HomeMy WebLinkAbout0152926 - Plumbing (replace water heater) I CITY OF OSHKOSH No 152926
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1910 EVANS ST Owner CHARLES A/MARILYN J PERRY Create Date 10/12/2012
Contractor KOCH PLUMBING&HEATING INC Category 446-Commercial-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 Stand Rec
p 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 MULTI-FAMILY(1960 EVANS ST APT#2)/REPLACE GAS WATER HEATER **debit acct — 1
of Work
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
1514819706
Valuation $700.00 Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided]
Issued By (jj Date 10/12/2012
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 121212:08p Clarence Koch 9202350282 p.2
r u=X Lau
Oshkosh,WI 54903-1130 -
Monet(920)236-5050
Fax (920)236-5084 01611WP
4...___...,., Ill
. -
Plumbing Permit Application
I Jacoby apply for a permit to do aml baton be following plumbing an the premises heteloathar de bed the yank to ccerform to the
Wisconsin Stine Pktmbing Code,in the performanas of whicl. t all parties Lento agree to end me bound by sdd statutes.
• Application(s)and fee(s)can be brougin to City Hall,Room 205 or mailed to Inspection Services,PO Box 1128,Osidmsh WI
54903-1120. Commencing work without permit(s)will result in fees being doubled or sustoo plus the smog punk the,which
ever is greater.
OR
fir you are a contractor participatine in the Permit Fee Account System and have adequate rand' check here
if you want this processed through your account q
**Advisory-Far appncable projects,an Eieetrical hatallation Verification(EaV)limn,siiptedlby the Electrical
Couttuctor or Homeowner Or installations elbowed to be perHomed-by the leeneownea)image be submitted
with the imank afflicatio' n. Applications submitted without=KW when each is requked,will not be
processed for Permit Issuance and will be returned for completion.
Job Address /?a,o FeA-/./f--1-77: 4LZ—Vane Onclutmglabarandmetedds) ...73.:-24". Date 42-/2 -/Z-
Owner gAWTA1-7/ ,' ('--24 Contractor,e.i:- , ' , ''.j ;:::1• .e•:' --
IC vA:.eti
.
Offing".Family ODupleat Obfulti-Family EiRental OCommerehd Olndnetrisd
Number endures:
Bathtub amp Pump _ Plastarmk _ RoofThain -
Sim= S Sump/Pump Seeley Valk _ Soria Disp _
VaitiPool - Water Sams -. Service Silk _ Cairn Mir -
Lavetory Stesdpipe' Roc _ Slum Sink _ Site Draie _
Toilet Garage FD &woes Sink Weil=Sea
___
_ _ _
/Ca Mak Local Wei. _ Steriater _ km Chest -
Meant Bar Moir _ RPZ Valve - Coma Ice!dirket -
Dirlressim Maim Sick Bite fat Cheese Tap
- - -
_ .
Floor Data Chasm Fmk - Mud - BM Gump Trap .
Hose Bilb Brum SM k - Beer Tap - Bye Wash Sin -
WmrHanr / FP, Sink - Dipper Weil _ . Deduct kferer _
)(Etas OBleat 0 Parlfat Floor Sibk - Drink Pain - We Smarkla _
Clothes Wear Banda* - Washita° - laftr Usage Der
Loft Tray _ Loh sink - carob Basta - Itirm/shims
--.........
Ark Contractor(for projects not requiring an MV Form)
..,. -„.....
/Nature of Work , ' 'f ;'/. ;,f.:1,-'7::: L e';"-,,' ------'. ..-"'-'-. , -4'
Size Material Type # Cora.Type
Saud"ary Sewer -
Stoma Sewer
•
Water Service
xf This installation is complete and may be inspected at any time
Received Time Oct. 12. 2012 12: 02PM No. 1228