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Home My WebLink About0143886-Plumbing (house water heater) CITY OF OSHKOSH No 143886 OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 1905 GROVE ST 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 FIr/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 / Replace gas house water heater. ""debit acct of Work Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service Parcel Id # 1514819706 Valuation $650.00 Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided Issued By 0/1/ 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. Oct 29 10 03:44p Clarence Koch (920) 235 -0282 p.2 — iary o isbkosh Inspection Services Division P O Box l i30 Oshkosh, WI54903 -1130 Phone: (920) 236 -5050 Roc (920) 236 -5084 OM ION TR Plumbing Permit Application E a I hereby apply for a permit to do and install the following phtmbing an the premises hereinafter descn" bed, the worse to conform to the Wisconsin State Plumbing C ode, in the perfunnance of which all parties hereto agree to and are bound by said sees. • 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) will result in fees being doubled or S100.00 phis the normal permit ibe, which ever is greater. OR ff you are a contractor particpating in the PermiJee Account System and have adequate funds. check here ff you want this processed throvghyour account " Advisory - For applicable projects, an Electrical won Veoi3cs lam (may) form, signed by the Electrical Contractor or Homeowner (for installations allowed to be performed bytile homeowner) most be submitted with the Permit application. Applications submitted without an HIV when such is required, will not be processed for Permit Issuance and will be rammed for / • ' ' . A kbro 7 e 5 o L / 3 . ... - 2 -"' Value taborand motorists) �a ° Job Address /70 Date /£ _ Z } –70 Owner C,4,t r1 44, -.5- /€. Contractor J(e -, - �Gl22 DSingle Family ODuplex EJMuNl-Family []Rental DCommerclal Dlndustrial Number of Fixtures: Bathtub Sump Pump Rater Sink Roof Drain ---- Shower sea. Smnp!Pomp Scullery sink Soda Whirlpool Was Sat= Service Sisk Codes i Standpipe R c Shatep Site Dia Toilet rtt s+ra Sink waits sin L ocal Waste st tee Chest Bar Sink RPZ valve Comm lee Maker Dishwasher Bred= Smlr allot tar crease Trap Floor Drain Classes Sisk Urinal Pat Grease Tap Hose Bibb Ea= Scat Beer Tap Eye wash Ste water Heater i nosey Wok Dipper Well Detract Miner Clio 0 Blest PwrVnt Floor Sion Drink Pain Clothes Wshr wtrsewrrrly� Mod sink Wash Fate v1►trtlse s Mtr Ladry Tray Lab Sin Catch Bain Fixtures etric Contractor (for projects not requiring an ETV Form) / Nature of Work /4 -s /5 G;‘,/, ,4 , ;" 'e. t Size M ter al TYPc # Cone. Type - Sanitary Sewer - • Storm sewer Water Service • A' This installation is complete and may be inspected at any time. L Ax / Z'—/2 Received Time Oct, 29. 2010 3:51PM No. 3503