HomeMy WebLinkAbout0154824-Plumbing (water heater) � CITY OF OSHKOSH No 154824
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1910 EVANS ST Owner CHARLES A/MARILYN J PERRY Create Date 03/22/2013
Contractor KOCH PLUMBING 8�HEATING INC Category 446-Commercial-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
Whirlpool 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. 0 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 ULTI-FAMILY(933 MALLARD AVE APT#4)/REPLACE GAS WATER HEATER "debit acct :
of Work
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
1514819706
Valuation $700. 0 Plan Approval $0.00 Permit Fees $30.00 ❑ Permit Voided '
Issued By (�� � �lrl.J — Date 03/22/2013
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.
Mar 19 13 02:50p Clarence Koch 9202350282 p,2
Ciry of Oshkosh -
Inspecaon Seivices Divisian
P 0 Box 1130
Oshkosh,WI 549a3-1130
Phone: (920}236-5050
F� csao, Zss-soa4 O HK 1H
. p:�7HF 1'/niFR ��
Plumbing Permit Application
I hereby appiy for a permit to do and install the foilowing plambing on the premises he�einafter desa-ibed,the work to conform to the
W'ssconsin State Piumbing Code,in the p�formance oEwhich all parties hereto agree�to and are boand by said statutes.
� Application(s)and fee(s}can be brought to City Hall,Room 205 or mailed to Insgecdon Services,PO Box 1128. Oshkosh S+UI
54903-1128. Commencing work without permit(s)will result in fees being doubled or S I00.00 plus the normal permit fee,which
ev�is greater.
OR
If vou are a contractor DartiCipatirsF tn the Permit Fee Account Svstem and have adeuuate funds. Check here :
if vou want thrs nrocessed thrau�h your account ]�
**Advisory-Fo�r applicable projects,aa Flectrical InstaIIation Verificatioa(EI�form, sigaed bp the IIecdrical
Contractor or Homrnwner(foz msta3lati.ons allowed to be peiformed bp the homeowner)mnst be snbmitted
wirth the permit applicat�ion. AppliECations sabmitted without aa EN when snch is reqaired, w�I not be
processed for Pecmit Zssnance amd w�l be returned for complrtion.
Job Address �.3.3 /� �va� (Includiog taboe and materiak) /F'`'�� Date ��' j��
Owner �i��i�'� ���'� Contractor ���� ��/•
�Single Familp ❑Duplez �Nlulti-Fam�y (�Reotal OCommercial ❑Industrial
Number of Fixtures_
Bathwb Sump Pump Plastet Siak Ron�Drain
Shower San-SvmplPump Sc.ullery Sink Soda Disp
Whirlpool Water Softeaer Service Siak Coffee Nt1v
L.avatory Standpipe Rec Shamp 5ink Site Draln
Toilet Garage FD Suigeans Sink Waias Stn
Kit Sink Local Waste - ' Sterilirrr Ice Chesrt
D4sposal BarSink RPZ VaLve - Comm[ceMa[cer
Dishwash� B[�lttm Sink Bidet Int GreaseTrep
Fioor Dre[n C3asQm�ak Urinal Ext Grease Trap
Hose Sibb ��Si� Beer T� Eye Wash Sm :
Water Heater � F Prep Sink Dipper Well DesfuctMeter
�0 E]ec10 PwrVnt Ft�g� Drink Fntn Wir Sewer VI�
Clothes Wshr Hazed Sink Wash Fntn Wtr Usage M1T
Lrdry Tray lab Sink Catch Basin J N�c Fixnues
�lectric Con�ractor(for projects not requiring an EIV Fortu)
Use/Natnre of Work �����i K//� f�"����+r'�
Size Material Type � Conn.Type
Sanitary Sewer � _ '
Storm Sewer
Water Service
�Th9s installation is complete and may be inspected at any time_
,�AX 3—/�--!3 06/09
Received Time Mar, 19. 2013 2.43PM No. 2563