HomeMy WebLinkAbout0142004-Plumbing (water heater) IA CITY OF OSHKOSH No 142004
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1340 CAMBRIDGE AVE Owner SUZANNE D CONNELLY 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 #
1310800000
Valuation $600.00 Plan Approval $0.00 Permit Fees
$25.00 El Permit Voided
Issued By l O Date 07/13/20' 0
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.
1 13 10 09 :15a Clarence Koch (9201 235 -0282 p.
Inspec tioII Services Division
P O Box 1130
Oshkosh, WI 54903 -1130
Phone: (920) 236 -5050
Fax: (920) 2 36 -5084
07:1 IMP
Plumbing Permit Application ON T"
I hereby apply for a. permit to do and install the following ping on the premises bereinallcr Wisconsin State Phnnbing Code, in the P of which all parties l wO ss id d at a®. statutes. s.
s to the
• Application(s) and fee(s) can be by sa
54903 -I 128. Commenccg to City �I, Room 205 or mailed to I Services, PO Box 1128, Oshkosh WI
ever is greater, work wit>tout pmmlt(s) will result in fees being doubled or 8I00.00 phis the normal permit which
OR
o
i o - a c t r t , •u, , • . , t r c: oe , it r -_nt e • , h, . ••e• fi -n, o,
-• Advisory. - For applicable projects, art Electrical Inssallation Verification
Contractor or Homeowner (for allowed to be performed by the (EN) farm, by tl tte deal
with the permit application- Application; Application; sabntitted without an ffiV when such is r mgt be aamitt�ed
processed for Permit Issuance and will be returned for completion. , will not be
Job Address 43i;7 ( ye /X"6/_ -:" Value 'ea
Owner /1/D//k1 T�c� /� ��a —`_— Date 7 – /3 - "VD
Owner Contractor , G 7�'/ � , ,:-
7 y QDap� [3M - Family °Rental OConamerdsd
[]industrial
Number of ,
Bathtub Bat Sump Pimp Plaster Sink
San SarnplPoQ,p ---- Roof Drain Seam Sink
Water so0raer soda Dtisp
Lavatory Service Sink t
Toilet sink Site Drain
Sit sink s+ Sink Waius sea
Loeel Waft
Disposal > Sink s Ice Chest
> hwasher Sion Bidet
Yatve Coma toe Maker
star Bidet In Cie Trap
Hoes Bibb cram sink Urinal Fst Gzc Trap
Wafer Healer / F Bar Tap Bye Wash stn
Pttlas Sink - _ Dim Well
0Eh t0 ParVnt Floor Sink Deduct
Clothes Wshr DF� Wtr sea!erlrltr
fiend side _ Wash Fula Y Tray Lab sick Catch Basin ______ wlr Uatrgs Mt?
Mix nuts
uric Contractor (for projects not requiring an EIV Form)
e / N a t u r e of Work Z72-----•4.6.47C,": / / :; -
Size Material Type it
Sanitary Sower t'cmO- Type
Storm Sewer
Water Service
0 This installation is complete and may be inspected at any time.
Received Time Jul. 13. 2010 9:18AM No. 1884