HomeMy WebLinkAbout0143888-Plumbing (water heater) (■?"..) CITY OF OSHKOSH No 143888
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 911 GREENWOOD CT Owner CHARLES A/MARILYN J PERRY Create Date 11/01/2010
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 Multifamily (2120 Evans #3) / Replace gas water heater. * *debit acct
of Work
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id #
1522840000
Valuation $700.00 Plan Approval $0.00 Permit Fees $25.00 El Voided
Issued By / - 2444 Date 11/01/2010
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.
(920) 235-0282 p . 4
Oct 29 10 03:44p Clarence Koch
r u noX 1 BO
°Sand; WI 54903
-
Phoe: (20)236-5050
Fa= (920) 2365084
On (•TA Il
. .
•
Plumbing Permit Application
I hereby apply for apace& to do and install the fbliosving plumbing on the premises hereimafter desmand, tho work to conibratto the
Wisconsin Sista Plumbing Code, in the pertbrotance ofWhich all parties hanto agree to and are bound by mid statutes.
• Applicadon(s) and foe(s) cea be te�g ht to City Era. Room 205 or mined to Inspection Services, PO Box 1128, Oshkosh WI
54903-1128. Commencing work without permit(s) will resnkha fims being doubled or $100.00 plus the nottnal penult Sise, which
ever Is greater.
OR
, 1 , , i 9 • • • !il , 'I I, ' ' .1 .1- Y .1 _LI ' f • h , li e • f , • L L. L. i i
** Advisory - For applicable project, an Electrical insteilation Pacification (EU) firm, signed by the Ebsctrical
Contractor or Homeowner (for ta®s anowed to be pedbuned by the homeowna) must be submitwith tbe pennit applicarko' n Applications submitted wititout an MT when such is rewdred, will not be
processed for Permit Issuance mut will be renuned for compltion.
J Addre 24 / ' - Value Nakao& labor and arakaids) 704 ''' Date a?' Zff - la
Contractor
Dangle Fmk' ElDaPkx ail • 03Rental E:jc
---
Number of Fixtures:
Bathtub
Swap ?amp — liesterSiat
Roane*
—__
—_,....
Shower
Sim. Sarotatatep _ Sculley Wrok —___ Soria Di*
Whidpool ____ Water &dam
....---__. S� VICO Sink
tika Mir
—..._ Ca
Lavatory _____ St Bac Shoop Sink
Sibs Auk —._
____ ____
Tact
agetie
Swiss= Sink Walks Sin
_____ Gar
—_ S
—
KIM* Low Waite Somilizer
lica Chest
—.
----
Milani —__ Bar Mk
Valve
Coosa Ice Molar
____ RPZ
____
NkiamAra. . Dreslion Sink .._____ Bidet
int Orme Trap
Floor Dodo Caws flak -- Urinal
--.._ The Grew lisp
Bore Bibb Szets Sisk —___ Dm Thp
BY* Viadt Sal
___
%marrow _j___ Fltep Sisk
-__- Dipper Well
. Dahatiaster —
•
)1(0as 0 Eeet0 PveVat Warn*
&McBee —___
Wir Sewer /dr
Clothes Wahr
Itead Mak Wad: Ban ,-
-_____ _ We UAW&
_____
Lary Trky
Lab Sisk
Catch Basin
Mx Exton __ ____
..—__
—__
Vie Contractor (for projects not requiring an Nair Form)
/ Naimure of Work ..':
Size Material TVs # Conn. Type .
Sanitary Sewer - . _
•
Stoma Sower
Water Service
If): This iustalledon is complete and may be inspected at any time.
,c-,:iie
Received Time Oct. 29. 2010 3:51PM No.3503