HomeMy WebLinkAbout0123845-Plumbing (water heater)
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OSHKOSH
ON THE WATER
Job Address 501 W BENT AVE
CITY OF OSHKOSH No 123845
PLUMBING PERMIT - APPLICATION AND RECORD
Owner DAVID/CYNTHIA RUDOLPH Create Date 03/19/2007
Plan
Contractor JOHN D RANSOM
Category 411 - Residential-Water Heaters
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
Shower
Floor Drain
Lndry Tray
Disposal
.-,..-....."y.::-::." ,-,
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
Water Softner Wait. St. Shamp Sink
Local Waste Ice Chest FlrlWst Sink
Clothes Wshr Exam Sink Catch Basin
Bidet Sculry Sink Wash Ftn
~--,' Urinal
Beer Tap Hand Sink
Lab Sink Plaster Sink Standp Rec
Sterilizer Surgeons Sink Ice Maker
Dip Well F Prep Sink Gar Drain
Drink Ftn Serv Sink Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
\"""'Eye:'Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
SFR / Replace gas water heater. '*DEBIT KITZ & PFEIL ACCT",
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
1208900000
$0.00 Permit Fees
$25.00 0 Permit Voided I
Issued By
$395.00 Plan Approval
~
Valuation
Date 03/19/2007
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
Agent/Owner
FOND DU LAC
WI 54935 - 0000 Telephone Number 920-922-1987
Address W5056 PARADISE LN
Date
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.
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<h;)!.wsb, \1/1 54903-1130
i'L,).:,,:: (920) 236-5050
~::;x: (920) 236-5084
MAR-19-2007 MON 10:27 AM KITZ & PFEIL
FAX NO.
19202363348
P. 01
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OJHKQr~j
ON In': Wf;r"iI
Plumbing. Perm,it AppHcatjon
( b,0lct'Y ,,-pply i07; a pcn\).i~ to do and. install the following plumbing ().ll ill; p~.:::misi;:s tereiliai'kr described. IDe worK to ~o.c.:ft)"m w the
Wisconsin State: Phi.mbing Code, .iJ.~ the pedonnance of which:all pa:.-tics r:~.ero ali,'I'OC 10 aIlc2 ar::: bou.ud by sa...d ",au.w;;.
6 Appii:::ation.(s) and f~c(s) carl be brO:J.ght to City Hall, Room 205 or :cnailed to mspectioil SCTvicc:s, PO Box 1 US,
Oshkosh WI 54903-1128. Ccmr:tl:cr.cing work wilhou.t pdp-..:dr(s) will reswr in fe.;:s being dcmb16Q ox' 5100.00 pius the
:10nllaI permit fee, w:nich eVer is g;t'careT.
OR
lL,'I:::" rue II Conir:JClOr panic1:Darin~: in [he Per-mil Fee Acc();,o~:' Svstem and.i!.f!.',){1 adl:~r.;ur.rt? i~':L.'Jl,d.\', c:h;:~:K hi:.(!i,
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Ownet- ~a '/Jd I?.. tJ.do I n A ContractOr
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5,00
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Sl~rip ::;:.n~
Flri';;y's:: ::;ink
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