HomeMy WebLinkAbout0156601-Plumbing (water heater) � CITY OF OSHKOSH No 156601
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 2691 VILLAGE LN Owner LEON A/WENDY THOMPSON 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 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 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 FR/replace water heater
of Work
**debit acct"
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer .
Water Service
Parcel Id#
1320510400
Valuation $700.00 Plan Approval $0.00 Permit Fees $30.00 ❑ Permit Voided i
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 :
Agent/Owner
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 pertormed within two business days from the time the project is ready.
I 0913 09:08a Clarence Koch 9202350282 p.1
City of Oshkosh �
Inspectinn Services I?ivision �
POBox1130
Qshkosh,WI54903-1130
Phone: (920) 23fi-5050 - ��/���i
Fa�c {920)?36-5084 � ���
O\;T H�l'JAT F f.
Ptumbing Permit Apptication
I hereby apply for a permit to do and install the following plumbing on che p�rnises heceivaFter desc�ibed,the work to�onform to the
Wisconsin State Plnmbing Code,in the perfor�nce of w}nch all parties hereto ageee to and are bonnd by said statabes.
• Application(s)and fee(s) can be brought to City Hall,Room 205 ormailed to Ir�spection Services,PO Box 1128.Oshkosh WI
549U3-I128. Commencing work without permit(s)wiIl tesult in fees being doubled or$1DO.Ofl plus the normal permit fe�tvhich
ever is greater. •
OR
�vou are a coRtractor oartici�a�ng in the Perneit Fee Accourtt Svstem and have 4dequate funds check here
if yoa want this Drocessed throu�h vour account �
**Advisory-For applicable project�s, an Efec�icai Ivstaliation Vexi£ication(EI�fo=m,sig�aed by the F;Iectiical
Contractor or HomNeowne�(for instaIIations aIIvwed to be pe�o�med bp the homeowaer)must be sabmitted
with the permit applicatian. Applications sabmitted without an IIV whea sach is reqaired, will not be `
processed for Permit Issaance aud wt�1 be retamed for completion.
Job Address ��"f :%�''-��"= ��s='. Valne (�aua�g��T��a�;�) �'"=:'� �= Date '"`' �=
. ..�.- :j��,l.-;' ',. _: ,; .
Owner [.�;`j'�'' !, �'������� �..:.= Contractor �...-;..:., _.
[�Siagle Fam.7p ❑Dup{ez ' �Mulfi-Fa�1y ❑Rental. �Com�ercial ❑Industrial
Number of Fixtures: ,
Bathcub Sump Pump ?laster Stnk Ronf DeaUi
Shower San.SumplPiunp Scullery Slnk ��
yJ6islpool Water Softmer 5ervioe Sink Coffee Mlv
�y�,y�y Standpfpe Rec SUamp Sink Site Drain
Toilet G�age FD Surge�nis Sink Wait�s Sm
Kit Sink Local Watite Steri[izer Ice Chesc .
p� Bar Sin3c RPZ Valve - Comm Ice Nfakec
Bidet Int Giease Trap
Dishwa�+rr Breakrm Sink •
Classrm Sink Urtinl Ext Grease Trnp
Floor Dtain E Wash Stn
Hose Bibb Fxam Sidc Bea Tap Ye
F Pre 5ink Dlpper Wetl Deduc[Meter
VI'a[e[He3ier '` p
y Gas 0 IIect�PwrVaQ Flooc Sink Drinlc Faln Wtr Sewet Mtr
Clnihcs Wshr Hand 5iat Wash Fnm Wor Usage Mtr
Lndry Tray Lab Sf�ilc Catch Basn � Mise Fixtures :
Electric Contractor(for proje.cts not rec�airing an EIV Foroa)
Use/Natare of Work ' . ��'.: _ �r- , . - . `'� . . , �
Size Material Type � Coim.Type
Sanitary Sewer , <
�
Storm Sewer
Water Seivice
t�This installation is complete and may be inspected at any tirne.
_� 06/09
l�, i?J� �,., �. '� �e'
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