HomeMy WebLinkAbout0143229-Plumbing (lavatory) 1(e:D CITY OF OSHKOSH No 143229
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1607 N MAIN ST Owner THOMAS G PUTZER Create Date 09/21/2010
Contractor KOCH PLUMBING Category 413 - Res - Interior (Replacement Fixtures) 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 1 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
•
Use /Nature Duplex (upper) / Replace lavatory. * *debit acct
of Work
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
• Parcel Id #
1502580000
Valuation $70.00 Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided
Issued By X�J Date 09/21/2010
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.
.p 20 10 04:18p Clarence Koch
(920) 235-0282 p . 1
Lay ol.'0"shicosh -
Inspection Services Division
P0 Box 1130
Oshkosh, WI 54903-1130
. •
Phone: (920) 236-5050
Fax (920) 236-5084
OTAllnerl
. .
Plumbing Permit Application
I hereby apply for a permit to do and install the following plumbing on the premixes hereinafter described, the work to confonn to the
Wisconsin State Plumbing Code, in the performance ofwhich all parties haeto agree to and are bound by said statute
• Applicalion(s) and fee(s) can be bim& to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128, Oshkosh WI
54903-1128. Commencing work without penngs) will result in fees being doubled or S100.00 pins the normal permit fee, which
ever is greater.
OR
if you are a contractor vartictoatinr in the Permit Fee Account System and have adequate funds. check here
if you want this processed through_your account fl
** Advisory - For applicable projects, an Electrical Installation Vaiftattion (ER) form, signed by the Electrical
Contractor or Homeowner (for installations allowed m be performed by the homeowner) must be submitted
with the perndt application. Applications submitted without an EIV when sudi is =ditched, will not be
promised for Permit Issuance and will be returned fo completion.
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Job Address/aL, 7' /PA- - 7/," -5 -7:- Vane (Inducting' laborand materials) '‘7492-21 Date — z a -/‘7
Owner 77/4' f ir) 7 - .z/:. --,---.4_ Contractor ,e2,/ /.3,,,
OSingle Family aDuplex Ofsfuld-Famiy - Rlientid OConunercial Oradusnial ,
Number of Fixtures:
Bathtub Sump Pomp Piaster rink —__ RooThntin --
Shower San. SaingifPump Scullery Sink __ Soda Disp —
FibillPool _____ _
Water Softener Service Sink _ Coffee blitz
Lavatory —2— Shindpipe Rae Shamp Sink _ Site Drain
•
Toilet Dotage FD Salem Sink Wass Stu
_ ____ __
-
Kit Sink Load Waste Sterilizer ___ Ice Cheat --
Disposal Bar Sink ___ RPZ Valve Coma lee Maker --
Dishwasher Bieakwi Sink __ Bidet — bit Grease Trap ___
F l o o r D r a i n two S i n k — U r i n a l — E G ease Tap
Hose BR* Exam Sisk — Beer Tap —_ Eye Wash Ste _____
Water Maw 1 Prep rink --- Dipper Well —. Deduct Meter —
0 t3as 0 Bkat 0 Pwritnt Floor Sink — Drink Fran Vftr Sewer Mir
--- __
Clothes Withr Band Sink _ Wash Ran
Wtr Usage Mtr
— --
LadrY TM —_ Lab Sh* — Catch Basin -- Wise Fau= _____
tric Contractor (for projects not requiring an EIV Form)
.,..... .
f Nature of Work F/i... - .:'4zf.442-(:;"2/ :> •--.7
Size Material Type Conn
Sanitary Sewer
Storm Sewer
Water Service # . 7'ype
1 .
0 This installation is complete and may be inspected at any time.
Received Time Sep. 20. 2010 4:24PM No. 2888