HomeMy WebLinkAbout0126092-Plumbing (water heater)
G
OSHKOSH
ON THE WATER
Job Address 869 HENNESSY ST
Contractor JOHN D RANSOM
PLUMBING PERMIT - APPLICATION AND RECORD
CITY OF OSHKOSH No 126092
Owner TERRY L CONGER Create Date 08/06/2007
Plan
Category 411 - Residential-Water Heaters
Bathtub Shower Water Softner Wait. St. Shamp Sink
Whirlpool Floor Drain Local Waste Ice Chest Flr/Wst Sink
Lavatory Lndry Tray Clothes Wshr Exam Sink Catch Basin
Toilet Disposal Bidet Sculry Sink Wash Ftn
Res. Sink Dishwasher Beer Tap Hand Sink Urinal
Bar Sink Sump Pump Lab Sink Plaster Sink Standp Rec
Water Heater Classrm Sink Sterilizer Surgeons Sink Ice Maker
Site Drain Breakrm Sink Dip Well F Prep Sink Gar Drain
Roof Drain Ejector/Grind Drink Ftn Serv Sink Soda Disp
Misc.
Fixtures
Use/Nature ,SFR / Replace gas water heater. **DEBIT KITZ & PFEIL ACCT'*.
of Work
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Size
Type
#
Conn. Type
Material
Sanitary Sewer
Storm Sewer
Water Service
Valuation
$395.00 Plan Approval
~
$0.00
$25.00 D Permit Voided I
Permit Fees
Issued By
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the
easement holder(s) and to secure any necessary approvals before starting such activity.
Signature
Address W5056 PARADISE LN
Agent/Owner
FOND DU LAC
WI 54935 - 9662 Telephone Number 920-922-1987
Parcel Id #
0617410000
Date 08/06/2007
Date
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
\.. l~'" I Ii' ()$i.~~ljsh
bSP\.::,:tll'H1 ::;:,;"vi,:'~:; Divisio!1
I' 0 lk,x 1 un
Ushko:;l\, WI. 5490,Q 130
Phou,,;: (920) 23()-5050
Fax: (920) 236-5084
plumbing Permit Applicati<:>n
~
OJt--iK01H
ON THE Wf\l'ER
1 bc~n:by apply fOI a permit wdo and install the following plumbin.g on tlw :prcmises hereinafter described, the work to eonfoxm to the
Wiscomd.n St<lte Plumbing Cock, in the perfonnance of which all p~.ttie.:: hereto agree to and arc bound by said statutos,
. Applicati(,)ll(~) and k.;;(s) can be brought to Cjt)' Hall, Room 20$, or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128. Cormncncing work without penuit(s) will result in fees being doubled or $100.00 plus the
mmm.: permit. fcC:, which ev..:r is greater.
OR
U:.;'~IJ.M.;jre_~r..r.U1J.J:ilCIO,U2Ltici.JL(JJ)ri\" ilLJJ!.fI Permi( Fe€_Acco:Uflt Svstem and have_adequate (l~nds check he,r&
!!"':;'!J..H W (: D.LJ..h i .s' J!.F (} I:' e !; S' e d r f!):..{!.J!,g.h....j.J' II r.. .a.fSJ2 u n i. _D .
,
Denl:. opcr. Shamp Sil1k
Dip Well flr/Wst Sink
Drink Ftn eaten B-'\sin
Wait Sl Wash Ftn
Tee Chcs1, Urinal
&.aln Sil1k Oar Drain
Seu1ry Sink ---.'- Soda Disp
}lar1d Sin1< Col:Tee Maker
F picp Sink let Maker
ScriJ Sh.k . SIte D,.:;.in
1nt t:}rease Trap Roof l>rain
Bxl, Gr~\SC 'rrap StandI' Rec
Ekctri~ Co.otn~ctor OR OElectric InstaUadon Verification form attached
-'. /7-;;-'" .._~.__..._..,--- - : (lfRopIMemerI1.)
Csc! \'iatul-e "fWork~~ ~-
.lob Address_ f €. P'- tf'- * CCUI1 J Btr-j Value (lnciudUlslaboJ'and l"l
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Owner -E.G!i e,n Il-e$S)<_ Contractor ;.
~Sjngle falnily OOuplex DMulti-Family
~i..) ~
(1. -
OComxnercial
Number of Fixtures:
i~aci\",l!)
Lndl'Ji Sl:.lJHlp
Disposai
DishW':l.she1"
Wi1ir!I'OCI;
1....:.:.\ ~Ltoi':v
T"I\~;
j{~s. Sink
8"1' SiI.k
W"l~r U"al"r ~.=
~;a:; ..:- Elc\;t CI pw';.Vni
sump ~',-;rp
~j e.Qtlll'iUnnrJ
Watcr $aft..",!,
:-,!h'.....\rt
1,0-;;11 W,",,,,,::
Ck,thc~ Wshr
Bid<:t
B".;;,'T"i'
C:a~$n"l ~~iuk
1"I(1<."Pmln
I ,;",:rv Tn,y
;".~'" $i'lk
S'u r,gc')I\~ :; ink
U,..::ul(CI1 Sid:.
Pt~l.~~:'I.::r S:i1k
~)il,..;':! j I.....:i.
Date rg -() :; """'P"1
Dlndustrial
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