HomeMy WebLinkAbout0154764-Plumbing (water heater) � CITY OF OSHKOSH No 154764
OSHKOSH PLUMBfNG PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1124 MERRILL ST Owner STEVEN L HOOK ETAL Create Date 03/19/2013 :
Contractor KOCH PLUMBING 8 HEATING INC Category 411 -Residential-Water Heaters Plan
Inspector Jon Mueller
Bathtub 0 Clothes Wshr 0 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
Whiripool 0 Sump Pump 0 F Prep Sink 0 RPZ Valve 0 Coffee Maker 0 Wtr Usage Mtrs 0
Lavatory 0 San Sump/Pump 0 Flr/Wst Sink 0 Bidet 0 Site Drain 0 Misc. p
Toilet 0 Water Softner 0 Hand Sink 0 Urinal 0 Wait.St. � Fixtures
Kit Sink 0 Standp Rec 0 Lab Sink 0 Beer Tap 0 Ice Chest 0
Disposal 0 Gar Drain 0 Plaster Sink 0 Dip Well 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 1
Use/Nature FR/REPLACE GAS WATER HEATER '"debit acct
of Work
I
�
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
1007840000
Valuation � Plan Approval $0.00 Permit Fees $30.00 ❑ Permit Voided ii
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.
r 19 13 02:50p Clarence Koch 9202350282 p.1
Ciry of Oshkosh
Inspectton Services Division
POBox1130
Oshkosb,WI549ai-1130
Phone: (920) 23fr5050 �� �i
Fax: (920) 236-5084 !
1—I
- C.�:sHt 1'/l�iFR .
Plumbing Permit Application
I F�ereby apply far a pe�rnit to do and instail the fo[lowing pIumbing on the premfses hereinafter described,the work to conform to the
WLsconsin 5tate Piumbing Code,in the performance of which aI1 parties hereto agree-tn and are bonnd by said statutes.
• A�plication(s)and fee(s)can be broughtto City Hall,Room 205 ormailed to Inspection Services.PO Box 1I28. Oshkosh WI
54903-ll28. �ammencing work without permit(s)will result in fees being doubled or$100.U0 plus the normal perrnii fee.which
ev�is�eater.
OR
I ou are a ca�tractor Qrtici otin in the Permit Fee Account S stem arrd have ade uate u»ds check here
i ou want this rocessed tkrou h our accouni
- **Advisory-For applicable projects,an F1ec�ical Installation VeriSr�ion(F1V)fomn,sig�ted by tLe Elect;ical
Coatractor o=Homeowner(€or instaIIations allowed to be pezfomned bp the bomeowner)mnst be sabmitted
with the permit applica�Gion. Applications submitted without an EIV when sach is reqaired, w�l not be
processed for Perzuiit Issna,ace and will be retarned For rnmple�ion.
Job Address���''¢ //�.����� .�7'Value (�ndading labor and ma�e�is) �o��°" Date•�'�"`��
Owner �����''�_�__s�� Contractor ��! ��� •
[�Single Family [�Dupleg OMulti-Family Qitental ❑Commercial ❑Industrial
Number of I+�tures:
BatMub Sump Pump Pl�ter 51nk Roof Drain
Shower San.Sump/Purnp Scullery Sink Soda DisQ
�p�� Wates Softener Service Sink Coffee M1Q
��t�y Standpipe Rec Sbarnp Sink Site fhaio
Tollet Garage�D Surgeota Sink VNaitrs Stn
KiF S9nk I,omf Waue Stelilizer Ice Chest
D�� gaz S�k RP"L Valve Coffin IceMaker
DFshwashec Bmakrm SInk 3idet Int Gtease Trdp
Floor Drain Ciasvm Sink Urin21 F�tt Gtease 7'cap :
Hose Bibb �m�� Beer Tap Eye Wash 5tn
Wazer Healel �_ F Prep Sink Dipper Well DeduU,1�[eter
�Tas e Elect�7 Pwsvnt Floor Sink Drink Fnm Wv Sewer Mtr
Clothes Wshr Hand Slnk Wash Fntn Wu[lsage Mu
�
Lndry Tny Lab Sink Catch Basin Miu Fixtu�s
Electric Contractor(for proj�cts not requiriug an EIV Form)
Use I Nature of Work ������ ���� ��'����
Size Materiai Type # Conn.Type
Sanitary Sewer , � �
Srorm Sewer
VVater Service
�This installat�on is complete and may be inspected at any time.
��. �� 06/09
t,�_J.a.,. '�', _ -. y�
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Received Time Mar. 19. 2013 2:43PM No, 2563