HomeMy WebLinkAbout0103563-Plumbing (water heater)OSHKOSH
ON THE WATER
.lob Address 650 FOX FIRE DR
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 JAMES R/MOLLY S OLSON
Category 411 - Residential-Water Heaters
No 103563
Create Date 08/15/2003
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
LocaIWaste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
CIothesWshr 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/Replace gas water heater for Kitz & Pfeil.
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 $330.00 Plan Approval $0.00 Permit Fees $20.00 ~J Permit Voided
Issued By
Date
08/15/2003
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 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.
~6-~5-200~ F~I 10:45
K!TZ&PFEIL
920 236 3348
P, O1
Of H O?H
ON THE WATE~
' Plumbing Permit Application "
I hereby apply for a pennlt to do and install the following plumbing on the premises hereinafter described, the w~tk to coafonn to ~
Wisconsia S~ate Plumbing Code, in the pedbrmance of which all paxties hereto agree to and ~ bound by said statute,
ingle Family ['~Duplex [~]Moiti. Famlly r'~Rental "' [-']Commercial ~-]Induswial
Number of Fixtures:
B~r Si~ ~ Wa~r Sottner Exam Sink Oar Orai~
Electric Contractor
OR [3 EIV form attached (lfR~ptacemont)
Use/NatureofWork
s~nitary Sewer
Storm Sewe~
Wate~c Service
Size Material Type # . Coan. Type
Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128, Oshkosh WI
54903-I 128. Commencing wgrk without I~ra~it(s) will ~ult in fees b~ing doubled or $100.00 plus the normal permit fee,
which ever is greater. ~1~
OR cheek here if you wane =his processed chrou~h your account []