HomeMy WebLinkAbout0143887-Plumbing (water heater) CITY OF OSHKOSH No 143887
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 915 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 Multifamily (Apt #1) / Replace gas 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 2. 7 q ,,, / 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.3
my err vsaxosn
Inspection Services Division '
P O Box 1130
Oshkosh, WI 54903 -1130
Phone: (920) 236 -S050
Fax: (920) 236 -5084
• Piumbin
g Permit Application w�
1 hereby apply for a permit to do and install the following plumbing on the premises hereinafter
Wisconsin State Plumbing Code, in the performance of which ail parties i m o the bode d statutes.
to the
agree to and are bound by said statutts.
• Application(s) and fee(s) can be brought to City gall, 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 $200.00 the normal
ever Is greater. plus permit fee, which
OR
jf you are a contractor parttciaati,,Q in the PermiFee Account System and have adequate funds. check here
if you want this _processed throurh your account
** Advisory - For applicable projects, anElectrical Installation Verification
(o
Contractor or Homeowner (for allowed to be performed by the ' by t] ttggi 2cal
with the permit application. Applications without an EIV when such is required, most be submitted
processed for Permit woe and will be retained fir completion. q°" will not be
et Job Address q /S' 2 to , 9 ! Value ( 1�raodmeafah) & �' '` Date /D - 21-//,
Owner 0I ( :f. .
[�Si Ie Family Contrt�ctor f�c�;�' �‘f.�� ,
amay DDuplez QMuIti�- Family QRental []Comte Olndustr ial
Number of Fixtures:
Bathtub Sump Pomp
Sh ower Piaster-Sink RoofDr�n
San. SurapiPtanp scenay S soda
Whirlpool Water roamer service sink come
i.ah m ty Standpipe Rae Shaw s
Toilet Site Drain Gunge FD
Kit Sink Local Waste sus Sink baths stn
sty Ice cbrac
Bar sink RPPZ Valve Conan lee Maker
Dishwasher — &edam S Bidet -
rnt Grease Trap
Floor Drat Masan sink Urinal 15ct Gram Trap
Hose Bibb Ea= Sink Boer Tap BPI Wash sin
Water Heater 1 F rrez, saw nipper Well Deduct Mater
firOas 0 Fleet 0 PwrVnt moor sink Think Ban
Clothes brio � ��
Hand sink
Lathy Tray Lab sink Wash
BBasim �` Ler
Mae Mama
etric Contractor (for projects not requiring an EIY Form)
/ Nature of Work 2 Cf / 41, ;;Zy;� r .,,�.f..�- = ...: f / _
Size Material Type # Conn. Type
Sanitary Sewer - •
Storm Sewer
Water Service
k This installation is complete and may be inspected at any time.
0 c /O - Z' --(D
Received Time Oct. 29. 2010 3:51PM No. 3503