HomeMy WebLinkAbout0105215-Plumbing (water heater #1/#4)OSHKOSH
ON THE WATER
.lob Address 2121 & 2133 EVANS ST
Contractor KOCH PLUMBING
Bathtub 0 Shower
Whirlpool 0 Floor Drain
Lavatory 0 Lndry Tray
Toilet 0 Lndry Stndp
Res. Sink 0 Disposal
Bar Sink 0 Dishwasher
Water Heater 2 Sump Pump
Site Drain 0 Classrm Sink
Roof Drain 0 Breakrm Sink
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner CHARLES A/MARIL PERRY
Category 411 - Residential-Water Heaters
No 105215
Create Date 11/04/2003
Plan
0 Ejector/Grind 0 Dip Well 0 F Prep Sink 0 Gar Drain 0
0 WaterSoffner 0 DrinkFtn 0 ServSink 0 SodaDisp 0
0 Local Waste 0 Wait. St. 0 ShampSink 0 Coffee Maker 0
0 ClothesWshr 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 WashStatn 0
0 Lab Sink 0 Plaster Sink 0 Standp Rec 0
0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0
Use/Nature MULTI-FAMILY/2133 Apt 1 & 4/Install gas water heater in apt # 1 & # 4.
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 $850.00 Plan Approval $0.00 Permit Fees $20.00 ~ Permit Voided
Issued By
Date 11/06/2003
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
lnspecgiott Service:; Divisloa
POBox t130
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 the following plumbing on the premises hereinafter described, thc work lo conform to the
Wisconsin State Plumbing Code, in the performance of which all parties hereto agree to and are 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 54903-1128, Commencing work without permit(s) will result in fees being doubled or $100.00 plus thc
normal permit fee, which ever is greater.
OR
~£ you are a contractor oarti¢ipat/n~, in the Permit Ft~'~.,~.c.c._a._unt System and have adeouate [~.R~,L check,~ere
Owner ff~f~/~f ~ _ Contractor
~Single Family ~Duplex ~Multi-Family ~Ren~! ~Co~ercial ~lndustrial
Number of Fixtures:
Electric Contractor
Use / Nature of Work
Size
Sanitary Sewer
Storm Sewer
Water Service
OR I--]Electrlc Installation Verification form attached
(zr Rep~e~n~m0
Material 'D~pe # Conn. Typ~
10 39~ct 9NI 9NIIt~Fl-ld H90>t ESEO~£EOEB cjP:80