HomeMy WebLinkAbout0105218-Plumbing (water heater)OSHKOSH
ON THE WATER
.lob Address 911 GREENWOOD 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 CHARLES A/MARIL PERRY
Category 411 - Residential-Water Heaters
No 105218
Create Date 11/06/2003
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
LocalWaste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
ClothesWshr 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/2130 Evans St/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 $500.00 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.
Inspe~6on ~¢r¥ices Division
Fax: (920) 236~5094
Plumbing Permit Application
I hereby apply for a permit to do and install thc fo[lowing plumbing oa thc premises hereinafter described, the work lo conform tO It;¢
Wisconsin State Plumbing Code, in the [x~rformance of which all par~ieg her~cto agree to and are bound by said statu~¢s.
· Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box I 128,
Oshkosh WI 54903-1128. Commencing work without permit(a) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
I_f._l~_t£ a~.e a egntra, c. tor pqrticipating in the Permit Fee Acc(?~.nt Spstem and have adequate funds ch.tek
Job Address ~'.~g~ ,~'d~,~'~' -o~- Value(~¢.di, glabo,~.~mal~l~). ~;~-~"-~' Date //'~
Owner ~f~/~ ~ .... Contractor ~
~Single Family ~Duplex ~Muit~Family ~Rental ~Com~rcial ~Industrial
Number of Fixtures:
Electric Contractor
Use / Nature of Work
O~R [--]Electric Installation Verification form attached
(If Replac~m~-nt)
Size Material Type #
Sauitary ~wcr