HomeMy WebLinkAbout0133127-Plumbing (water heater)OSHKOSH
ON THE WATER
Job Address 2711 VILLAGE LN
Contractor KOCH PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
Valuation
Issued By
Owner MARK W/SANDRA J RITZ
No 133127
Create Date 09/25/2008
Category 411 -Residential-Water Heaters Plan
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
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
Agent/Owner
OSHKOSH
WI 54902 - 7040 Telephone Number 920-231-6661 or 235
I o 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 performed within two business days from the time the project is ready.
$650.00 Plan Approval $0.00 Permit Fees $25.00 ^ Permit Voided
~p 25 08 12:15p
City of Oshkosh
• Iospeetion Services Division
P O Box 1130
Oshkosh, WI 54903-1130
Phaae: (920) 235-5050
Fax (920)235-sos4
Clarence Koch
[9201 235-0282 p.l
O K H
ON THE WA7ER~-
Plumbit7g Permit Application
I hereby apply for a permit to do and install the following phmibiag on the premises he~siaafEer described, the work to conform to the
Wisconsin State Pitmmbing Code, in the perfomaance of which aII parties hereto agree to and am botmd 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 54903-1128. Comuaerlcing work without permit(s) will result m fees being doubled or $100.00 plus the
normal permit fee, which ever is grrater.
OR •
If you are a contractor narticiaatinQ in tree Permit Fee Accovet System and have adeouate unds, check here
if you wens this processed through your accou
Job Address 2 7~~ ~/~L,~F,/~? ~f?. Valve {maua;aglzbQt•ordnntm>>sl lo.s~~~ Date ~"~zS ~e
Owner ~i~2/L ~/T~ Contractor ~~OG/-~ ,~~ /3G , -
^Single Family ~Duplez ®lViulti-Faml~y QReatal [Commercial Industrial
Nnrnber of Fiixtlures:
Bathneb
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater _~
~cras ^ Fleet D Pwrvnt •
Shower
Floor Drain
Lndry Tray
lab Sink
PIastc Sink
Strnlizcr
Misc.
Electt-ic Contractor
OR _ ^Electric Lolstallation Verification form attached
(If Replaeerneat)
~. ..
Use /Nature of Work 1~.~~f>=r''/'t_. ~~'- ~'f~:"~F:' ~~~^~=-','~`;,~c°
Size Material Typo ~ Conn. Type
Sanitary Sewer
Storm Sewer '
Water Service •
Disposal Drink F~ Cash Bssin
Dishwasher l~Vait St Wash Fm
Sump Pump Icie Ct~cst Throat
Ejeetor/Griad Foam Sink Ga Drain
Water 5oftner Seulry Sink S~ Disp
Local Waste Hand Sink CoH'~ Makes
Clothes Wshr FPesp Sink CorrQn.lce Halter
Bidet Serv Sark Sitr Drain
Box Tap Int Grrase Trap Roof Drain
Classrm Sink )mot Gt~u Trip Sandp Rec
Sarg~osss Sink 7R..P.Z valve Eyc wash Sm
Btralem Sink Shamp 5iiilc Wrr 5eaer Mtn
Dip Welt FMWst Sink Deduct Meters
Hose Bbs Wtr i3sage Mfrs