HomeMy WebLinkAbout0134235-Plumbingr~
OSHKOSH
ON THE WATER
Job Address 1580 ARBORETUM DR
Contractor KOCH PLUMBING
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
Valuation
Issued By
CITY OF OSHKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
Owner MARY C KREZ REV TRUST
Category 410 -Residential-Interior
_ Shower 1 Water Softner Wait. St. Shamp Sink
Floor Drain 1 Local Waste Ice Chest FldWst Sink
2 Lndry Tray Clothes Wshr 1 Exam Sink Catch Basin
1 Disposal Bidet Sculry Sink _ Wash Ftn
Dishwasher Beer Tap Hand Sink Urinal
_ Sump Pump Lab Sink Plaster Sink Standp Rec _ _
_ Classrm Sink Sterilizer Surgeons Sink Ice Maker
_ Breakrm Sink Dip Well F Prep Sink
--_ - - Gar Drain
-
_ Ejector/Grind Drink Ftn Serv Sink Soda Disp
Date 12/02/2008
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
No 134235
Create Date 12/02/2008
Plan
Coffee Maker _
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
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.
$6000.00 Plan Approval $0.00 Permit Fees ___ $42.00 ~ Permit Voided ,I
~c 02 08 10:45a
City of Osblcosh
• In~eetioa Services Division
P O Box 1230
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920)236-5084
[9201 235-0282 p.l
O
pN 7ZtE WATER
Plumbing Permit Application
I hereby apply for a penait to do and iastaII the following ph~bing oa the prenases hereinafter desrnbed, the wodc to conform to the
Wisconsin State Pl~bing Code, in the performance of which all parties hereto agree to and axz 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_ Commencing work without permit(s) wi71 result in fees being doubled or $700.00 plus the
normal pernut fee, which ever is greater_
OR
I~vou are a contractor aarticinatint? in the Permit'Fee Account Svstem and have adeouate fst>rds check here
if you want this processed through your account 1Qi
Job Address. /SS~~`t!~/~i~f/~`t11c' ~~ ~~ Valve (Includmglaborand aaor~;ak)T ~~ Date_/ Z --Z'Qd
Owner ~` `~ _.
N~~~~ ~/ ~;''~'~~ Contractor f~UC<`~ pGi3'~o
Single Family QDuplex ~lVlnlti-Family Rental ^Commercial
Industrial
Number of Figtares:
Bathtub Disposal Drink Ftn Cash Basin
Whirlpool Dishwasher Wait St Wash Fm
LavaiOry Z- sump Pu:rrp Iez Chest thinal
Toilet ~ EjeetodGrind ~m S~ G~ ~~
Res. Sink Water Sofaia Scuhy Sink Soda
Bar Sink Locat Waste Hand Sink Coffc Maker
Water Heats Clotho Wshr ___~_ FPrrp Sink eottmt. Ice Maker
0 Gas O Elect O PwrVat Bidet
~~ ~ Serv Sink
Site Drain
Floor Drsia 1' Bee Tap tut Grease Trap ReofDrain
~~ Tmy Classrm Sink Ext Gtase Trap Stzndp Rec
tab Sink Suigernss Sink Rp.Z Valve
Eye Wash Sat
g,~n Sink
Shamp Sink
Wa Sewer Mfrs
Plaster Sink ~ Wen FMWst Siak Deduct Metes
Stm7izer i•Iosc Bps
Misc. Wtr ils:ge Mtrs
Fizttttes
Electric Contractor O,K .[]Electric Bastallation Verification form attached
Use /Nature of Work ~~.ll~~~4/r~< f3/fTi~/`cJJ•i~,
Size Material Type r Conn. Type
Sanitary Sewer
Storm Sewer '
Water Service
Clarence Koch