HomeMy WebLinkAbout0125242-Plumbing (water heater)
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OSHKOSH
ON THE WATER
Job Address 1107 CHERRY ST
CITY OF OSHKOSH
No
125242
PLUMBING PERMIT - APPLICATION AND RECORD
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
Owner MARK E NEUBAUER Create Date 06/08/2007
Category 411 - Residential-Water Heaters Plan
Water Softner Wait. St. Shamp Sink Coffee Maker
Local Waste Ice Chest FlrlWst 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 0 RANSOM
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
Valuation
Issued By
Duplex / Replace gas water heater. **DEBIT KITZ & PFEIL ACCT**.
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
. ., 0503580000
$395.00 Plan Approval
~/7
$0.00 Permit Fees
$25.00 0 Permit Voided i
Date 06/08/2007
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-08-2007 FRI 10:43 AM KITZ & PFEIL
"_..,... ._,..
FAX NO. 19202363348
P. 01
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Ofl-lKOJI--J
ON THt WATER
(. .11;' of Oshk,~sh
!nsp<.;(;li()o Sc[".....jcl..:s Divi"jOll
P 0 nox ] 130
()g\lk-:)~h, \\'1 549CH. j UO
Phnn~:(~20)23~-5050
F:l.x: (no) 2}(,-;)DS-+
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Plumbing Permit Application
r ha<.:by apply ft)r a p~r01it w do and inslall the following plumbing of}. the premises hereinafter described, the work to c(mforr.n \0 Lh~:
W iscotlsin S ,aLe P Itlrnbing Code, in the pert"orrnancc of which all paliies hereto agree to and are bound by said statutes.
It Application(s) and feces) can be brc)ught to City Hall, ROOlI} 205 or mailed to InspCCEion Services, PO Box 1128,
Oshkosh WI 54903-1 J 28. Commencing work without pen:nit(s) will result in fees being doubled or S100.00 plus th~
normal pcm1iI fel;;, 'which evt:T i<; grc~ter.
OR
/l..J.'.[).I1..,:re~/."S..!/"..:'11ratr.e.L!!.!1.):"liciOQ.jinf.'-.i!l...1...b..!J Perm.!! Ff1ff Account System anrJ.~. adeq.u.alp. tlmds, ch~eck hel'..f.
U~.:.': '! 1.L 'I. C iU..Ji1..,')"-J!..!:J.?J: e.\ sed f h rflJI il h Y.JllU (.[_~_LD .
LJSinglt:: FamHy
V alue (lnci\l<lin~ labor and materialsL '3 C; 6. DC)
"~ R~"
DRental OCommercial
Date G -~1
Jot, AddrCs$..._1.rn,._Li.:e,..~,.~-
Ow n"(~rfiad-.. tV~. (; [,..!l..f.I.LjC
~Duplex DMulti-Famiiy
Contractor
Dlndustrial
Number of Fixtures;
~ .~h ~iak
S,;r~:.;,)n, S;1\~
HN:.krm Sink
D~nt. Oper. Shamp Sink
DipW~1t FlrlvVst Sink
Drink Ftn Catch Basin
. wail. St. Wash Ftn
lee CheSI Urinal
: F...xarn Sink. Gar Drain
Scull)' Sink .--.- Soda pi~"P
Hand Sink Coffee Maker
F Prep Sink lee Maker
SelV Sink . Site brain
lnt Grease Tfap Roof Drain
Ext Grease Trap $l<lndp Rec
Wit:dpon;
Ll,dry Slal\dp
Di.~pll.;;"l
D'i,hw;ishcr
B;'1Lh~u~
L".~ ~'dory
T\l!lc~
Sump Pump
1'-".. Sink
Ejc..:i:,:,rlOfin.d
;>~!' ~ink
\)...r~lc:. Heatvr.._}. ,.~_
~ (i~l$1.: f'kc.l... PwrVnl
,^'al\:i Sortr\~:1"
L;)~~al \Vl1S;.C
C10lh"'i: \Vsh:'
Si."...\....cl'
Sider
nlH:,j l}ra:r.
I,,:"li.'::'i')' l'l'~:y
n"cr Tap
CI~~$ml ::;illk
i'i::..:-::..~l' ~~I;lk
,').~~':.\:i~L:1'
Ekdric Contracior
OR' DElectric lnscallation Verification form attached
(If Re!>lacemenl)
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