HomeMy WebLinkAbout0145662-Plumbing (water heater) (.:D CITY OF OSHKOSH No 145662
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 410 W 20TH AVE Owner DANIEL A RICHTER 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 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 #
1407180000
Valuation $650.00 Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided
Issued By o2i1-.,t2 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 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.
r29 29 11 05:19p Clarence Koch 9202350282 p.1
rum= 113ar
Oshkosh, WI 54903-1130
-
Phone: (920) 236 -5050
Fax (920) 236 -5084
OTI°
Plumbing Permit Application ., ,
I hereby apply fora permit to do and install the following p on the premises
Wisconsin State Plumbing Code, in the pe i,m a of which all parties ha u the wed( to aa�m to the
� to and are bound by said statutes.
• �h Application(s) and fee(s) can be b to City Hall, Roam 205 or maned to I Services, PO Box 1128, Oshkosh WI
ever is g Commencing
work wtpaocros) will resukht fees being doubled arS1o0.00p�s the nearest permit fee, which
OR
f voar are a contractor nartictaattas In the perms es Account System and have adsauate Ands. cheek here
if you want this processed rhrougb your account
or For projects, ash Verification.
avedtn be pew t form, 'the kcal
Contractor with the �, Applications w out an RV by a such
processed for Permit a and will be wed for completion.
will not be
Job Address 4 l /r ez) ?; i=f' r4fr' Value labors:id ) 65'C `°° Date 4 Z i/
Owner S� a er ,6 7/y.2,._ Contractor teGe /I ,�,ed
DINO= Oblulti-Fanany Ditentall oCommerehg Olodustrial
Number of natures:
Bathtub Sump Pomp _ Plaaersmk
Sinner
sas_ Scullery smt soda
W h i r l p ool W S eer Servke Siok
Lavatory c e
Tenet G FDsc sice2�afa
Kit Sink Lost Weser so mr Sink Walks Ste
> Bar Sink �`
RPZ Wive Costa lea Maker
. Breslau sink
Bider ha Grease
Hoar Drain Chum BM Gloms Trap
Hen BS* Ream Sink Barrels five Wahsde
O 0P a° Deduct Meter
Clot Wshr Hand Sink Pain V& Sower Mt
lathY T om' rabSrmk Basin '
trio Contractor (for projects not requiring ring an =V Form)
/ Nature of Work ./2 e. " ,.444-7x „ a *� , ±.
Size Material Type # Conn. Type
Sanitary Sewer
.
Storm Seer
Worm' Service
K This in.stalksion is Complete and may be inspected at any time.
Received Time Ap r. 29. 2011 5:16PM No. 5443