HomeMy WebLinkAbout0144480-Plumbing (water heater) CITY OF OSHKOSH No 144480
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1910 EVANS ST Owner CHARLES A/MARILYN J PERRY Create Date 12/28/2010
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 1935 Grove St (Apt #4) / Replace gas water heater. * *debit acct
of Work
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id #
1514819706
Valuation $700.00 Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided
Issued By &jy74 Date 12/28/2010
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.
c 28 10 10:lla Clarence Koch
(920) 235 -0282 p.l
r unoxt
Oshkosh, VA :) _
Fmc ( -5084 41/jr-0)
•
Plumbing Permit - ,'1,'!
I auto do+�instill Ro Application
+ , is the p Pities . tie wig � to the
�tk�am(s) and fee(a) can be to City Rell, Room 205 oranaled to boaad by avid ,,
ever i greater. work w oe�p 8) a Seas °`xi°�a 3ery , pp II28, WF
dooZMled arS100.00pins8se acraseI p he, which
OR
**Advisory , s d lostailation Verification (WV) Ann, signed by the Ilkctdcal
Contractor or Homeowner (for histsfiadans allowed to be peril:ma with the Pennit applicatio' n. Applications sabodued without an Err by the homeowner) mast be subtadtted
t v d P issuance and will returned fie suckle required, w�:eot be
JobAddress / �3S ��vlz" �'4
Pe
Owner / . -- �.- Value t'Ie6oraaama�L7�d '-=- Date /Z -Z a -/Z7
Number ofd: t anduatTrat
Sathee
Show
�' Fs�
Water --- ySink _ ' _ _._
Vaddited —_ Lavatory ______ Stempipa Rae
Toilet GH PD ---�_
Kit Sick Stet Site
Local Waite Waits Sin NM,
Bar slue
s lea Mast
Dishwaelter BtalainSki r �� -.
BoasBib / �� Usk Lot Grease
Mini
E --L... D m Be Tap B;t Wale e Ste
bromeoto Perlin n wee �sm
es We& t:t°°rstat Dzbak � �eetMatm _
NW Mak �rTrgr wmdt —_— Wk. Sawe rM
t Contractor (for profecbr
requiting an EIV Form) .
rater. of Work /24;3 -- 4r1A 7 ?, .E - ✓2 :�
Sizes Material #
Sewer •
- Conn. Type •
won Sewer
rte, Service
( This i is complete and may be
at any time.
/- x ( Z -2 4 - 0
Received Time Dec.28. 2010 9:21AM No.4189