HomeMy WebLinkAbout0104373-Plumbing (water heater)OSHKOSH
ON THE WATER
.lob Address 656 N MAIN ST
Contractor KOCH PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner BERGER SAUSAGE CO INC
Category 441 - Industrial-Water Heaters
No 104373
Create Date 09/24/2003
Plan
Bathtub 0 Shower 0 Ejector/Grind 0 DipWell 0 F Prep Sink 0 Gar Drain 0
Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 Serv Sink 0 Soda Disp 0
Lavatory 0 Lndry Tray 0 LocaIWaste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
Toilet 0 Lndry Stndp 0 CIothesWshr 0 Ice Chest 0 FIr/Wst Sink 0 Int Grease Trap 0
Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0
Bar Sink 0 Dishwasher 0 Beer Tap 0 SculrySink 0 Wash Ftn 0 RPZValve 0
Water Heater 1 Sump Pump 0 Dent. Oper. 0 Hand Sink 0 Urinal 0 EyeWash Statn 0
Site Drain 0 Classrm Sink 0 Lab Sink 0 Plaster Sink 0 Standp Rec 0
Roof Drain 0 Breakrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0
Use/Nature COMM/Replace leaking water heater (gas).
of Work
Size Material Type # Conn. Type
Sanitary Sewer 0
0
0
0
0
Storm Sewer 0
0
0
0
0
Water Service 0
0
0
0
0
Valuation $450.00 Plan Approval $0.00 Permit Fees $20.00 ~ Permit Voided
Issued By
Date 09/24/2003
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 54901 - 0000 Telephone Number
BUTCH (C)379-8753
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
lospeCtiOn Services Division
POBox 1130
Oshkosh, WI 54903- ! 130
Phone: (920) 236-5050
Fax: (920) 236-5084
Plumbing Permit Application
I hereby apply for a permit tO do and install thc following plumbing on the premises heremal~r described, the work to conform to the
Wisconsin State Plumbing Code, in the perforn~nce of which all patmies hereto agree to and are bound by said statutes,
* Application(s) and f~(s) can I~ brought to City Hall, Room 205 or mailed to Inspection Service, PO Box 1128,
Oshkosh Wl 54903-1128. Commencing work without p~rmit(s) will result in fees being doubled or $100.00 plus the
noraml permit fee, which ever is greater.
OR
If you are a contractor participating in the Permit Fee Account System and have a~qfluate funds, check here
i.f_.vCu want this processed throu~,h your account
'2'J7" ;:':;::::"
[~]Single F~mlly ~-]Dupk, ~'l~ultl-t~amny I~'lReat~ [~oomme~ci,I ~-hodustrial
Number of Fixtures:
Batl~b Lad~ S~a~dp l~n~, Op~, ~harnv Sin~
~va~y ~h~ ...... ~k Fm CaSh ~sin
Electric Contractor OR I--]Electric Installation Verification form attached
(If R~lac~naal)
Usc / Nature of Work
IViz, ieriai TYPe # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
g~:88 EOg~/£g/68