HomeMy WebLinkAbout0105341-Plumbing (water heater)OSHKOSH
ON THE WATER
,Job Address 1224 WAUGOO AVE
Contractor KOCH PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner JOHN W/RUTH E BUSS
Category 411 - Residential-Water Heaters
No 105341
Create Date 11/17/2003
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
of Work
Replace gas water heater.
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type
#
0
0
0
0
0
0
0
Conn. Type
Valuation $425.00 Plan Approval $0.00 Permit Fees $20.00 ~ Permit Voided
Issued By
Date 11/17/2003
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.
Cily of O~hko.~h
Inspection Services Division
Phon~; (5'20) 236-50.~0
Fax: (920) 236-5084
_OZk-tKO_fH
Plumbing Permit Application
I hereby apply for a perrait to do and in~tall the following plumbing on the premises hereinafter described, the work to conform
Wisconsin State Plumbing Code, in thc performance of which all parties hereto agree to and are bound by said stat~les,
- Application(s) and fcc(s) can b~ brought to City Hail, Room 205 or mailed to InspeCtion Services, PO Box I 128,
Oshkosh W1 54903-1128. Commencing work without p~rmit(s) will result in fex. s being doubled or $100.00 plus thc
normal permit fee, which ever is greater.
OR
]lyon, ace,,g,.~ntractor Aarticivat~n~ tn th~ P~rm[t F~ ~ccou~I ~v~te~ Ond ~avd adeauate funds, chec~.~
~[ you want this ~rocessed throuq~p~_C~Ounl ~
Job Addrest~~~ Value (b~c · ' ) ~F~ a.
Owner ~ ~.~ Contractor ~ ~
~Sin gle Family ~Duplex ~Multi-Family ~Rental ~Commercial ~lndustflal
Date
Number of Fixtures:
Ele~tffc Contractor
Usc / Nature of Work
Size Material
SuniGUy Sewer
Storm Sewer
Wa~e~ Service
.O..._~R [-']Electric Installation Verification form attached
(ff R~pI~¢~r)
Type ti Co~n. Type
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