HomeMy WebLinkAbout0156600-Plumbing (water heater) � CITY OF OSHKOSH No �sssoo
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1940 EVANS ST Owner CHARLES A/MARILYN J PERRY Create Date 07/09/2013
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 FldWst 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 p
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 MULTI-FAMILY/replace water heater in unit#4
of Work
**debit acct**
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel id#
1514819706
Valuation $700.00 Plan Approval $0.00 Permit Fees $30.00 ❑ Permit Voided j
Issued By Date 07/09/2013
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.
Jul 0913 09:09a Clarence Koch 9202350282 p,2
City of Oshkosh -
Impection Services Division
POBox1130
Oshkosh,WI 54903-1130
Phone: (920) 236-5050 n � g/n �U
Fa�c (920) 236-5084 lJJ (�UJ � �
. G1:iHr�YniER
�lumbing Rerrnit Application :
I hereby appfy for a peimit to do and install the following pinmbing on the premises hereinafter desaibed,d�e work to conform to the
�lisconsin State Plumbing Code,in the perfoimance of which all parties hereto agree to and are f�a�md by said stamtes.
� Applicarion(s)and fee(s}can be 5rougl�to Ciry Hall,RooIIt 205 ar malled to�aon Services,PO Box 1128,Oshkash WI
54903-1128. Comme�dng work without pecmit(s)will result in fees being doabled or$100.00 plus the normal permit fee.which
ever is greater.
OR
I{ au are a contractar narticipafin� irr the Permit Fee Account Svsiem and have adeaLare funds check here
�vo� wa►rt this �rocessed throuPh vour account �
**Advisory-For applicable projects, au Elechrical Installarion Yeiific�[on(F.IV)fonm,s�ned by the Electricai
Contractoz or Homeowaer(for insta�ations aIlowed to be pe�formed by the homeawner)mnst be submatted
with thepenmit appliratian. Applications sabmitted without an EIV whea sach is reqsired, w�l not be
processed por pe�it Iss�aance and w�.l be z�nmed for complebion. ,
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Job Address ! ?✓ �=(J��,{�'� '; ' Valae (T��„a►ng�t�a ro���� r� Date
_, , � , . . .
Owner ��' : -. -'='` Contractor �: ,%°;:- , f� :: . _�.• - -
, , ';'.
❑Sinp,�e Family ` ODupleg �MW�-Fam�y �Renfisl OCommercial ❑IIIdustl'iAl
Number of Fiatures.
Bathtub Somp Pump Plasar Sink Roof Draln
�� San-Svmp�/Puump 5nillery Sink ���P
y�.�mi � Water 5oftener 5etvlce S3nlc Coffee M1a
E.avatory 5tandpipe Rec Shaznp 51nk Si1e Drein
Toilet Gatage FD Snrgeo�a Sink Wajtrs 5m
Kit S'iak Lad Waste Ster�i�r Ice Chest -
p6� Ba�Sink RPZ Valve Camm[Ce Maker
DishwashPr Breal�SFnk Bidet Int C�e�se Trap
FJoo�Diain
Clawm Sink ' Urinal Fxt G�ease Trap
Hose BibD
Exam Sidc Beer Tap Eye Wash Sm
Waoa Heater
; F Prep 3ink Dipp�Well Dedud Metes
L�Gas p Elect�PwrVnt Floor Sink Drink Fnt�c Wtr Sewer Ma
Cbthes Wshr Hand Sink WasL Fnm � W�LFsage Mrr
Ladry Tray Lab S Wc Catch Basin Mlsc Fudures
Eleciric Contractor(for Qrojects not requiring an EIY Forrri)
ITse/Nature of Work �/'L`�:%=`�= - .,��=_%%, - ';� :�: �-�`:
Size MaoerEal Type � Corm.Type
Sanitarv Sewer =
Storm Sewer
�Water Seivice I
}�1 This installat�on is complete and may be ir�spected at any time.
06/09
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