HomeMy WebLinkAbout0126471-Plumbing (water heater)
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OSHKOSH
ON THE WATER
Job Address 509 HIGH AVE
CITY OF OSHKOSH No 126471
PLUMBING PERMIT - APPLICATION AND RECORD
Owner DISCOVERY PROPERTIES LLC Create Date 08/27/2007
Plan
Category 411 - Residential-Water Heaters
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
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/Grind Drink Ftn Serv Sink Soda Disp
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 & PFEI L ACCT"".
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
0103230000
$395.00 Plan Approval
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$0.00 Permit Fees
$25.00 0 Permit Voided I
Date 08/27/2007
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a. party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the
easement holder(s) and to secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address W5056 PARADISE LN FOND DU LAC WI 54935 - ~ Telephone Number 920-922-1987
To schedule inspections please call the Inspection Request line at 236-5128 nbting the Address, Permit Number, Type of
Inspection (Le. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the 'time the project is ready.
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AUG-25-2007 SAT 08:52 AM KITZ & PFEIL
FAX NO,
19202363348
P. 01
l."lty 'i1 ()~l:k.()sh
In$r~<Z:~::lio';1 Services Division
f' () nux 1 ~.)O
()shk~)sh, WI 54~)03-1 130
Fhone;: (92'J) 23(l-SOSO
Fax: (nO) 2:~()-50~~!
~
OfHKOJ~"1
ON TH~ wATER
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Plumbing Permit Application
ll:~roby app ly for :l perm..i l to do an.d install the following plllUlbi.ngi on the premises hereinafter described, the work to conform to the
Wi::;cc)llsin $W!(: Plu1.nbing Code, in rh1:': performance ofwhic~l a.ll parties hereto agree to and are bound by said statutes,
. l\ppli:':lll.ion(s) and i~C($} can be brought to CitY Hall, Rooim 205 or mailed to Inspection Services, PO Box 1128,
()shko~h wr 54903-1128. Commencing work without peirmit(s) will result in fees being doubled or $100.00 plus the
nOfnal p~~nl1il fcc:;, which ever is b'Tcater. '
OR
li_\.J2.!Li1.rJ: tI C(~!.!J..r:~ UP r Da rt i C Il)(U iJ,I.!1.,...1!L1.b e. Perini t Ff.,t,.:A ceo un 1 Svstf: '(].~...,alld h eve ad.eq7~ ate. fund:;. ch?.ie:k her:.>
LL.":J:'JL::.:"I11JJ".fl1is f) TO C es _'J/d .FAro U f h vo.. r P. c<:.i2.1:w.,L.D ·
:;~:,:::d'C",__%:-:::;~~. -.= ~:~:~:::r ",,~ "j;l".tt:::::
USinglc FamHy pziDupt DMulti-FamilY; ot..~ DCnmmercial
Date $>- cL2. -,(2'1
Dlnd'ustrial
N\.lH"lo..:r of Fixtures:
\'Vi'.i:'irJl'~{lj
Lndry SWli'Jp
D:,;pu:i;:ll
[)i.h\'.';'$r,,~r
Dent. Opcr.
DipWdl
Urink Ftn
W:<it,$t
tee Chest
Shamp Sink
FJriWH Sink
Catch Basin
Wash Fen
Urinal
:3:~ ..h.:J >,
l...Jv:J,~"ry
i<.~~. ~iili:
$Ul~ll' l"\,mp
Ii) ector/lid,,';
\V;,((;!, S,):i:!~cr
'1',\:)<;\
Bar ~,:l)k
v.!:~,~'1' i l~':::ltl:.!l X'~.. ._.~
) .~;,'d ,.' Eh:~t :' t'~T\"n~
Lu';::i.l \ -\ ~~.s ~..!.
E:>mm Siok
Sculry Sink
H,ll1d Sil'l){
f
Gar Drain
Soda. Dis-p
Coffe~ Maker
l.ee MlI.kc:r
Site Drain
R,)OfDrain
Standp Rec
Ck\,!:;:~ W~hl'
! ~ . . '. ~ j' j' )1"~'1l J'l
[~id'~l
~k,1' ":":I.p
F Pr.::p Sink
SC1"V Sink
In t Grease Trap
EXl Grca~e Tr'dp
S,"\'''I/~r
i..il':l'yTil:Y
~::!::...~!=;.lli1 Sin;.:.
"-;;~) .;\::I~
S\~rg~t)n~ S~nk
l'i~..-;~l..r ::;:~lk
Bf~;lkn1'o ::.mk
.");,:,' : :/'t.:r
I~kdrk Contnlctol'
D:Electl-ic In.staUati<m Verification form attached
(If 'R '~pl;l(:omen t)
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