HomeMy WebLinkAbout0126472-Plumbing (water heater)
G
OSHKOSH
ON THE WATER
Job Address 952 ELMWOOD AVE
PLUMBING PERMIT - APPLICATION AND RECORD
CITY OF OSHKOSH No 126472
Owner TRI STAR INVESTMENTS LLC Create Date 08/27/2007
Plan
Contractor JOHN D RANSOM
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
Category 411 - Residential-Water Heaters
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Duplex / Replace gas water heater. *.DEBIT KITZ & PFEIL ACCT**.
!
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id #
0503830000
Valuation
Issued By
Shower Water Softner Wait. St. Shamp Sink
Floor Drain Local Waste Ice Chest FlrlWst Sink
Lndry Tray Clothes Wshr Exam Sink Catch Basin
Disposal Bidet Sculry Sink Wash Ftn
Dishwasher Beer Tap Hand Sink Urinal
Sump Pump Lab Sink Plaster Sink Standp Rec
Classrm Sink Sterilizer Surgeons Sink Ice Maker
Breakrm Sink Dip Well F Prep Sink Gar Drain
Ejector/Gri nd Drink Ftn Serv Sink Soda Disp
$425.00 Plan Approval
~V;::)
$0.00
$25.00 D Permit Voided I
Date 08/27/2007
Permit Fees
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the
easement holder(s) and to secure any necessary approvals before starting such activity.
Signature
Address W5056 PARADISE LN
Agent/Owner
FOND DU LAC
WI 54935 - 9662 Telephone Number 920-922-1987
Date
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
AUG-25-2007 SAT 08:52 AM KITZ & PFEIL
FAX NO, 19202363348
P. 02
~~. i~y .if ()sh..k.(;sh
I:":sp~:;r.io~ Sc!"vicC$ Div:sjcn
:' Cl nox 1: 3 0
(;s:r;~o:;h, WI 54903 -1 DO
Phone: (SJ2')) 236-5050
Fa:".: '()10) 2:.6-5()S.~
~
OJHKOJr~
':)1\; T:">w V.ir.:"!:!?
Plumbing Pennit Application
, ,
: Lrtby apply for a permit to do :l.nd ill:>!;:d1 ~be fo1lovving plumbi.tllg en the premises hereinafter described, the work.To conform :D th(:
'\!:i.sconsin State PIlL."'nbing, Cooe:. :1:' ::h:: ptrior'm~n.ce of whtch all parties hereto agree to and :are bound by said stanltes.
. .!'....~)pE::;a!ion{:;) and fee(s) can t'lC brought. to City Hall. Rqom 205 or mailed '[0 Inspection .s~rvices, PO Box 1128.
Osh;.:os;!1 \Vr 54903-1l2S. Coni.me~lcing wOl-k without pennit(s) will rcsu1t in fees being dou.bled or S100_00 plus thr;:
nOT'l~1~': ))ern,jt fee, \'i..hid~ ever :,:;. grtalC",.
1.i-\'UlLari! (1 [;p!1!ractory_anjciD(Jzil'i~! tt&...,alf: Permit. ff(: AccoU.!!..L$vslcm and h(2~t../y.daC!ual~~ r~.nds. che~:.k.fll;:"'-
it"'()I~r1J {his !>l:Q~cessfjd ~hr()!.!",h ~1~)U.r liC(:I)I1..lLt n :
OR
Joh Address_. q f;;L fil h'l ()}O.od._....,. Value {!nc;t,~ins labor and
(h'.rrcr .1J15C.D~ITfe....t---fles Contractor
: Siinglc F~m.jjy ~DlJplf:X [JMillti~F:amny 0
lcrialfl)__ _~I \ 00 _
,~." fR~
DComme:rcial
Date" L J.Jl.. -:9i
Dlndust:rial
Xumber of Fixtures:
3:,';I.'l:'
l.:':cry $ti;.~1~jr>
Dent. (>?<:r.
Shamp Smk
FJriWst 5irk
'~It': :~'lpnoi
rJ-:$pC1$.:.1!
Dish\',,:;:,~ l~t:::;'
DipW.:-ll
Drink Fm
Wait-sL.
lee Chost
FxUt'l Sink
SelllI)' Sill].:
Hand Sin1;
Cat(;h.n,,~jl\
Wash Fm
Urinal
Gar Drllin
L...a\ ~~\oiy
'l....l;l~t
SI,.:1':"I1' h..::":~p
~es. Sink
EJ~!..:)r/C ri:id
!~~; Sink
\.\'~!c:" dcall::f Y-
"). (ia::;, !:ki:;t... ?~"':V~'.
W~~~r::i'" l"-lr.)!:!'l.:::r
Lt:.).:.s.: ''^ ;,..st..:~
of
Sod~ Dim
Cof(c~ M ~k.,r
lee Maker
(::\:-'i.~"':~ \),. 's~:r
Si.../Io'.'t:
f..{j(h::
'f Prep Sink
$crr:'1 Sink
InL cn'ea5~ Trap
6"1 Gr~ase Trap
~;te Drain
!::.:~.>;" Dmm
Bc~ T~L~
~:,Si:l!\
S;.::.gL.:~'):l::i ~...~:'!."
RooCDrain
Smndp Roc.
L.:!.::-y T::;)r
CI~~Siii I :--:'ini,
?:~.':',r S:~k
Elrcsk'I:~ ~ in~'
:-":.:. . ~ ,;;',CT
l']ectric Cuntnlctor
OR:
DElectric Installation Ve:rificfttion form attached
(tfReplacemencl
.
--_._-_._~...."'-'-----' ,----.---..,...-..
l)S(;! Nature of Vi/ort.:
$izc:
:v!~~7~~'izd
Type
.1r
,.,.
~,Jj:li~ry ~;C:\N2~'
:-:.',(\1'\)'1 Sc'Y\i~j
\\'U'~...:;' S~::'\':\:''';
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