HomeMy WebLinkAbout0101515 POSHKOSH
ON THE WATER
.lob Address 622 MONROE ST
Contractor KOCH PLUMBING
Bathtub 0 Shower 0
Whirlpool 0 Floor Drain 0
Lavatory 0 Lndry Tray 0
Toilet 0 Lndry Stndp 0
Res. Sink 0 Disposal 0
Bar Sink 0 Dishwasher 0
Water Heater 2 Sump Pump 0
Site Drain 0 Classrm Sink 0
Roof Drain 0 Breakrm Sink 0
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner THOMAS G PUTZER
Category 411 - Residential-Water Heaters
Ejector/Grind 0 DipWell 0 F Prep Sink 0
Water Softner 0 Drink Ftn 0 Serv Sink 0
LocaIWaste 0 Wait. St. 0 Shamp Sink 0
CIothesWshr 0 Ice Chest 0 FIr/Wst Sink 0
Bidet 0 Exam Sink 0 Catch Basin 0
Beer Tap 0 Sculry Sink 0 Wash Ftn 0
Dent. Oper. 0 Hand Sink 0 Urinal 0
Lab Sink 0 Plaster Sink 0 Standp Rec 0
Sterilizer 0 Surgeons Sink 0 Ice Maker 0
No 101515
Create Date 05/15/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature DUPLEX/Replace 2 gas water heaters.
of Work
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size
$850.00 Plan Approval $0.00 Permit Fees
Material Type #
Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
$20.00
Date 05/15/2003
Permit Voided
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address 2005 DOTY ST OSHKOSH WI 54901 - 0000 Telephone Number
BUTCH (C)379-8753
85/13/2883 18:38
Ci~b: of Oshkosh
ln.~])c¢lion Services Division
1' O Box 1130
Os h kosl~, ~V] 54903- ! 130
I'ho~e: (920) 236-5050
Vax: (920) 2~6-~84
9282358282 KOCH PLUMBING INC PAGE 82
O/HKO/H
Plumbing Permit Application
I hereby al)ply for a pcrnm to do mtd install thc followil~g pluml~ing on Ifc prcmi,cs hegeinaficr described, thc work to con/erin to thc
Wisconsin Slate Iqumbi-g Code, in thc perforn~ncc ot'whicl) ,11 p:u'iJcs hereto agree lo and arc bound by said statutes.
L.~Si. gle Family [~Duplex n']Multi-Family E'~]Rt;,,~al E]commercial
Date
E21ndustriai
Number of Fixtures:
lt~0ttub I_ndfy Standp Dcm Opcr. Shamp Sink
Whirlp~l Disposal Dip Well Fb~ $ink
I~v=lo~ Dishwasher
Toilet Su~ Pu~ Wait. SL . :-. Wash Fm
R~. Sink Ej~tm/~nd ...... kc Ch~t. ~nal
Bar Si.~ WM~ Soflner Exam Sink G~ D~in
Wat~ Heater ~ ~tl Waste Scul~ Sink ~a Oi~
Shower C~s Wshr Hand Sink Coffee MaWr
FI~ ~i. Bidet F Pr~ Sink lee Mak~
l~d~ Troy B~ Y~ ~ Sink Site ~in
~b Sink C~s~ Sink ~ Im C~se Trap ~ R~f ~in
B~ Si~
Electric Contractor
Use /Nature of Work
Sanitary Sewer
OR [] El~~aebed (If Replacement)
Size Mater/al Typ~ # ~2onn. T~/
Storm Scwcr
Water Service
Application(s) and fcc(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128, Oshkosh Wt
54903-I ! 28. Commencing work without permit(s) will result in fccs being doubled or $100.00 plus thc normal permit fee,
~vhich ever is greater.
OR