HomeMy WebLinkAbout2011-Plumbing (water heater) CITY OF OSHKOSH No 145663
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1078 W 4TH AVE Owner JOHN A/EDITH A NIEMAN Create Date 05/02/2011
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 SFR / Replace gas water heater. "'debit acct
of Work
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id #
0607610000
Valuation $700.00 Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided
Issued By a4')te-J Date 05/02/2011
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant tY g y g p pp to contact the
easement holder(s) and to secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address 2005 DOTY ST OSHKOSH WI 54902 - 7040 Telephone Number 920 -231 -6661 or 235
To schedule inspections please call the Inspection Request line at 236 -5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume sume the project is ready at the time the request is received. Work may
1 Y q y
continue if the inspection is not performed within two business . days from the time the project is read
Y p 1 Y
r29 11 04:16p Clarence Koch 9202350282 p.1
r v ssox 113u V
Oshkosh, VI 54903 -1130
Phone; (920) 236 -S0SO
Fax (920) 236 -5084
i 0
Plumbing
Permit ".
�9 � �►ppiitratiau
1
b fora
' to �bY apply and
P� install ths Billowing p the
plumbing P dewed, the work to
qr' conform the Stab P
in the
��$ Code, P of w� aIl parties herds �e wand are bound said
by statures.
• App S) aid fee(s) can be brought to City MI, Roam 205 or mailed to Inspection Services, PO Box 1128, Oshkosh Wi
e work without permb(s) wits result In ryes being doubled or SI00 QO plus the normal
ever is greater.
P which tom'
OR
' ' a • • r_ - • , sit 1, , - 1 -1_ = /t 1 e Account System and have adeauate funds. check here
if you w this arocessed through your account i'
,t- Advisory - For applicable projects, an Electrical Installation Vey
Contractor to WV) f a signed by ub fitted
with the permit Application. Applications submitted without Pbrtdm must be submitted
auEW what such is required, will l not be
processed for Permit Issuance and will be reamed for completion.
Job Address /0 7'S. vV 4 . ft . 1 4- ; Vain Onekthing Maraud me ) •l]=°° Date , 7 - 2 . 9 — //`
Owner J22/ //r/ r ` , .,, • "• :G nn
rta t � j ,_ ;�-�''; f. •. Contractor f !`L.�.�fo
(Single Family ODnp>r= [Netts Pamriy • QReatal EJCom ercial Oladustrial
Number of :
Bathtub Stomp Pomp Mauer s Roof nude
Sea_ S f Sweat' Sink Sects isp
Whir1po01 Water Mawr Sesvioe Sink Coffee bear
Loony Stendpipe BaC Shan* Sink
ToiletWeDr Drain
Ganes PD Sm Peon Sink
Wine Waiter Stn
Zit Sink Local W
Disposal _ Sterilizer Ica Cunt
Bar Whir RPZYabre Canna Bobilker
Dishwasher Si,Tr Bidet Int [tteeic ltap
Floor Drain Can Sidi Minot Bet Grease Dap
Hess Bibb Beam Sink Beer rap Bye We* Sin
W� DesibctMmer
w Haw F Prep
Cisap Elect DPwrVss Floor Sink Mini/Bin WtrSsaarDOr
Clothes WA; Band Sink Wash Fain
�'T�' lab Sink WtrtJsgSe
Catch 1 ]disc Fly
r
c Contractor (for projects not requiring an EN Form) -
/ Nature of Work Z " "C " .fit? 7"/''.. fri /F .; ' ,:":::=:'::"
Size Material Type # CO®a. Type
sewer •
Steam Sewer
Wager Service
-
ok This installation is complete and may be inspected at any thee.
Received Time AAr.29. 2011 4:12PM No. 5439