HomeMy WebLinkAbout0104897-Plumbing (water heater)OSHKOSH
ON THE WATER
Job Address 1227 TITAN CT
Contractor KOCH PLUMBING
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner BRE~-/SUE/GREGO LEIN
Category 411 - Residential-Water Heaters
0 Shower 0 Ejector/Grind 0 Dip Well 0 F Prep Sink __
0 Floor Drain 0 Water Softner 0 Drink Ftn 0 ServSink
0 LndryTray 0 Local Waste 0 Wait. St. 0 ShampSink __
0 LndryStndp 0 Clothes Wshr 0 Ice Chest 0 FIr/Wst Sink __
0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin __
0 Dishwasher 0 Beer Tap 0 SculrySink 0 Wash Ftn
I Sump Pump 0 Dent. Oper. 0 Hand Sink 0 Urinal
0 Classrm Sink 0 Lab Sink 0 Plaster Sink 0 Standp Rec __
0 Breakrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker
No 104897
Create Date 10/22/2003
Plan
0 Gar Drain 0
0 Soda Disp 0
0 Coffee Maker 0
0 Int Grease Trap 0
0 Ext Grease Trap 0
0 RPZ Valve 0
0 Eye Wash Statn 0
0
0
Use/Nature
of Work
/WULTI-FAMILY/Replace electric water heater.
Valuation
Issued By
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
$202.00 Plan Approval $0.00 Permit Fees $20.00 [] PermitVoidedJ
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.
City o f Oshkosh
Inspection Services Division
P O Box I 130
Oshkosh, WI 54903~1130
Phone: (920) 236-5050
Fax; (920) 236-5084
D/HKO/H
Plumbing Permit Application
I hereby apply for a permit to do and in.stall ~he following plumbing on the premises hereinat~r dcsc~ibex[, the work to conform to the
Wisconsin State Plumbin~ Code, in the performance of which all perrins 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 ser~ces, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s) ,,*ill result in fees being doubled or $100.00 plus the
normal permit f~, which ever is greater.
OR
If you are a contractor participatine ~n tA_e Per~n.tt Fee /[ccount System and have adeauate funds, check here
~[ FOu want this processed through your acco~tnt [~
Job Address /~*~ 7
Owner C~ ~'~/~//~ ~
~"]Singlc Family [--]Duplex
[~Industrial
Number of Fixtures:
Whirlpool Disposal
t~nt. ~ .... Shan~ Sink
Dip Well lqr/Ws[ Si~k
Wait. St, Wash ~
Exam Si~k G~ ~m
~u~ Sink .... ~ D~
Electric Contractor
OR [--]Electric Installation Verification form attached
Use / Nature of Work
Sanitary Sewer
Size Material Type #
Conn.
Waler Service
?/03