HomeMy WebLinkAbout0105217-Plumbing (water heater)OSHKOSH
ON THE WATER
.lob Address 2553 #A VILLAGE LN
Contractor KOCH PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner MARIE C HOYER
Category 411 - Residential-Water Heaters
No 105217
Create Date 11/06/2003
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 CONDO/Replace electric water heater under warranty. *EIV form from Cumings Electric.
of Work
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Valuation $200.00 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.
Electric installation Verification
(Add.u)
(su~) (Zip
hvc bc~n couu'octat to lm~onn cicc~c iu~dlafion work for ..,,~ixz corex
(Nme of party contra~ted m)
~ natu~ of ~c work consim of: (Check One ~ DeacfiOc ~ l~ont~e of Work)
75.00, ,.
I hereby v~fy tAis wodc wiU be pc~formcd by an cmployee of tiffs eampmy md furJmr verify
th~ mconnection / insMlation wdl be done in compliance with mm~fscturcr fred E k~c ¢odc
(Print Nam~ of
City of Oshkosh
h~spec~ion Services DiviSion
P 0 Box l 130
O~hkosh~ WI 54~3-1130
Fax: (920) 23&5004
Plumbing Permit Application
t hereby appty for a permit to do and instal! tile following pl~r'nbing on thc orcmises b, ereiv~,fte~ described, the work to conform to Ute
Wisconsin State Plumbing Code, in the performance of which air part,es hereto asr'ce to an~ ere bound by said sta~tcs.
Application(s) and (ce(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 the
normal permit fee, which ever is greater.
OR
IJ~pO~ ~rr~ O ¢~tractor partieil~atfn~ in the ~ermlt ~e AdcounC~tern and flare adeauat¢ fund~ ch,eck here
if you want this ~rocexsed thr~gh your actT~unt [~ ~"~ .....
Owner
~Single Family ~Duplex ~Multi-Family ~Rental ~Commercial ~IndustHal
Number of Fixtures:
Electric Contractor
Use / Nature of Work
Sanitary Sewer Size '
Storm Sewer
Water Service
O,R ~]Electric Installation Verification form attached
Of Replacemem)
Maiexial Type # ~ Type