HomeMy WebLinkAbout0144220-Plumbing (water heater) e ) CITY OF OSHKOSH No 144220
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 815 FRANKLIN ST Owner NORMAN BOCK Create Date 11/30/2010
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 SFR / Replace gas water heater. "'"debit acct
of Work
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id #
1006120000
Valuation $215.00 / Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided
Issued By £ -2-vc-- Date 11/30/2010
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.
Nov 29 10 12:41p Clarence Koch (920) 235 -0282 p.
r U 1X07[ WU
lin S4903 -1130 *
Phone; (920) 236 -505
Fara
(920) 236 -5084
Plumbing Permit Application •T r, n 3
I hereby apply for a
P�m WWI the *Bowing p ing on the p hereinafter
• Cam, the of wbicb a8 parties berate agree to bound by said statutes. to the
APP (s) and f s) m City Hall, Roow2O5or mailed to Inspection Services e
ever is gg� s1 teak 3a £eas beigg �� WI
OR g+R which
[ t
" Advisory or ale ' an V Homeowner Or inetaliarions with the Pam* application. Applications allowed to be performed bribe � signed � the Electrical submitted
processed for Pennit Issuance and will ben:tamed for completion.
Job Ads S /.S
Owner / v 4 7 , 2 ‘ 4 - 7 ,�i�"� �,�'V�(ar�aoa 2 / 5 ° ' ' D a t e //- Z `� - /fj
[]gam n or /�c /; ';. - .�,..
Number of Fixtures: us
Shower asntub Seep Pump
seas � °`r xoafnnde
QOi WaeersaY Sink
Soda Dig'
Lavatory c Blest
Toilet Drain
Kit Sink
Local Weise —____ Sizinliar
Bar �'
D Busk= Sink Bidet Coe�mk»Maimr
Flaw Dada acme Mind int Ocean 1hp
Hasa Bab
Bear Tap Trap
War Neater 1 RPiep Sink Hpe Wink Sin
a Recto PwrYat Floor Well Ms
Clothes Water — Drink Pen
_
cloth W r Sink --- Wath in Wfrsa�nerMa•
Ms
Lab Sink Mr lbw •
Wise Awn
'+
laic Contractor (for projeefs not
requiting an EIV Form)
Nature of Work ,C i ,,o'c!:4!'�',r� f»!�' �'" 1'N f , ro
` 4. ' . .. :.. ," p , Fr ., A ',, i
Sias
Sanitary Sewer - g Type
Storm Sewer
Water Sarvl e
This won is convict and .
�' at any time.
1c H - Z5- /
Received Time Nov. 29. 2010 11:50AM No. 3874