HomeMy WebLinkAbout0156659-Plumbing (kitchen sink) � CITY OF OSHKOSH No 156659
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1607 N MAIN ST Owner THOMAS G PUTZER Create Date 04/29/2013
Contractor KOCH PLUMBING&HEATING INC Category 410-Residential-Interior 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 FIr/Wst Sink 0 Bidet 0 Site Drain 0 Misc. 0
Toilet 0 Water Softner 0 Hand Sink 0 Urinal 0 Wait.St. 0 Fixtures
Kit Sink 1 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 0
Use/Nature SFR/re-pipe re-located kitchen sink
of Work
h'debit acct** :
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
1502580000
Valuation $400.00 Plan Approval $0.00 Permit Fees $30.00 ❑ Permit Voided i
Issued By �k,., Date 07/12/2013
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 pertormed within two business days from the time the project is ready.
Ciry of Oshkosh � �
Inspection Services Division
POBoxI130 �
Oshko6h.1NT54903-1130
Phane: (920) 236-5050
Fax: (g20) 236-5084 1HKOlH
ou;�+_�•✓:.rF�
Plumbing Per�nit Application
I hereby apply for a perrnit to do and instail t�following plumbing on the premises hereinafter described,the woric to conform to the
Wisconsin Slate Pliunbing Code,in the perfoanance of which a!1 parties hereto agree�to and are bound by said scatutes.
• Application(s)and fee{s)can be brought to City Hall,Room 205 or mailed to Inspection Services,PO Box 1128.Oshkosh WI
54903-1128. Commencing workwithout per�nit(s)will re.sYilt in fees being doubled or$100.0U plus the normal pe�mit fee,which
ever is greater.
OR
1 u are a contractor artici atin in the Permit Fee Acc unt S stem and have ade uate unds chec here
i ou want this rocessed throu h our account
� **Advisory-For applicable pmjects,anIIectrical Ins�on VeciScation(EIV)foxay sigued by the Electacal
Cont�cactor or Homeowner(for installations allowed to be pe�ormed by the Lomeowner)mnst be s�bmitted :
with tbe peimit application. Applicabi�s sabmitted withont an EIV when snch is required, w�l not be
pr+ocessed for Perurit Issaance and wr�1 be redunned for completion.
Job Address ��o� � /I� /�i�/'�'� -`J��alue (Includ�ng Iabor and materials) T�=,� �=-- Date 7"Il^f
Owner lDj1i' r'�l/����rr�% Contractor f��G�1 ��!j G- � -
�Siagle Family ❑Daplea []Multi-Family �Rental ❑Commercial �Industrial
Number of Fixturesc � '
Bathtub Sump Pump PMbster Sink Roof Drdia
Showa San.Sump/Pump S�tery Sink Soda Dt�p
Whiflpool Water Soflena Se�vice Sink Coffee Mkr
Iavalory Sfandpipe Rec Stiamp Sink Site Drain
Toilet Gazage FD Su�geons Sink Waltrs Sm
Kit Sink � Loca1 Waste St�ili�r ic�Chett .
Dispos� Bar Sink RPZ Valve Comm[ce Maker
Dishwashet Breakrm Sink Bidet Int Grease Tcap
��p� Classrni Sink • Urinal Fxc Grease Trap
Flose Bibb Exam Sink Betr Tap Eye Wash Stn
Water Heata F P�ep Sink Dipper Well Deduct Meter .
0 Ga5 n Elect 0 PwrVnt Floor S3nk Drink Fnm Wtr Se�u�Mv
CFotbes Ws6r �Hand Slnk Wash Fom Wtr Usage Mtr
i
Lndry TrdY Lab Sink Catch Basin Mls�F'vmaes
Electric Coetractor(for projects n�t requiring an EIV Forni)
Use!Nat�re of Work �.� �`%'f'"��� /�'.� " �J'-�'-��= �✓ .�f'%�'�';%""`'�- ��/'/v`:�"
Size Material Type � Com�.Type
Sanitary Sewer �
Storm Sewer
Water Service
I�This installation is complete and may be inspected at any time.
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