HomeMy WebLinkAbout0125933-Plumbing (water heater)
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OSHKOSH
ON THE WATER
Job Address 644 FLORIDA AVE
CITY OF OSHKOSH
No
125933
P,LUMBING PERMIT - APPLICATION AND RECORD
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
Owner JAMES FISHARON KIECKHAFER Create Date 07/24/2007
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 D 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 1 #A - replace gas water heater. **DEBIT KITZ & PFEIL ACCT**.
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
1304700000
$395.00 Plan Approval
~
$0.00
$25.00 D Permit Voided I
Permit Fees
Date 07/24/2007
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.
l Ci~ Jr~~::,~~~:07 T~ 10: 00 AM KlTZ & PFE I L
[nsp:.)clion Service,; !)ivi.sion
p 0 Hox 1130
Osbko::;h, WI 54903-1 130
Ph,)!)!;:; (920) 2~()-S050
f'ax: (920) 236-508-1-
FAX NO. 19202363348
p, 01
~
OfHKOfH
ON nil; WATER
Plumbing Permit Application
,
I h.::rcby apply for a permillo de Zlnd install tho foHowing plumbing on the premises hereinafter described, the work to conform it) the
Wisconsi;\ Slatl: Plumbing Code, in th.:: performance ofWh~h all parties hereto agree to and are bOUlld by said .statutes.
.
AppliL:ution(.s) and .1l.:c(s) can DC brought to City Hall, Ropm 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without p~it(s) will result in fees being doubled or $100_00 plus the
normal permit [.;e, which ~ver is gn~<.l.ter. .
OR
.
!L)~!!u arejL.{;I~!!1raCloLJ?prtici'l]alill.~' in t(U!...Pt!.rmit Fee ACCounl Svsrem and IrJ!\le adequate funds. check here
U:'2-.ou..':.,.."o/// this !H"!?Cessed i1lrouiI-Jz )!OJJ.T accoZ1.21LlJ .
Job Addrcss_.G f.'PI A F/tJ l" Ida
OWm:~f ~-K It: ( I\h g:5 ""f?~l/'- , Contractor
DSing};: Family ~.Duplex OMulti.Family DRental
? ~ co
Date 7'" J. t.f '-t!J7
t!ttt.~
OColIunercial
Dlndustrial
Number of FixmZ"Cs:
i3'Hlz~~iJ
Lndry St:.1l1:.l~. '
Di~pos.:l.l
L)i;;hws.$b'~r
Smnp Pump
EJeClotlGI'ill,J
\!/al~r ::)OJtm:r
Dent. ()per.
DipWe:1l
. Ddnk I'm
: Wait.$t.
: lee: Chest
: Exam Sink
: Sculry Sink
; Hand Sink
, F Prep Sink
: Sc:rv Sink.
; Inl Grease Ttap
~ Hy.t Grease TI'~p
..
S~a:nlp Sink_
FlrlWst Sink:
Catch Basin
Wash Fm
Urinal
Gar Drain
Soda Disp
Coffee Maker
Ice Maker
Site Drain
Roof Dr-d.in
Standp ReI:
W,::dPllO;
1.:.1\ ~\l{,\J'Y
T::ikt.
I{~.. Sink
~. '~l!-;' .~jflk
\\,1j,ILc:r H~~I.~;r ~_'N__
;..r; ;2~. Elu,.:,~ f'wiYm
1 ,,)~;:l V;'it:::ic
.",jl~..,\v~r
Ckllh<l5 Wsbr
Hider
F~I,,).;i' Dram
Dc::c:!" 'I'a~)
I_~~,!:'Y TI'"y
n;;,SSfm Sillk
;_~:) .s1~1~
Sl!"'gct,)n~ $ink
fb::<<lh:n $i11k
Pbl\tl,;r ~'lnk
:).: ,,:~.l ~ j :1.1: r
EJettric Contl';lct.Or
OR : OEIectric InstaUati.on Verification form attached
, (lfRepluc"mcI1t) :3
~OJ~~~UleOf_~~:~~ ~__~~J. fJ.::::-___:~.-.
SiZl: !v1al<:1~-i!ll Type # Conn.lypt:. oJ!" .
S!lni::Hy St:;w.;;r
)h
~t()I'!12 Scv. ~f
\\'tli.::: Sc;r\..'~..~c.::'
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