HomeMy WebLinkAbout0126859-Plumbing (water heater)
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OSHKOSH
ON THE WATER
Job Address 628 WAUGOO AVE
Contractor JOHN D RANSOM
Shower
Floor Drain
CITY OF OSHKOSH No 126859
PLUMBING PERMIT - APPLICATION AND RECORD
Owner NANCY L EIDEN Create Date 09/19/2007
Plan
_ Category 411 - R~~~~ntial-\IVater Heaters
Water Softner
Local Waste
Clothes Wshr
Bidet
Beer Tap
Lab Sink
Sterilizer
Dip Well
Drink Ftn
Wait. St.
Ice Chest
Exam Sink
Sculry Sink
Hand Sink
Plaster Sink
Surgeons Sink
F Prep Sink
Serv Sink
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature ISFR /INSTALL GAS WATER HEATER **debt Kitz. & Pfeil acct
of Work
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
Shamp Sink
FlrlWst Sink
Catch Basin
Wash Ftn
Urinal
Standp Rec
Ice Maker
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
._~._'--'-----1
Sanitary Sewer
Size
Storm Sewer
Water Service
Material
Type
#
Conn. Type
Parcelld #
0202450000
Valuation $395.00 Plan Approval _~$O.OO Permit Fees
Issued By ~3
$25.00 0 Permit VoidedJ
Date 09/19/2007
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
Address W5056 PARADISE LN
Agent/Owner
FOND DU LAC
Date
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.
SEP-19-2007 WED 11:48 AM KITZ & PFEIL
FAX NO. 19202363348
P. 01
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\lshl;:osh. Wj 54903.11:\0
PiH}r)C:: i~2Q) 236.505 ()
~.'ax. (92()) 2:H,-508.::,
':IN r"-::- V.f,-\rEi\'
Plumbing pe1mit Application
: h:.:rcby appl;' for a pe~'rni! t<) do and insta:il ,he following plumbi~lg on the premisos hereinaftor described., the work to conform ((j i.h.::
yl iSCO.:lsin Scat!:: Pl..t:rr:.bing Code, i!~. :he performance of w~ich all parties hereto agree to and are bound by :said sratutes.
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i
It AppU::aIion(s) and j:.:.::(s) can be b,'ough'L to City Hall, Ri,>om 205 or mailed to Inspection Services, PO Box 1128,
Oshk,)sh \\'1 54903-1128. C:)rmnc;lcing work without permil.(s) -.mn result in fees being doubted or S 1 00.00 plus tht:
"":or'"""; 7)c;rrn;t fee \}'1';"}-> eve"';~ OT'''''.'.''W !
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Job Address_li~_ jJ/a..u 300 Value (!nG:~d;ng l;,bol~nd matr:.rials).__3:1~~~OO
Own'er YpiI<:../ U~.D,.---=-- Contract(~r _..~ !2~ ..
~Singlc FamHy [JDuplex C?v1ulti-F:amHy! DRental DCQmme~cial
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Numbl:r of Fixtu~€:$: i
Date 9_ /q....tJ,
____f_._---.
Dlndustrial
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rJ{$h\"t~~:~c:.
Dent,Opa. Shamp Sink
Dip W,~l1 FlrlWst Sink
Drink Fm Catch Ba$ill
Wail.St. Wash Pm
Ice Chest Urinal
..
Exam Si::k GElr Dr-.i11
Selll!'y Sink .. Sl)d~ Disp
-I
Hand Srn;;' Coti"c:e Maker
F Pr/op Sill\( 10:: .Y!>LkCT
Scr'i Sink :Sill; Drain
1m c.;r~ll.5C Trap ROQr'l)r2.ln
Ex! Groasc ."trap Smndp Rr:.c
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L(idr~ Si:~ ['; li5~
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T.:.\:ic\
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It~S, Sin~
Ej"clDl;Cn;,d
Bat ~:nk
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!j:t;':;~T ~::Jk
Brc:::uk~:l: Sink
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S 1/:~'" \I'r :~._t~"':1~~ 1
Electric Contractor
USi..'/ :\iat:Jre of\Vork
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