HomeMy WebLinkAbout0157596-Plumbing (water heater) � CITY OF OSHKOSH No 157596
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1205 1207 GRAHAM AVE Owner PUTZER REALTY&INVESTMENT Create Date 09/09/2013
Contractor KOCH PLUMBING 8�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
Whiripool 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 0
Disposal 0 Gar Drain 0 Plaster Sink 0 Dip Well 0 Comm Ice Maker 0
Dishwasher 0 Local Waste 0 Sculry Sink
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 DUPLEX/replace water heater
of Work
'*debit acct**
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
1600740100
Valuation $650.00 Plan Approval $0.00 Permit Fees $30.00 ❑ Permit Voided�i
Issued By '�'�►^� Date 09/09/2013
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 performed within two business days from the time the project is ready.
. �
City of Oshkosh
I�pec�on Services Division �
P O Box 1130
Oshkash.WI 54903-1130
Phone: (920) 236-5050
Fax (920)236-5084 1�--�Of H
- � ON TH:\'/ATFR �
Plumbing Perrnit Application
I hereby apply for a peimit to do and Install the foIlowing plumbing on the premises hereinafrer desaibed,the work to confo�to the
Wiscoasin State Plumbing Code,in the performance of which all parties hereto agree�to and are bound by said statuo�s.
• Application(s)and fee(s)can be broaght to City Hall,Roorn 205 or mailed m Inspection Services,PO Bax 1128,Oshkosh WI :
54903-1128_ Commencing work withoui permit(s)will result in fees being doubled or$100.00 plus the normal perrnit fee,which
ever is greater.
OR
J vou are a contr t r artici atin in the Permi Fee Accou t stem and have ade uale unds check here
i ou wani this rocessed rhrou h our account
*'k Advisorp-For applicable projects,an Eledrical InstaIlabion VeniSration(EIV}form,sig3aed by the Elecdrical :
Coa�-actor orHomeowner(for mstallations aIlowed to be pe�o�ed by the hameowner)mgstbe submitted
with the permoit application. Applications sabmitted withont an EIV when stith is required, will not be
processed for Pecmit Lssaance and w�l be retanaed for ccYmpletion.
Job Address i��D J '�a;2�`f:.�'.;,�' Value (indud�ng]aborar�d macgiars) �`�::✓ =� Date `�' 7 -�V'�'-�
Owner ��YI ��/1-Z��.� Contractor K U�� �L::1 i:�'�'- - -
❑Single Fami3y �Duplea �Mniti-FamiIy �Rental ❑Commercial DIndustrial
Number of Fiatnres:
Baduub Sump Pump PlasterSink RooF Dralu
S6ower San_SumplPamp Scullery Sink Soda Disp :
Whirlpool WaterSaftener Secvice Sink Coffee Mlv
Lavaeory Staadpiye Rec Shamp 5mk Site Drain
Toelet Gatage FD Sugeoru Siak Waltss Stn
K3t Sink Lod 1Naste Sor�rllizer Ite Chest
Disposal Bar Sink RPZ Valve Comm Ice Maker
D�b�,,�� Breala�n Sink Bidet Int Grease Trap
Floor Drdin Classtm Sink Urinal F�ct Grease Trap
Hose Bibb Exam 5ink Beer Tap Eye Wash Stn
Water Heata _� F Prep Sink Dipper Weil Deduct Meter
�Gas❑Eleu G RvrVnt Floor Sink Ddnk Fntn Wtr Sewer Mtr
Clotltcs Wslv Hand 53nk Wash Fnm WUr Usage M�
�
�TYT�Y Lab Sink Catc6 Bas3n MLsc I'i�aures
Ek�ctric Contrartor(for projects not reqniring an EIV Form)
Use/Natnre of Work�����.`�1.�'�� l°�r.4'i'`t:"�? �:. ,d-- • '
Size Maeerial Type # Conn.Type
Sanitary Sewer � ;
Starm Sewer
Water Service
�This installation is complete and may be inspected at any time_
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