HomeMy WebLinkAbout0100110-Plumbing (water heater)OSHKOSH
ON THE WATER
Job Address 1645 RAINBOW DR
Contractor KOCH PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner THOMAS J BRINKMAN ETAL
Category 411 - Residential-Water Heaters
Bathtub 0 Shower 0 Ejector/Grind 0 DipWell 0 F PrepSink 0
Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 Serv Sink 0
Lavatory 0 Lndry Tray 0 Local Waste 0 Wait. St. 0 Shamp Sink 0
Toilet 0 Lndry Stndp 0 Clothes Wshr 0 Ice Chest 0 FIr/Wst Sink 0
Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0
Bar Sink 0 Dishwasher 0 Beer Tap 0 SculrySink 0 Wash Ftn 0
Water Heater 1 Sump Pump 0 Dent. Oper. 0 Hand Sink 0 Urinal 0
Site Drain 0 Classrm Sink 0 Lab Sink 0 Plaster Sink 0 Standp Rec 0
Roof Drain 0 Breakrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0
No 100110
Create Date 03/07/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
0
0
0
0
0
Use/Nature
of Work
MULIT-FAMILY/
Replace gas water heater.
Sanitary Sewer
Storm Sewer
Water Service
Size
Material Type #
Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Valuation $900.00 Plan Approval $0.00 Permit Fees $20.00
Issued By
Date 03/07/2003
[] Permit Voided
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature Date
AgenfJOwner
Address 2005 DOTY ST OSHKOSH WI 54901 - 0000 Telephone Number
BUTCH (C)379-8753
03/06/2003 09:32
City of Oshkbsl~
htspec(ion Services Division
P O Bez ! 130
Oshkosh, WI 54905-1130
Phone: (920) 236-5050
l;'~x: (920) 236-5084
9202350282 KOCH PLUMBING INC PAGE 01
_O HKO./H
ON THI~ W^TER
Plumbing Per,nit Applicatiop
I hereby apply for a permit to do aztd i;~{all thc followhq; plun~l~h~l,, o. fl~c premises hcrcina~cr described, linc work to ~n(orm zo thc
Wisco-sin Slmc Plmnbmg C~e, in thc pcrfor~ncc of which all panics ~relo agree to a~ld arc bouad by said statuic~.
~Single Family ~l)uplex ~Mul/i-Family ['j]Rcnlai ~Commcrciz{ ~[udustrial
Number of Fixtures:
Ba[h~ub ...... L~dry sta~dp ............ I,'knL Opct, Shzmp
~irl~l ...... Dis~zl ....... Oip Well FIr~st Sink
Toilet SU~ ~U~ ...... Wail St ...... Wash Fm
R~.' Sink Ej~r/~ Icc ~est Urinal
~r Sin~ Wal~ ~fincr .................. Exam Si~
Wa~ l{cat~ / ~al Wasie ~ ~ul~ Sink
Flor ~in Bi~t ~ F P~ Si~ ke
~d~ Troy ~e~ T~ Scm Sink Si~
~b Sink ~$~ S~ ~ Iht ~sc Trap
Plas~ Sink ~ S~n$ $~k Ext ~a~ T~p S~odp R~
Electric Contractor OR [] EIV form attached (I£Replaccmcnt)
of Work
Sanitary Sewer
Storm, Sewer
Water Service
Size Material Type # Conn. Typ~
Application(s) and fee(s) can be brought to City Halt, Room 205 or mailed to ~spcction Services, PO Box 1128, Oshkosh WI
54903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the normal permit fee,
which ever is greater.
OR