HomeMy WebLinkAbout0152770 - Plumbing (power vent water heater) CITY OF OSHKOSH No 152770
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1535 CANDLELIGHT CT Owner EDWARD/MARGARET POTEMPA Create Date 10/04/2012
Contractor KOCH PLUMBING&HEATING INC Category 411 -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 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 Scully 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 POWER VENT WATER HEATER **debit acct
of Work
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
1320516500
Valuation $200.00 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.
st 02 12 03:38p Clarence Koch 9202350282
___---- p.1
r La.tiOX 113U
Oeldoseb,WI 54903-1130 -
Pbonc(920)236-5050
Roc 20)236-504 —II
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la I 1 I a
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Plumbing Permit Application
I hereby apply 63r a permit to do mid insadithe dfilowing plumbing oaths premisesheoiandter dascaslectihe vasir to candon to the
VrisOossin Sane Plumbing Code,in the perfanance otwhich&pasties Weft agtee to and are bound.by add statutes.
0 Applitation(s)and fee(a)am be btougit to Cilyliall.Room=or mailed to leaps:cram Services,PO Be all=Oshkosh WI
54903-1128. Commenting work without parmit(s)will meth fees Wog doubled or MEM phis the notelet pm:mid:be,which
ever is greater.
OR
If you are a contractor vartictgatinu in the Parer(t Fee Account System and hare ruleggate funds. check here
if you ivaiit this oracessa through your account pa
*ft Advisory'-For applicable projects,ase.likadcal liostansdonVadramaion(UV)limn,signally ,ctd1
____ax Ilosonowner(itor instslindons sikrued to Toe pertiumedbythe borseawner)mustbe submitted
with the pangtapplicatiou. Applications samellited without on BEV wben suck isacquired,will matte
processed for Permit lessance nod wig be returned for completion.
job Address 153S(34,,,,;-,e).4-., /.4=,-4, ;raise gosisatrasersscsohnift .Z. Date/4;7- ''.!--
Owner nr---(2 /6),V 77:;,,Ae,A- Contractor ied. 77,/
piing*Yezeily
DD oplez 011ifuldi-Feauft - ORental Deassmerciai ClEadosirial
Number of Mimes:
Ban* Sump Pomp - Haft flak - RoarDnin -
Shown _ Syn.SusapiPsop _ SoliklorSink _ SodaDisp _
villidiloca - Wass SoMe2er -. Service Sisk Coffin ker -
-
Levan - Steniprin Itsc _ Sinop elk mni■■•• Mal:brio -
To - Gnaw IV _ &nom Sink
Riffs* Lon/Wise- _ Saar= - iosCitrat
Disponi _ Basal* - =Valve - OnanTas Wks
Distrazober SWAM Mk - Biagi - Szt Muse Trap -
- .
Flos Dais '- Claim Sink - MEd - Est Grano Tun _
R o s e M b E m s S i s k - B T ap - Ass Vdkoh Stu -
Wner Henn / F Pop Sire ----- Dipper Weil - . - Deduct Mtn _
..) Cieo 0 Elect 0 Pilaff's PisorSio'k - Mak Fato _ Wit.Sow Mir -
Cbstbis lifshr Ilead Sick _ WWI Pots VinUssin MO _
_____
Ldry DaY - Lab Sink - Coe Bashi - taw Rases -
tric Contractor(for projects not requiring an EIV Form) .
/Nature°Mork r/..---;:-/ 7.41-4,,t,-- P0,---."-;--,-:;-;; sv-c-: -,---— -:.4., ,,;„:: ::... .
/ ,
Sire ileastial Type # Conn.Type
Seamy Seater - '
Storm Sewer
Water Service
This installation is complete and may be inspected at anytime.
Rece ived Time Oct. 2. 2012 3: 31PM No, 1072
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