HomeMy WebLinkAbout0145929-Plumbing (water heater) CITY OF OSHKOSH No 145929
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 832 MOUNT VERNON ST Owner TERRY M/TRACY L HAWLEY Create Date 05/17/2011
Contractor KOCH PLUMBING Category 411 - Residential -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 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 #
1002310000
Valuation $650.00 Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided
Issued By l� �,/,�)tQ Date 05/17/2011
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 1711 08:59a Clarence Koch 9202350282 p.1
r u snot d 130
4 4. °F .1 )
WI 54903 -1130
RUC (g -
•
e1�
Plumbing Permit Application r _
I hereby appbr fer a permit to do mad foga tbe Mowing lambing on
Win StateP Code, ffi P ofwlms taH a by �o the
• Ai1o) and e(a) can be brought to City Nall, Room 205or mailed m luspecdon Servines, PO Bon 1128, OsIkeab WI
. ewe ts greatest
oR
Tatou want this processed through vow. account t = y'f r t
1 .- f
" Advisory-
Contrnmnr o F Y finny signed by the
with Ste penult Sold � sada
Fwd �Peom and will be d , will not be
Jabs 41'3 Z. "Mr G- .g4,, Vpaiae > tma ) 1 . 5 ? - /7 - 1
Owner 7 , :0-" ,s' � S � l
Nitingisirankgy ONES= endly De
Number of Nkturem
Bathtub Swap ?amp
Shower • spa
Vadd Water Samar SraCa�sintc t
Swim
Loom? Standpipe Rsc amesink Coffee31t�
Sinop Sink
Toilet F sae tta�
sip laud Wile matc Wailes Up
saw
Disposal _
Barn* -
ra eC,9�t
Plow t>rin • c�mt�tc lit taco►
8esett, t�
WT / r ,S Weil -- Wash
l ass ns t Near Sleds
n
Clothes w nett m WIr& .
-- Fisaases
dric Cupp (for proms not requiring an
/Nam of Work , 6, /e,7047.7411.;2' ' ._ ,
•
J rJM{fLw•s •
•
Storm Sewer
[ Wr Service
This ova is out aad may be inspected at •
soy time_ .
--- / 7z /
Received Time May. 17. 2011 8:56AM No. 5687