HomeMy WebLinkAbout0152441 - Plumbing (repair/replace soil stack) CITY OF OSHKOSH No 152441
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1215 SPRUCE ST Owner NORMAN BOCK Create Date 09/18/2012
Contractor KOCH PLUMBING&HEATING INC Category 413-Res-Interior(Replacement Fixtures) Plan
Inspector Jerry Fabisch
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
Use/Nature $FR/repairing and replacing soil stack due to pipe being cracked at base of stack
of Work
■
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
1205890000
Valuation $1,200.00 Plan Approval $0.00 Permit Fees $25.00 El Permit Voided !i
Issued By Date 09/18/2012
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.
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I:MA*0Sb,WI 54903-1/30 -
Phone:(920)236-5050
Roc(920)236-5084 fliTi. ill raj,,Ti___ .1111
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Plumbing Pennit Application
I hereby apply for apermitto do and install the following plumbhig cote premises hereinafter riescoled the work ID conform in the
Wisconsin States Plumbing Code,in the premium('ofvolloh&parties hereto agree to and are bound by said statute0 Applicadon(s)and fire(s)can be brought to aly Mk Room 205 or nailed to Inapsofion Services,P0 Box 1128,Oshkosh WI
54903-1128. Commencing work withompanoft(a)wilt moth in fine being doubled or 8100.00 plus the nonnel penalties,which
ever .is greater.
OR
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if you Want this'trammed throng*your accaornt pl
Ifir
Advisory-For applicable pudects,an Bedded Installation Verification.(DV)fares,signed by the Electdcal
Contractor or Eiomeownerabr installations allowedto be peribrmedbysbe homeowner)mastbe submitted
with the permit application. Applications odunitted without son XIV wisest smiths rupired,wig Bathe
processed for Pens&Isenanm and will be___fir completio' n.
Jab Address J Z/5 .5:42%;?,._- 5-7 Value Ombra*lawman/scars) /2Z--)4:7 •-•""t Date 1-/7
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Owner Al,0 4 /AI '6?' Contractor ie00774 //c=/:.`..)
Dal&FandlY ODuplex 0144hilli-Fourily . OReartal Oconlinereiga landerstrial
Number of Fixtures:
Bathtub SumpPump ----- Piaster Wu* ----- RoolDnin _
Show Sta.Su xustPusep _ Seamy Solt - StehMitit -
ltillizxil - Water Sallow -. Sodas Sink - Caffosiew
-
Lavaxy _____ Stantipip'e Rea Amp Sink __ Site Drain __
Toilet _ Owego FD Simms Sink - Weida Set
-
Kit Sick toed Waite Star=__ __ Ice Chest
-
Mixed _ BIM _ RPZ Vain - Cam leo Dasher
Disitsusbet _ . Eked=Sink - Met - rut Gum Trap -
Floor Mein Chum Sink - Ward - ilet Gams Tsop .
Hose DM Benin rusk - Bea Tap - ErsWeth Stu -----
Water Heater P Plop Sink - Dipper wen • Deduct Meter - '
0 Oss 0 Recta Pwrirnt Hoes Sink _. DM*Rau ____ 'Alt Seweriviti _
Clothes Walk Hand Sink _ We&Fal ViDUssiss MD -
1.alitY TreY - Lels Sok _ Catch Basin - hew Phatues -
Vic Contractor(for projects not requiring au WV Form)
/Nature of Work TZ/F/Si<1.--"A''.7 #'`. #'1>Irf:?-"%'..,,,:---'7; 5-t-V4: .-"-;-'le'11'--#,
#
'
Size Materfai
Type # Conn.Type
Sanitary Sewur - "
storm sewer
Water Service -
kThis installation is complete and may be inspected at any time.
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