HomeMy WebLinkAbout0103348-Plumbing (water heater)OSHKOSH
ON THE WATER
,Job Address 1228 W 5TH AVE
Contractor RANSOM, JOHN D
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 WILLIAM MORASH
Category 411 - Residential-Water Heaters
No 103348
Create Date 08/08/2003
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 SFR/Install gas hot water heater for Kitz & Pfeil.
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 $277.00 Plan Approval $0.00 Permit Fees $20.00 ~J Permit Voided
Issued By
Date 08/06/2003
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address W5056 PARADISE LN FOND DU LAC WI 54935 - 9662 Telephone Number
922-1987
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.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the
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.
~UG-05-2003 TUE 11:07
City of Oshkosh
Iltspection Services Division
pOBoxI130
Oshkosh, WI 549~3-1130
Phone'. (920) 236.5050
Fa~ (9'10) 236-5084
KITZ&PFEIL 920 236 3348 P, 02
"Plumbing Permit Application.
I hereby apply for a permit to do and install the following, phunbing on tho premises hereinafter described, the wbrk to conform to
Wisconsin Stat~ Plurab/ng Code, in the l~rformance of which all panics hereto agreo to and are bated by said statutes.
[~Single Fam/ly -[]Duplex ' F"]Multi-Family []Re~u~al" [--]commercial [~lndustrial
Number of Fixtures:
/{aihlvb IJldry S~ndp ~- ~t. ~. _ Sha~ Sink
F Pr~ Si~k ~ Ice M~
Electric Contractor
Use / Nature of Work
[3 EIV form attached (If Replacement)
Storm Sewer
.qi~c Material Type # Cole. Type
KITZ & pFI~IL
427 N. MAIN ST.
OSHKOSH, Wi 54901
Wa~er Service
Application(s) and fee(s) can be brought ~ Cily Hall, Room 205 or mailed to Inspection S~rvices, PO Box 1128, Oshkosh WI
~4903-1128. Commencing w,ork without permit(s) will result in fees being doubled or $100.00 plu~ the normal permit fee,
which ever is grcalcr.
Check here if ~ou, wan~ ~his processed t21rou~h ~our account.
.- AU6-05-2003 TUE 11:07 RM KITZ&PF£IL 920 236 3348 P. 01
Total pages, including this one:~ {~-~
True value Hardware Stores In Appleton, Berlin, Fond du Lac, Menasha, Oshkosh
Corporate Offices: 427 N. Main; OshKosh, WI 549{31' 920/236-3340 800/440-3340 FAX 920/236-3348