Wash Set
lab Sink
Bum Sink
Strait
Wtr Bouvet Mtts
Plaster Sink
' D' Wdi
rP
Fk/Wst Sisk
Deduct Maas
5ten
liza
Hale Bros
Misc.
Wtr Usage Mtrs
Fiacriaes
Electric Contractor 03Z .[]Electric Installation Veri£cation form attached
Cttitepla~i)
Use / Natare of Work c~- f~"•~'~:~% < <!' ~ ~' ~~ /~ ~° ,t ~. ~!' • - ,~;~`,,,:. X*' _ _ <r `,
G ~" ~, /. ~ ~4' an.. .'r
Size Material ~ Type ~ Cann. Type
Sanitary Sewer
Storm Sewer `
Water Service
Clarence Koch
J
Owner ='}' : ,~", ~:~`' ~;~ ; ~d .,° Contract
~...
^Single Family DUupiez ~1Vlnlti-Family