HomeMy WebLinkAbout0104898-Plumbing (water heater)OSHKOSH
ON THE WATER
.lob Address 1244 TITAN CT
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 1 Sump Pump 0
Site Drain 0 Classrm Sink 0
Roof Drain 0 Breakrm Sink 0
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner BRETT/SUE/GREGO LEIN
Category 411 - Residential-Water Heaters
No 104898
Create Date 10/22/2003
Plan
Ejector/Grind 0 DipWell 0 F Prep Sink 0 Gar Drain 0
Water Softner 0 Drink Ftn 0 Serv Sink 0 Soda Disp 0
LocaIWaste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
CIothesWshr 0 Ice Chest 0 FIr/Wst Sink 0 Int Grease Trap 0
Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0
Beer Tap 0 Sculry Sink 0 Wash Ftn 0 RPZ Valve 0
Dent. Oper. 0 Hand Sink 0 Urinal 0 EyeWash Statn 0
Lab Sink 0 Plaster Sink 0 Standp Rec 0
Sterilizer 0 Surgeons Sink 0 Ice Maker 0
Use/Nature MULTI-FAMILY/Replace electric 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 $500.00 Plan Approval $0.00 Permit Fees $20.00 ~ Permit Voided
Issued By
Date 10/22/2003
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the
easement holder(s) and to secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address 2005 DOTY ST OSHKOSH WI 54901 - 0000 Telephone Number
BUTCH (C)379-8753
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
ot Oshkosh
In'~p¢ction Services Di¥i$ion
POBox 1130
O~*hko~h, WI 5490) - I I ~
P~nc: (920) 236-5050
(920) 236~084
Plumbing Permit Application
I hereby al~ly for a permit to do and install the followi~g plumbing on the prcnUse$ hereinafter descfibcd, d~ work to cont'onll to thc
Wir~on~n $la~e Plumbia& Code, in tile performance of which all pl~iei ~eteto agree to ~nd are bound by said statutes.
· Application(s) and fcc(s) can be brought to caw Hall, Room 205 or mailed ~o Inspection Services, PO Box I 128,
Oshkosh WI 54903-1128. Commencing work without permil(s) will result m fees being doubled m. $100.00 plus the
normal permit fee, which ever is greater.
OR
If.you ar~e_a_._c_o~tractor a~rt~;~atin~ in the Permit F~¢.~_.~._ount System_nad AaYe adeouate funds, c~¢c1~ her~
l~ vou want this oroce~$ed t.~.r.t~.~:tt~ CIC~COU. llt__~
Owoer ~'/~C~,'~,//~ ,,~'~' Contractor
f-]Siagl~ Family ~-lDuplex [-1Multi-Fondly [--~Rental ]'-]Commercial
[-]lnduatriai
Number of Fixture:
tia~ub :. Ladt7 l$~dp ~t. ~r ........ ~ Sink
~r
F~ ~m ~ Tap ~_ ~ Sink , Si~ ~n
Use / Nature of Work
~*JElettric inetallat~on V. rificatiou form attached
Sanitary Sewer
S~e Mater/al Type #
7/03
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