HomeMy WebLinkAbout0158488-Plumbing (water heater) � CITY OF OSHKOSH No 158488
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 322 W STH AVE Owner JILL M THURK Create Date 10/23/2013
Contractor KOCH PLUMBING&HEATING INC Category 411 -Residential-Water Heaters Plan
Inspector Jerry Fabisch
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 FIrIWst Sink 0 Bidet 0 Site Drain 0 Misc. p
Toilet 0 Water Softner 0 Hand Sink 0 Urinal 0 Wait.St. 0 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 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 'ISFR-Replace 40 gallon gas water heater �
of Work
I�'debit account
i
�--
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
0902930000
Valuation $650.00 Plan Approval $0.00 Permit Fees $30.00 ❑ Permit Voided'
Issued By Date 10/28/2013
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.
�t 2213 09:58a Clarence Koch 9202350282 p.1
Ciry of Oshkosh �
- Inspection Services Division
P 0 Box 1130 �
Oshkosh,VI/�549Q3-1130
Phone: (920) 236-5Q50 ��O !�
Fax: (920) 236-5084 �
� . on1 7t�=�:Jt+T F¢
Plumbing Permit Application
I hereby apply for a permit to do and instaIl the following plumbing on the premises hereinafter de.saibed,the work to conform to the
Wisconsin State Plumbing Code,in the performance of which all patties hereto agree#a and are bound by said statutes. �
• Appiicaaon(s)and fee(s) can be brought to City Hall.Raom 205 or mailed to Inspec�on Services,PO Box 1128,Oshkosh WI
549�3-I128. Commencing wark without permit(s)will result in fecs being doubletl or$100.00 pins ihe normaI permit fiee,which
ever is greater.
OR
I vou are eontra t r artici atin in rhe Permir Fee Acc unt S stern and have ade uate urrds check here
i ou want this rocessed throu h our account
� **Advisory-For applicable prolecls, an IIectdcal Insraltatioa Verification(EI�form, signed by the Fdec�icaI
Contiactor or Homeowner(for installaiions allowed to be peifornoed by the hameownar)mnst be sabmitted
with die peraiit application. Applications snbmitted without an F1v when sach is reqaaed, will not be
processed for PermitIssaance and w�71 be retaraed foz compFetio�
,
ak f -/.�
Job Address.32 Z �/` v°�� /�'r/.f" VBIUe (Including labor and materials) '��'';,� _... Date�+•'`%�`�.. �
--- ;�.���:�;,,: ;r,,,r����.
Owner �/�;. /!//.?/�-! Contractor
�Singte Family �Dapleg QMulti-Fsmily QRental ❑Commercial ❑IndustriaL
Number of Fixt�res:
Bathmb Sw�Pump Plaster Sink Roof Drain
Shower San.Sump/Pump Scullery Sinlc Soda Disp
Whodpoo) 'Water Softenec Service Sink Coffee MW
Lavatary Slandpipe Rec Shamp Sink Site Drain
Toilet Garage FD Surgeons Sink Waitcs Sm
HIt Sink Locdl Waste Sta�ilizer lce Chest ..
Disposal Baz Sfnk RPZ Valve Comrn Icc Maker
Dishwasher Brezkrm Sink Bidet Im Grease Trap
Eloor Drain C]asscm S�n[c Uricml Exi Grease Trap
Hose B366 �m Sink Beer Tap Eye Wash Stn
WaUec Heater � F Prep Sink Dipper Well Deduct Meter
�'Gas D Elect G PwtVnt ��g� Dtink Fnm Wtt Sewer Mtr
Clotha Wshr Haad Sink Wash Fntn Wtr Usage Mtr
i
Ln�y Tray Lab Sink Catch Basin Misc Fistures
Electric Cantractor(for projects not requiring an EIV Form}
Use/Natare of Work �/Z/�G,i1�GL .1.'� �y G ' 'i'T ��''=.�� ��ft:j= f��rJn r � "
Siz.e Material T� � Cnnn..Type
Sanitary Sewer �
Storm Sewer
Water Service
l�This instaltation is complete and may be inspected a#any time.
06/D9