HomeMy WebLinkAbout0152927 - Plumbing (water heater) CITY OF OSHKOSH No 152927
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 911 GREENWOOD CT 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 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 MULTI-FAMILY(2120 EVNAS ST APT#3)/REPLACE GAS WATER HEATER**debit acct
of Work
1
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
1522840000
Valuation $700.00 Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided
c�w t Date 10/12/2012
Issued By J�
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 12 12 12:08p
1 Clarence Koch
9202350282 p.1
r t.)tiOX 1 Litt 4)
Osbkosb,WI 54903-1130 -
Phone:(920)236-5050
Fax:(920)236-5084 liTtal111
. al
- - . E WA-
Plumbing Permit Application
I hereby apply fur a permit to do and instelithe following plmadng on.the premises hereinafter&sailed,the work to conform to the
Wisconsin State Plumbing Code,in the performance of which&parties hereto agree to and are bound by said stables.
• Application(s)and fee(s)can be brought to City Eta%Roam 205 or mailed to Inspectket Services,PO Box 1128,Oshkosh WI
54903-1128. Commencing work without permits)vrillresalt in fees being doubled or$100-00 plus the normal permit fee,which
ever is greater.
OR
o. .r, • • • • „ _, tfc • • o-: e : =non , c• f st , • . • have ir.•_ i__, _ ‘ . V Lel he h
i ou 1.41a L ' •roc- _ _z hr• : f •.I.___ • .1,.• t Kill
"Advisory-For applicable prefects,mak:dile' al InstallatiOn Verification(EN)form,signed by the Electrical
Contractor or Homeowner(for installations allowed to be perforoted by the homeowner)must be submitted
with the permit application. Applications submitted without an EIV when such is sequked,will not be
processed for Permit Issuance and will be returned for completion-
.40.4 7 *,...
Job Address 2/_..:,g_‘_./..'.e ...------;*`5 7 .—,-I Value(inekuling labor and niatoish) 742, ---- Date /d"/Z-,/
Owner erlidif.41/4/S- (_-`-°-.2---1-/:; Contractor /(aC7/
OSingIe Family ODuplert ElBfuld-Fasnly IKIReolal ['Commercial Oladustrial
Number of Fixtures:
Sump Ptonp - Plata Sink -- RoafDrain -
Shower Sac Snap/Pomp _____ &allay Sink Soda Dbp
— —
Whirlpool _ Water Salta= Savirx Sink Coffee Par
—. — -
Lavatory Standpipe Rao -- Stamp Sink _ Site Drain -----
Toilet — G —wage FD Surgeons Sink
Watts Ma
Mt Sink Load _ Scathe( --Waste Ice Chest
Disposal _ __ Bar Sink -- RPZ Valve Contra keridakor
---
Dishwater Baal=Mei — Bidet
— tel arinde Trap
Phew Dain Cbsson Sink -- Thine' I — Est Grew Tap
Hose Bibb Bean Sink — Bea Tap --- EvaliVash Ste
Wag Beater _IF Pap Sink — Dipper Well ____ Deduct Meter
Xena D Mont 0 PwrVnt Flew SA - Dri P -nk am Wtr Sava Ida
Claim Wale Hand Sink — Wash Fan -- Rot Usage Mtr
Lary Tray --
Lab Sick Caleb Basin
Wascrftsmn
- _
:trio Contractor(for projects not requiring an MV Form)
/Nature of Work g/IP‘,4C7-i ;:,;(41-777-7,,
Size Material pipe # Conn.Type •
sanitary Sewer
Six=Sower
Water Service -
jc( This mstallation.- is complete and may be inspected at any time.
Received Time Oct. 12. 2012 12: 02PM No. 1228