HomeMy WebLinkAbout0102985 POSHKOSH
ON THE WATER
Job Address 522 SCOTT AVE
Contractor RANSOM, JOHN D
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner GREGORY~BARBAKARGUS
Category 411 - Residential-Water Heaters
Bathtub 0 Shower 0 Ejector/Grind 0 Dip Well 0 F Prep Sink
Whirlpool 0 Floor Drain 0 Water Soffner 0 Drink Ftn 0 Serv Sink
Lavatory 0 Lndry Tray 0 Local Waste 0 Wait. St. 0 Sharnp Sink
Toilet 0 LndryStndp 0 Clothes Wshr 0 Ice Chest 0 FIr/Wst Sink
Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin
Bar Sink 0 Dishwasher 0 Beer Tap 0 SculrySink 0 Wash Ftn
Water Heater 1 Sump Pump 0 Dent. Oper. 0 HandSink 0 Urinal
Site Drain 0 Classrm Sink 0 Lab Sink 0 Plaster Sink 0 Standp Rec
Roof Drain 0 Breakrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker
No 102985
Create Date 07/22/2003
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
DUPLEX/install gas hot water heater for Kitz &Pfeil.
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 $300.00 Plan Approval $0.00 Permit Fees $20.00
Issued By
Date 07122/2003
[] Permit Voided
In the performance of this work, I agree to perform all work pumuant 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 perl=ormed within two business days from the time the project is ready.
JUL-21-2003 ~0N 01:43 PH
KITZ&PFEIL
920 236 3348
P, O1
City et' Oshkosh
Inspection Services Divisfon
P O Box 1130
Oshkosh, WI 54903-1130
Phone,, (920) 236~S050
Fax: (9'20) 236-$084
.O/'HKOJ'H
ON TH~ WATER
Plumbing.,,permit Application
hereby apply for a p~rmlt to do and in~tall the following plumbing on the premises hereinafter describcd, the work to conform to ~he
WiscunS!n State Plumbing Code, in &¢ performance of which all par~ies hereto agree te and ar~ bound by said statutes,
/_~.,,~ ) ' Contractor ~ ~,.~.~.~
I"-I$1.gle F-mib, [~Duplex I--lM.lti, Family ~R~.t~l ~C~mer.i~ Sight,trial
Number of Fixtures:
Dalhtub ~ LndE~ Stan~ip l~m. 0p~?, Shamp Sink
Whirlpool Disposal Di~ Weft ~Wst Sink
PI~ S~k S~ns Sink ~t ~a~ Trap .. Sla~p R~
Electric Contractor
Use / Nature of Work
[] EIV form attached (IfRcplaccmcm)
Sanitary Sewer
$izc Material Type # Corm, Type
Water Service
Application(s) and fcc(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128, Oshkosh WI
$490~o1128. Commencing work withou~ permit(s) will result in fees being doublnd or $100.00 plus the normal p?rmi~ fee,
which ever is grea~er.
OR
Ch~ck here if you wan= ~hi~ proc~m==d through Fou~' a¢coun=