HomeMy WebLinkAbout0143885-Plumbing (water heater) a CITY OF OSHKOSH No 143885
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 828 MALLARD AVE 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 Apt #1 / Replace gas water heater. "*debit acct
of Work
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id #
1522830000
Valuation $200.00 Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided
Issued By A 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.
t 29 10 03:43p Clarence Koch (920) 235 -0282 p.
r tr pox 1130
v 54903 -1130 (i
Phone: (920)236 4050 -
Fa= (920) 236 -50$4
•
Plumbing !T i 7J:
g Permit Application
1 hereby apply fora pattit to do and install the thawing Plumbing on the maniacs
W State Phtmbhtg Code, is the p of W� all patties Tm� .d by a to the
agree to and are bound by said ete+*cra.
• Application(s) and
54903-1 ion fee(s) can be brought to (Sty Halt Room 205 or maned to Box 'IX Oshkosh WI
ever is greater: vatic without p anmdga) Will zumk hz Seas being d b or S2 ffi normal pc fee, which
OR
" Advisory - For Contractor or Homeowner s, an Falls j V
with the allowed to be perforated bribe form, signed , submitted a ctdcxd
�forP Applications ttonBTP�r#ensack will not be
lion.
Job Adde�ess t't1� %1 ` "
vales (fooludiag Z l�p Date /c' — Z ?.-.
�fngle � Contractor �Uc'�{ G.�
Ir'inB - Olinda OCo ['Industrial
NumberofF :
Bathtub
Shower Plm:r rak Sea Smmprpa� _� Bo�Dadp
Whirlpool WaasSo tamer SwHap �� - Soda Disp
Lavatory &nice Sink ----
Toilet �°° Rec SinkCoax Mkr
j}a 1 t �....�. RYA �r__ Suwon Sink Local Write ______ Sterilizer Disposal s_ Bar Sink
��
RPZ vibe
Como Toe Maker
Didasvadzer . Bawl= Weir
--- lal Groan Trap
e Exam Sink Bera -Tap ad Grease lip
F Dipper Wan --- Wadi Eft
Gas Q�eetQ BioorSiok DeduOtM ar
Clothes W br Lab '� � 31s11es3$r Rand ah*
ey Wirt/sop
Catch Ba3u lase now - ---.
lathy
:tric Contractor (for pray not nquiring an CV Forks)
/ Nature of Work i; X4.0 '. ;: j ,, , < .' .p , - a- --• ..;;c:;<=,--',.' . - F
Size # -
Sy Sewer . - Conn. Type
storm sewer
Water Service
A This won is complete and may be inspected at any time.
lc2 - Z9 - ltd
Received Time Oct. 29. 2010 3:51PM No. 3503