HomeMy WebLinkAbout0133599-Plumbing (water heater)OSHKOSH
ON THE WATER
Job Address 3857 WESTERN DR
CITY OF OSHKOSH No 133599
PLUMBING PERMIT -APPLICATION AND RECORD
Owner JUDITH J DEHN Create Date 10/20/2008
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 FlrlVllst 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
Valuation $175.00 Plan Approval $0.00 Permit Fees $25.00 ^ Permit Voided
Issued By ~~1~v0 Date 10/20/2008
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 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.
.t 20 08 02:OOp
Gityr of Oshkosh
Inspection Servicts Division
P O Box 1130
Oshkosh, WI54903-1130
Phase: (920) 23tr5050
Fax: (9zo) z3~-sos~ .
Clarence Koch
Plumbing Permit Application
I hereby apply for a peaait to do and install tlbe foIIowing ph~biag on the premises heraiaafter described, the work to conform to the
Wisconsin State Piwmbing Code, in the perfornmnce of which aIl parties hereto agrt:e to sad arz bound by said statutes.
~ Application(s) and fee(s) can be brought to City Hall, Roam 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-I I28. Commencing work without permit(s) w111 result is fees being doubled or $100.00 plus the
narralal permit fee, which ever is greater.
OR
r ntr t r r i i atin in t e Permit' ee cc ant S t m and ave ode uaie ands check here
i u wane t is rocessed thr u h vour account
;~
Job Address ~ ~~ 7 !/~//_~,5,~.~!-31/~-~! V lne ~Tn~h,diIIg>>>xirma maoeciarsl j~~ : `~ ~ Date /O- ZV - °$
Owner ~j ~,F~ ~~ t~.~j~`_'f~",~ `," Contractor ~~OGl~ ~G/~.6 -
[~Single Family QDupleg Multi Faauly ~Reatal Commercial ~Industriai
Number of Fiatnres:
Bathntb
Whirlpool
Lavatory
Toilet -
i2es. Sink
Bar Sink
Water Herter f
~t,ras 0 Elect p PwrVnt
Shovrcr
Floor Drain
Lndry Tray
Iab Sink
Plants Sisk
Strnliza
Misc.
Fizttrtss
Electric Contractor
~~~ Drctk Ftn Caxh Basin
Duhwasha Wait Sc Wash l:tn
Sump Pump Ice Chess Urinal
EjectodGrind Exarn Sink Crag Drain
Water 5ofmcr Scuhy Sink Soda Disp
Loeal Waste Land Sink
Coffc Maker
Clothes Wshr FPrsp Sink Gorton la Maker
Bidet Serv Sink Site Drain
Beef Tap lnt Cm:ase Trap iZoof Drain
Ctaurn, Sink Ezt Cirrase Trap Standp Ree
5urgernss Sink R.P.Z Valve Eye wash Strt
Brealem Sink Shamp 5iak Wtr SewerMtts
Dip Well FirlWst Sink Deduct Meters
iiase Btbs ~ Wa- Usage Man
[9201 235-0282 p.l
1H
ON THE WnTER
O~ Electric installation Verification form attached
(If Repve~meat)
Use /Nature of Work ~~~G~E/2
~~~~~- f~/2-f lf.:~~!
Size Material ~ Type T Conn. Type
Sanitary Sewer
Storm Sewer '
Water Service