HomeMy WebLinkAbout0158837-Plumbing (water heater) � CITY OF OSHKOSH No 158837
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1611 N MAIN ST Owner THOMAS G PUTZER Create Date 11/20/2013
Contractor KOCH PLUMBING 8�HEATING INC Category 411 -Residential-Water Heaters Plan
Inspector ;
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 0 Standp Rec 0 Lab Sink 0 Beer Tap O lce 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 'SFR/Replace water heater
of Work
'Debit account
� J
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
1502590000
Valuation $700.00 Plan Approval $0.00 Permit Fees $30.00 ❑ Permit Voided
Issued By Date 11/20/2013
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.
City of Oshkosh �
Inspection Services Division �
POBox1130
Oshkosh,WI 54903-1130
Phone: (920) 236-5050 O�O�
Fax_ (920)23C�5084
nu rN=�•.+,;Tfe
Plumbing Permit Application
I hereby apply for a permit to do and install the following plimobing on the premises hereinafter described,the work to conform to the
Wisconsin State Plumbing Code,in the performance of which all parties hereto agree to and are bound by sa3d statutes.
• Application(s}and fee(s) can be brought to Ciry Hall,Room 205 or mailed to Inspection Services,PO Box 1128, Oshkosh WI .
54903-1128. Commencing work without pernut(s)will result in fe�s being donbled or S1Q0.00 plus the normal pernut Eee,which
ever�s greater_
OR
I ou are a contracior artici ntin in the Permit Fee Account S siem and have ade uate urrds check here
i ou wa►rt this rocessed ihrou h aur acco:�nt
**Advisory-For applicable pmjects,an Elecbrical Instail.ation Vaification(EI�fomi,sigued by Ehe Electzical
Contractor or Homeowner(for imstaIIations allvwed to be pe�oimed bp the homeowner)mnstbe snbmitted
with the pe�mit appliration. Applica�ions sabmitted w�ithont an EIV when such is requged, w�71 not be
processed for Peraut Issnance aud w�l be retumed for completion.
Job Address /�// /l/ /���t�✓� �T� VBIti@ (It�cludinglaborandmataials) �OcJ ''� Date /�" /,3 - 1�
. , ,.
Owner �O�'r� /��?�e�.�`�--,' Contractor ��i J�:=%=- ��✓:� �=�• � '
�Single Family �Dupleg OMulti-Family �Rental ❑Commercial ❑Industrial
Number of Fixtnres:
Bat6Nb Sump Pump P}aster Sink Roof Drain
Shower San.Surnp/Pump Scvllery 5i4k Soda Disp
Wh'vlpool Water Softena Service Siak Coffee Mkr
Lavatory Standpipe Rec Sbamp Sink Site Drain
Toilet Garage ED Surgeoas 5ink W��S�
Kit Sidc Loca]Waste Sleril[zer Ice Chest ,
I}�p�( Baz'Sinfc RPZ Valve Comm Ice Malcer
DisLA,ash«, Breaktm Sink Bidet Int Grease Tcap '
F3oor Draln Classrm Sink Urinal Ext Grease Trap
Hose Blbb ��Si� ��Tap Eye Wash Stn :
Watrl Heater �_ F P�P S� Dipper Well Deduct Meter
1�Gas❑Elect C PwrVnt Floot Sink Ddnk Fotr� Wtr Sewer M�'
Clotha Wshr Hand Sink Wash Fmn Wv Usage Ni� '
�
Lndry Tray L.ab 3in1: Catch Basin Misc E',xtures :
Etec#ric Contractor(for projects not requiring an EIV Form) :
Use/Natnre of Work f��'-.�'�%�l�%:.'C:� ;��'�'�''_f,�� . . . -����;•�
Size Material Type # Cotm.Type
Sanitary Sewer �
Storm Sewer
Water Service
;�This installation is complete and may be inspected at any time_
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