HomeMy WebLinkAbout0104731-Plumbing (tub/shower valve)OSHKOSH
ON THE WATER
.lob Address 1114 EASTMAN ST
Contractor KOCH PLUMBING
Bathtub 1 Shower
Whirlpool 0 Floor Drain
Lavatory 0 Lndry Tray
Toilet 0 Lndry Stndp
Res. Sink 0 Disposal
Bar Sink 0 Dishwasher
Water Heater 0 Sump Pump
Site Drain 0 Classrm Sink
Roof Drain 0 Breakrm Sink
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner THOMAS G PUTZER
Category 410 - Residential-Interior
No 104731
Create Date 10/10/2003
Plan
0 Ejector/Grind 0 Dip Well 0 F Prep Sink 0 Gar Drain 0
0 WaterSoftner 0 Drink Ftn 0 ServSink 0 Soda Disp 0
0 Local Waste 0 Wait. St. 0 ShampSink 0 Coffee Maker 0
0 CIothesWshr 0 Ice Chest 0 FIr/Wst Sink 0 Int Grease Trap 0
0 Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0
0 Beer Tap 0 SculrySink 0 Wash Ftn 0 RPZValve 0
0 Dent. Oper. 0 Hand Sink 0 Urinal 0 Eye Wash Statn 0
0 Lab Sink 0 Plaster Sink 0 Standp Rec 0
0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0
Use/Nature DUPLEX/Replace T & S valve. Re-install WC & WB.
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 $300.00 Plan Approval $0.00 Permit Fees $20.00 ~ Permit Voided
Issued By
Date 10/10/2003
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the
easement holder(s) and to secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address 2005 DOTY ST OSHKOSH WI 54901 - 0000 Telephone Number
BUTCH (C)379-8753
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
18/88/2883 14:22 9282358282 KOCH PLU~4BING INC PAGE 81
City of Oshkosh
Insl~ction Services Divisioe
POBox 1130
Oshko$~ WI ~4903-1i30
Phone: (920) 236-$050
Fax: (9'~0) 236-5054
OSH OfH
Plumbing Permit Application
I hereby apply for a perat/t to do and install the follow/ag plumbing on the premises be~e/~at~er described, ~he work to conform to the
W/scomin State Plumbing Code, in the perfort~ance of which all paxties hereto agree to and are bound by said statutes.
Application(s) and fc~(s) ~;an I~ brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees being doubled or $ I00.00 plus the
normal permit fee, which ever is gre~ter.
OR
If YOu are a contractor participating tn thc.Permit Fee t4ccount .~$f~m and have adeauate fund~, ~h~¢k here
if ¥o~ wont this processed through your account .~.
Date
~Industflnl
Number of Fixtures:
Sharer Sink
Fir/V/st Sink
Gar ~in
E~ W~h gm
Electric ContractOr
Use / Nature of Work~'~.~'
Sanitary $/ze Material
Sew~
S~rm Sc~
Wa~r Sc~icc
OR [~]Eleetric Installation Verification form attached
Type # Conn. Type