HomeMy WebLinkAbout0125211-Plumbing (water heater)
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OSHKOSH
ON THE WATER
Job Address 1192 W 18TH AVE
CITY OF OSHKOSH
No
125211
PLUMBING PERMIT - APPLICATION AND RECORD
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
Owner JOHN R HUTCHINSON Create Date 06/07/2007
Category 411 - Residential-Water Heaters Plan
Water Softner Wait. St. Shamp Sink Coffee Maker
Local Waste Ice Chest Flr/Wst Sink Int Grease Trap
Clothes Wshr Exam Sink Catch Basin Ext Grease Trap
Bidet Sculry Sink Wash Ftn RPZ Valve
Beer Tap Hand Sink Urinal Eye Wash Statn
Lab Sink Plaster Sink Standp Rec Wtr Sewer Mtrs
Sterilizer Surgeons Sink Ice Maker Deduct Meters
Dip Well F Prep Sink Gar Drain Wtr Usage Mtrs
Drink Ftn Serv Sink Soda Disp
Contractor JOHN D RANSOM
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
UselNature
of Work
Valuation
Issued By
Duplex 1 Replace gas water heater. **DEBIT KITZ & PFEIL ACCT**.
Size, Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
I
Water Service
Parcelld #
1323610100
$395.00 Plan Approval
~
$0.00
$25.00 0 Permit Voided [
Permit Fees
Date 06/07/2007
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the
easement holder(s) and to secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address W5056 PARADISE LN
FOND DU LAC
WI 54935 - 9662 Telephone Number 920-922-1987
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
===. JUN-06-2007 WED 04:29 PM KITZ & PFEIL
:::
FAX NO. 19202363348 P. 01
C'jry ofO$hkosh
[nspedi,);l Services DivisIOn
POBox 1 ~1()
0511\':,);;11, Wi 54903-1130
Plwm:: (920) 236-5050
Fax: (!)}(j) 236-S08~
~
OJHKOf~"i
ON THe '/lATER
Plumbing Permit Application
,.
1 h<::ri;by app~y fOf .l pemlll to do ,1T\Clir;$tall [h.:; following p1umbing on the premises hereinafter described" the work to conform to the
W is(;oosin S:.ilt.; Plumbing Code, il) the performance of which all parties hert;to agree to alld are bound by said statutes.
. Applicarion(5) and cee(s) can be brought to City Hall, Roon'l205 or mailed to Inspection Services, PO Box 1128.
Oshkosh W] 54903-1 J 28. Commencing work WiIhout pennit(s) will result in fees being doubled or $100.00 plus the
normal pCI'mit fee, whi:.:h ever is greater.
OR
!.L_trl.u art' (lJ;j).'l(r(H~[/J.LJ2i?J:.l.iciDarUH~!L1.f.'j! PermiLFee ..{CCOT-<nr System and have adequa.ti?_ fun,h, check her$
if" ',ou \'I.'(}i"lJ thl.~ (2(o(;es,~:r;d thro.y.gh VOla acco14..u.L-D .
Job Address..Ji.,t:;l fd) /9~ 1LAr_ Villue (lnciuding labor and m3t~ria!S)---.3 r S - 00
Owner ~_< 0)1.u~ Contractor:
OSingle f'amily j:5a:Ouplex OMulti-.Family
Date b - 6' ~ 01 ~
DIndustrial
Number of Fixtures:
'w'~~C!. }.it:all.;',! _~ ,,~
>(ja~;.. [:!<.:<.;[ ..: Pw,Vril
.,\!,!,jWt:1'
L,)(;,Li Wi;,te
Dent, Ope(. Shamp Sink
. DipW~11 Flr/Wst Sink
Drink Ftn Catch Basin
Wait.St. Wash Fm
Ice Chest Urinal
EX<lrfi Sillk Gar.Draitl
Scully Sink Soda DiS'p
4
Hand Sink Coffee Maker
F hep Si.nk Ice Maker
Socv Sink Sil" Drain
Int Grease Trap Roof Dr<lin
l.,.:i\.o~~')i.Y
Lndry Slal\dp
D i Sfl ():d
Di5h\V,:~'t :c(
i3ilih::.lJh
Whir!jlOl>i
T()i1~t
j~e~. .sInk
B:c' Sink
SUIi'IP h:mp
l~j<;;ctor/G:'inrl
Wal~r Soft,)cr
Clothc:.:.s\N'sht'
Fl!d~l
F\',lr DI;,in
l,Il..:ry Troy
B"er Ts.p
C!a,SriTl Sink
1...':",;'1 Sink
SLi"gcons Sink
Bl',t~kr!'ti Sjr~K
Ex! Grcas~ Trap
.. ---.. \1
,?1
. d-J
I
DElectric Installation Yedfication form attached
(If Rcplac"merH)
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r:Iectric Contrllcto 1-
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