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Home My WebLink About0142003-Plumbing (water heater) CITY OF OSHKOSH No 142003 OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 641 BOYD ST Owner SCOT R/RICHARD J NEITZEL Create Date 07/13/2010 Contractor KOCH PLUMBING Category 411 - Residential -Water Heaters Plan Bathtub Clothes Wshr Classrm Sink Surgeons Sink Roof Drain Deduct Meters Shower Lndry Tray Exam Sink Sterilizer Soda Disp Wtr Sewer Mtrs Whirlpool Sump Pump F Prep Sink RPZ Valve Coffee Maker Wtr Usage Mtrs Lavatory San Sump /Pump Flr/Wst Sink Bidet Site Drain Misc. Toilet Water Softner Hand Sink Urinal Wait. St. Fixtures Kit Sink Standp Rec Lab Sink Beer Tap Ice Chest Disposal Gar Drain Plaster Sink Dip Well Comm Ice Maker Dishwasher Local Waste Sculry Sink Drink Ftn Int Grease Trap Floor Drain Bar Sink Sery Sink Wash Ftn Ext Grease Trap Hose Bibb Breakrm Sink Shamp Sink Catch Basin Eye Wash Statn Water Heater 1 Use /Nature SFR / Replace gas water heater. Owner listed as Norm Bock. **debit acct of Work Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service Parcel Id # 0405890000 Valuation $600.00 Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided Issued By Date 07/13/2010 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 performed within two business days from the time the project is ready. Jul 13 10 09:16a Clarence Koch (920) 235 -0282 p.2 city otshkosh - Inspection Services Division P 0 Box 1130 Oshkosh, WI 54903 -1130 Phone: (920) 236 -5050 Fax: (920) 236- 5084Abi. 111 I - Plumbing Permit Application °" " —R I hereby apply for a p to do and install tbe %nom plumbing ce. the premien hereinafter described,.the work to conform to the Wisconsin State Plumbing Code, in the pares of which all pales hereto agree to and are bound by said sties. • Apples g(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128, Oshkosh WI Commencing work without permit(s) will result in fees being doubled or S100.00 plus the normal permit fee, which ever is greater_ OR Jf you are a contractor narticipatinn in the permit Fee Account Sti star r and have ad:aware funds. check here jfyou wont this Processed throne* your account is " t` Advisory - For applicable projects, an Electrical Installation Verification IV) form, signed by the Electrical Contractor or Homeowner (for installations allowed to be pmformed by the homeowner) must be submitted with the permit application. Applications submitted without an RV when smith required, will not be processed for Permit Issuance and will be returned for camp ion, Job Address C4/ "t 57; Value Ondading labor ,rod ) 644 Date 7-45 /J Owner 4/O,'2 ? e'G/c' `� Contractor rCOG,ei � U!or-!'.,s" /,�' C7sinee Faauiiy DDeplez DMV uhi- Family l DCommerc3at andastxial Number of Fixtures: Bathtub Shower San. Pimp Pk/stet-Sink Roof Distill Son. Sump/Pump Soupy Sink Soda Whirlpool Water Softener Service Sink Coffee Sta°dpTp` Roo Stump Sink Site Drain Toilet Cmrage FD Swam Sink Waits Stn lac Sink Local Waste Stainer Ix Chest Disposal Bar Sink RPZ Vatva Comm roe Maker Dishwasher Breekno Sink Bidet Int Greece Trap Floor Drain Class= Sink Ming Ilia crease Trap HO" gam E7am Sink Bea rap Eye Wash Stn water Heater / F Prep Stele Dipper wet Deduct Mena R'Clas c Elect O PwrVm Floor Sint Drat Fain Clothes Wan. wb- SowerMCr R en d Sion Wash Faro Wb-Usage Mb Lndry Tray Lab Sink Caldt Basin Mite Fimmts ;ctric Contractor (for projects not requiring an EN Form) e / Nature of Work � �:P 'H• A? 7e-- ,r - ' - r:4 , , Size Material Type # C Tyne + • Sanitary Sewer storm Sewer Water Service ❑ This installation is complete and may be inspected at any time. Received Time Jul, 13. 2010 9:18AM No. 1884