HomeMy WebLinkAbout0104484-Plumbing (water heater)OSHKOSH
ON THE WATER
.lob Address 229 FULTON AVE
Contractor KOCH PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner STEPHEN P INGERSOLL
Category 411 - Residential-Water Heaters
No 104484
Create Date 09/30/2003
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 DUPLEX/Replace gas water heater.
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 $425.00 Plan Approval $0.00 Permit Fees $20.00 ~ Permit Voided
Issued By
Date 09/30/2003
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
Insp~llon !k-trices Division
POBox 1130
:,~: OAhko~h~ v~ ~4903-1130
, Pho~: (920) 236-5050
~ Fax: (920) ~5084
Electric Contractor
Use / Nature of Work
.~ Number of Fixtures:
: ,:': O~er ~ff /~ff~ Contractor
~uplex ~Multi-Family ~Rental ~Commerclal
i--]Industrial
Catch
Oarl~ht '? '..
[-'~Electric Installation Verification form att,~ch
(tfgepla¢cn~u) , · . ~
Sanitary Sewer
..St/a: SseWc~e. rcc
Size Marx:rial Type ~ Colin. l'ype
9NI 9NIRN~-Icl
Plumbing Permit Application
I hereby apply for a permit to do and install the following plumbing on the pTemises hereina/'ier described, the work ~o confotln tO the:
Wisconnin State Plumbing Code, in the p~rformance of which all parties hereto agree to and arc bound by said statutes. ~ ::'
· Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services. PO Box 1128, .'
Oshkosh WI $4903-I 128. Commencing work without permit(s) will result ~ tees being doubled or $100 00 plus
normal permit fee, which ever is greater.
If you are a contractor t~artic~oatin~ in t~le Permit Fee ,~ccount Sy~'~¢m and have adeauate £untt}~
tf ~ou want tAis process~d tAroueh voltr acco~tnt ~-~ , '