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Home My WebLink About0145907-Plumbing (water heater) 0 CITY OF OSHKOSH No 145907 OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 2334 JACKSON ST Owner NORMAN R BOCK ETAL Create Date 05/16/2011 Contractor KOCH PLUMBING Category 446 - Commercial -Water Heaters Plan Inspector Paul Wolf 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 2332 Jackson / Install electric water heater. EIV signed by Seckar Electric. * *debit acct of Work Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service Parcel Id # 1518130000 Valuation $600.00 Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided Issued By Date 05/16/2011 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. y 1611 08:05a Clarence Koch 9202350282 p.1 r fu MX t !3U Oshkosh, WI 54903 -1130 Phone: (920) 236 -5050 - Roc (920) 2365084 Plumbing Permit n9 Application I hereby apply fora peninit to dog htstall the following phi:tubing on*: premises hereinafter described, the wodc to conform to the Wisconsin State Phmibing Code, in the perihrmance ofwhich aliparties hereto agree to and are hound by said shores. • 5p903� ions) and fee(s) can be brought to City Hall, Room 205 orate to Inspection Pp Hat 1128, Oshkosh WI • ever is g we* widest g( will molt in feeab�tg gloOAO plus the mental permit fee, which OR If you are a contractor nartfcfpatin- in the Permft Fee Account Svstem an have adeauate funds. clad here if you want this processed through your account lR ** Advisory - For arable proles, anElectrical Installation Verification. homeowner) be Comte orHameownrr(fbr allowed t�obe '' by the picot with the permit application. Applications steed without when such is processed for Pennit7 a and wall be returned c completion. will not be �/J�yo�b}�Ap�ddre f /ss 41 Z3 �/ 32 `` rJ/4C (Oi.r 557 Value troana nt mo meow �oOD °° Date .5 -/G ° a/ O ��neL 1� .E f �/G �iyr ! Dstle DDuplat CMulti�' Contractor 1‹ : Number of : Bathtub Shower Sump Pump t S� BoofD�sin SoitheySiak Whirfpoe] Water sow ` ' Lavatory Service sink maw Mir Laval msRoc Sir* Site Death Surgeries Sort Were Sto KftSink Local W -- D sa:S,at Dishwasher _ Sterilizer lee Chat Becalm Sink --- Bidet � � 1 � Dab • Clown �� T Water Hewer / F Pap Shift � G B T Eyewa De7as " etDP va: Dipper-Weft Clothes Wok Send Sink 1�/trSagrorMtr Laity DRY Lab 55e1r Catch W�Ua�eMOr moo nom grit Contractor (for projects not Ong an K W Form) - C/'/. 4 / Nature of Work //(/ 1'n- 4 ,'.r.,i ?/ /4/6,0e)74:-°"%r Size Material Type Cmm/. Type Sanitary Sower . • Storm Sewer Water Service tic This installation is complete and may be inspected at any time. Received Time May, 16. 2011 8:02AM No. 5658 GiIy of Oshkosh Division of lnsri ion Sorvioes 211 Cfiuch Av e FO Box 1130 Ostikcelt Wl 54903-1130 TLS' IMI Office 920-2364050 • •N , .nr R Fax 920.236 -5O81 Electric Installation Verification I We Q G C.� (Electrical Contractor Name or Homeowner's Name) ZU COO ' Nei PL') e (Address) (City) (State) (Zip Code) accept the responsibility to perform the electric work as stated below, at the following address: c233, 3A - c(zoij l CH cu E!NG . (Address where work will be performed) The nature of the work consists of: (Check One or Describe the Nature of Work) ,__„_ Reconnection or new circuit for replacement Heating Plant and/or A/C Condenser. _, Reconnection or new circuit for replacement Electric Water Heater or power vented water heater. Reconnection of the Service Entrance Cable, Meter Box, alterations to receptacles and lighting fixtures due to siding / soffit installation. Note: New Service Entrance Cables will require a separate permit. Reconnection or new circuit for the replacement of other permanently wired appliances / fixtures. New circuit for the addition of A/C to an individual dwelling unit, including required service electrical outlets. Note: Homeowners can only do their own electric on a single family owner occupied home. Work on a condominium, duplex, rental, or multi -use building would require a licensed Electrical Contractor. Other The value of this work is $ ,1 Z • OP . I hereby verify this work will be performed in compliance with the License requirements of Section 11 -22 of the Oshkosh Municipal code and further verify the reconnection / installation will be done in compliance with manufacturer and Electric code requirements. 4a.1 � ([I AA 1e. sez sez r�i tL zo 1/ (Signawre of C Officer or Homeowner) (Print Name) (Date) Received Time May. 16. 2011 10:32AM No.5666 07ro1