HomeMy WebLinkAbout0152771 - Plumbing (water heater) CITY OF OSHKOSH No 152771
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1124 W 5TH AVE Owner RICHARD/LOUISE LUTTENBERGER Create Date 10/04/2012
Contractor KOCH PLUMBING&HEATING INC Category 4.11 -Residential-Water Heaters 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 1
Use/Nature SFR/REPLACE GAS WATER HEATER **debit acct
of Work
L
—
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
0608260000
Valuation $20� Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided
Issued By Date 10/04/2012
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.
Oct 02 12 03:38p Clarence Koch — ' 9202350282 p.2
°Alto*WI 54903-1130
Phonic(920)236-5050
Bac(920)236-5084 0141::{M71
. -
Plumbing Permit Application
I hereby apply for apart&ID do and bend the Mewing plutabbg ontheFendses herehedter deezdhede vie*to=sem to the
Wisconsin' .State Phenbing" Code,in the periatoonse*Mich allpariinsitereto Esteem and icebound by said swim
o Application(s)ansi ise(s)webs bought to Cray dl.Itoont205 en ntailedto Intipmfa311 SWAM,PO Bum 1128,Osbkoali WI
S4903-1128. Commoncing' wort Mthoutpensks)witimanit role being doubled 4E8100.00 plus the name penult are,which
. ever is greater.
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a -• .f_a'..t"..1.fi L ? •11.! " -.3_. 7fi- EP- fi.Alf-1 :-:.. • C !..f.i. ) 4-. _, • - ' " ,-L-.=:_,I_,Ii_, L' ' -I .1
I , • : ,'.•_,2 _i:1_. nt.iv ,-, ii.!...Lr :i 'A,,i• " ,/,!.., E.5
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1"Advisory-Foe applied&Logiects,solgtoctricolbs"VerMados.(EICV)from,olgoad Win Elleccricog
Cotract=or licionowror eforiontolialoar silloccodtto Tic pathantoollarifiallossownidannotbe sobaittool
With the pesmik application. Applicsdons sub siteed without salKIV wines such Ismquirad,willi zaetbe
p r o m o t i o n f e e P I mam as Navin Mumma for anopiclion.
Job Atickuss //Z 4 14.1 .)---r-&-/4 a-..!: Value asamsagiaberset sieganato ' 2 –. Date /a - /-/e.._
owner e4'-/,<4,.4 ii.,-/-:,-„.:-.-,se,,,,;,t,...A,-,::,_. Coutractor ie-;:'-=:/,' ,';<;-
[ZiSinglisiransilly ElDoplom OINEAS-Foorily -_ Doconal OrCanuocorkd Ordadingeod
Number of lifortures:
Bathtub _ Scoop Pomp - Mosta Sok _ BoolDmin --
Shama . Ss&Skumffitin0 -- Saslow Sok _ SorlaDhp _
Villiatami - Water Samar -_ Smoke Sink - ColicsMfrr -
Lavatory _ Stoodppo Rev - Sharop Sink _ Site Maki _
Toilet - GarogiFD - Mak - Wafts Sin -
LoodiVoia - Soratlizor _ Ica amst _
DisPasid - Harblok _ RFLVolva -. mares
Dishavasber _ , ilmalara Mai _. /WM - InttheanTesp -
Floor Dcala • 033aria frark - Mad • __ Ihriatemla Dap _ _
gosoltibb Exam Sink - War Tap - EgeWiliant ---.
Werra Naar _i F Prep Sisk - VinerWrati _ - Danne:tor _
gglas CI IRMO Pants Nom Mak - Drier PM - Wit Semsda. -
adios Wahl. Mad Mat _____ Wash Fola _ WIrOsegeldr
Lurk,'Tner - Lob Walk - Catch Bodo - lifiscadams -
trio Contractor(for promos Not requartug so WI Forza) .
,,--4 i
/Nature of Work r/Z-;‘'‘,#,'Ie*/-:" Le;/2,-C &04"i4,714-k` /11?-7e : _-
Size Meterial TDB # Coim.1)Te
1 _
_
•
-
Sanitari Sewer
, .
Storm Sevier
Water Service -
I( This installation is complete and may be inspected ate ny time.
Received Time Oct. 2. 2012 3: 31PM No. 1073