HomeMy WebLinkAbout0155673-Plumbing (water heater) � CITY OF OSHKOSH No 1s5s�3
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1316 EASTMAN ST Owner THOMAS G PUTZER Create Date 05/16/2013
Contractor KOCH PLUMBING&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
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 FINWst 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 Weil 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#
1506250000
Valuation $600. 0 Plan Approval $0.00 Permit Fees $30.00 ❑ Permit Voided !�
Issued By Date 05/16/2013
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party,if you perform the work
described in this permit application within an easement,the City strongly urges the permit applicant to contact the
easement holder(s)and to secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address 2005 DOTY ST OSHKOSH WI 54902 -7040 Telephone Number 920-231-6661 or 235
To schedule inspectio�s please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type of
Inspection(i.e. Footing,Service, Final,etc.),Access into Building if Secure(how do we gain entry),your Name and Phone
Number. Unless specified otherwise,we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
City of Oshkosh -
Inspection Services Division
P O Box 1130
Oshkosh,Wi 549�i-1130
Phone: (920) 236-5050 �/
Fax (920)236-5084 OJHi�Of H
. Q�!THF\YATFF �
Plumbing Permit Application
I hereby apply for a permit to da and install the following plumbing an the premises hereinafter desaibed,the work to oonforrn to the
Wiscansin State Plumbing Code,in the perfonnance of which all parties hereto agree-to and are boand by said statut�.
� Apptication(s)and fee(s)can be brought to City Hall,IZoam 205 or mailed to Inspection Services,PO Box 1128, Oshkosh WI
54903-1128. Commencing work without peimit(s)will result in fees being doabled or$L00.00 plus the normal perjnit fee,which
ever�s greater.
OR
Lf voa are a contractor pvrticipatinp in the Permit Fee AccouRt System and have adeauate filnds. check here
if vou want this processed through vour account �
'k'Y Advisvzp-For applicable projects,an Elecirical T�t�n�on Verifiartion(EIV)for�m�,signed by t�IIectrical
Cogaactor or Hameowner(for installations aIIowed to be pe�omied by the bomeowner)mast be sabmitted
with tlie P�mi�t aPPlicati.on. Applications snbmitted without an EIV when sach is reqaaed, w�l not be
processed for Penmit Lssuance and wt71 be returaed for comQletion. .
"`4' .�/-+ '��' .
Job Address �.3�G �,f�5��i�`>� -s�b'81�1e (InciudinglaborandrnateriaLs) �P� Date �
Owner �C��� ���'�.''�'....�:'- Contractor /�fJC� �G/��. .
[],Single Family Q�Duplea ❑Multi-Family �Rental ❑Commercial Dindustrial
Number of Fixtures:
Bat6n� Sump Pump PFaster Sintc RooEDrain :
Shower San.Sump/Pump Sciillery SInk Soda Disp
WMrlpool Water Softener Senrtce Sink Caffee I�Ila
Lavatory Standpipe Rec Shamp SInk SRe Drain
Toilet Garage FD Sutgeons Sink Wains Sm
Kit Sink I.onl Waste Staili� Ic�Chest
Dis)�osal Bar Sink RPZ Valve C�nm Ice Maker
Distnwashel Breakcm Sink B(det Int Grease Trap
Floor D�ain Classm Sink • lJrioal Fxt Gr�se Trap
Hose Bibb �m 5�nk Beet Tap Eye Wash Sfi
Waur Heat� � F Prep Sink Dipper Wel] Deduct Meter
�'Gas❑E1ect❑PwtVnt ��g�& Drink Fntn Wtt Sewer Mtr
Clothes Ws6r Hand Smtc WaSh Fnm W�Usage MQ
�
Lndry Tray Lab Sink Catch Ba�n Mlsc Fixnues
Electric Contractor(for projects not requiring an EIV Form)
Use!Nature of Work �.�L!*�l�� ����'��'�r�' ���r'``�'��'`
Size Material Type # Conn.Type
SaniEary Sewer � � 1
SEorm Sewer
1Nater Service
❑ This instaliation is complete and may be inspected a#any time.
06/09
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