HomeMy WebLinkAbout0154762-Plumbing � CITY OF OSHKOSH No 154762
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
: Job Address 1316 EASTMAN ST Owner THOMAS G PUTZER Create Date 03/19/2013
Contractor KOCH PLUMBING&HEATING INC Category 413-Res-Interior(Replacement Fixtures) Plan
Inspector Jerry Fabisch
Bathtub 1 Clothes Wshr 1 Classrm Sink 0 Surgeons Sink 0 Roof Drain 0 Deduct Meters 0
Shower 0 Lndry Tray 0 Exam Sink 0 Sterilizer 0 Soda Disp 0 Wtr Sewer Mtrs 0
Whirlpool 0 Sump Pump 0 F Prep Sink 0 RPZ Valve 0 Coffee Maker 0 Wtr Usage Mtrs 0
Lavatory 1 San Sump/Pump 0 Flr/Wst Sink 0 Bidet 0 Site Drain 0 Misc. p
Toilet 1 Water Softner 0 Hand Sink 0 Urinal 0 Wait.St. 0 Fixtures
Kit Sink 1 Standp Rec 0 Lab Sink 0 Beer Tap 0 Ice Chest 0
Disposal 0 Gar Drain 0 Plaster Sink 0 Dip Welf 0 Comm Ice Maker 0
Dishwasher 0 Local Waste 0 Sculry Sink 0 Drink Ftn 0 Int Grease Trap 0
Floor Drain 0 Bar Sink 0 Serv Sink 0 Wash Ftn 0 Ext Grease Trap 0
Hose Bibb 0 Breakrm Sink 0 Shamp Sink 0 Catch Basin 0 Eye Wash Statn 0
Water Heater 0
Use/Nature DUPLEX/REPLACE FIXTURES DUE TO FIRE DAMAGE **debit acct
of Work
i I
i
i �
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
1506250000
Valuation $3,6 0.00 Plan Approval $0.00 Permit Fees $45.00 ❑ Permit Voided I
Issued By Date 03/19/2013
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
AgenUOwner
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.
0951 '�N Wd8� �Ol �IOZ '6l 'a�W awil penia�a�
City o f Oshkosh _
InspEC[fon Services Division
P O Box 1130
Oshkosh.WI 54903-1I30
Phone: (920) 236-5050
Faac (920)236-5084 OlHK01H
- O V THF\'JATFR
Pfumbing Permit Application
I hereby apply for a permii to da and install the fo[lowing plumbing on the prernises hereinafter described,ihe work ta conform to the
Wisconsin State Plumbing Code,in the performance of which all paraes hereto agree�ta arzd are bound by said statutes.
• Applicatlon(s)and fee(s)can be brought to City Hall,Room 205 or mailed to Inspecrion Services,PO Box 1128.Oshkash WI
54903-1128. Commencing wark without permit(s)witl result in fees being doubled or$100.00 plus the normal pernut fee,whi.ch
ever is greater.
OR
�vou ore a contractor partici»ating in the Permit Fee Account Svstem and have adeQUate funds. check here
if vou tivarrt this processed through vour account [�
� **Advisory-For applicable projects,am Elec�ical Installation Verification(EIV}fozm, si�ued by the IIectrical
Contractar or Homeowner(for installatio�allowed to be pesformed by the Lomeowner)mnst be sabmitted
wrth the per�mit application. Appiications sabmitted without an EN when sach is reqnired,will notbe
processed for Penmit Issnance ana w�l be retarned for completion.
Job Address I 3 l b ����'���Tr VSIUC (Including]abor and maredaLs) �SP���" Date 3—�� `�3
Owner �/}9 /��I'�� Contractor �OC���, , 6 �
OSingle Family �Duplea OMulti Family [$Rental ❑Commercial �Industriai
Number of FIItures:
- Bathmb � Sump Pump Plaster Sink Roof Drain
Shower San.Samp/Pump Stullery Sink Soda Disp
Whiripool Water 5ofiener Service Sink Coffee Mlv
Iavatory � StandpiQe Rec Shamp Sink Site Drain
Toilet �_ Gacage FD Surgeons Sink Waias 5m
Kit 5ink � L.aca]Wasce Stetilizer Ice Chcst .
D'uposal Bar Sink RPZ Valve Comm.[ce Maker
D"uhwashrl Breakcm S'mlc B1det int Grmse Trap
���� Ciasrrn Sink Urinal Ext Grease Trap
Hose Bibb �m5i�k BeerTap Eye Wash Sm
Wacer Heater I'Prep 5ink Dipper Well Deduct Ivteter
C Gas�Elect❑PwrVnt Floor Siak Dcu�k Fntn Wtt Sewer Mtr
Clothes Wshr { tland Sink Wash Fnw Wrr Usage Mtr
Lndry Tray Lab Sink Catch Basin � Misc Eixh�res
Electtic Con#ractor(for pfojeets not requiring an EIV Form)
Use/Nature of Work ����/S�C�► /O�G'/1�i��J1✓���,�..Q �!Q`� �J�'�!f��P''�
Size Materiat Type # Conn.Type
Sanitary Sewer =
Storm Sewer
Water Service
❑This installation is complete and may be inspected at any time.
06/09
,`;�x 3 / 7 � 15
6'd Z8Z09£ZOZ6 y�o�{aouaae�� e9b�Ol £L 6l� �