HomeMy WebLinkAbout0127011-Plumbing (water heater)
G
OSHKOSH
ON THE WATER
Job Address 1935 OAK ST
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
No
127011
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature [:rFRTRePlace gas water heater:-**OESir-l<TfZ-&-PFEII ACCT** .~--~---- .---
of Work 1
!
Contractor JOHN D RANSOM
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
I
i
I
L
Water Softner
Local Waste
Clothes Wshr
Bidet
Beer Tap
Lab Sink
Sterilizer
Dip Well
Drink Ftn
Owner JOSEPH N BERENZ
Category 411 - Residential-Water Heaters
Wait. St.
Ice Chest
Exam Sink
Shamp Sink
FlrlWst Sink
Catch Basin
Wash Ftn
Urinal
Standp Rec
Ice Maker
Gar Drain
Soda Disp
Create Date 10./0.1/20.0.7
Plan
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Sanitary Sewer
I
I
n_....J
Storm Sewer
Water Service
Size
Sculry Sink
Hand Sink
Plaster Sink
Surgeons Sink
F Prep Sink
Serv Sink
Material
Type
#
Conn. Type
Parcelld #
1521120.0.0.0.
Valuation $395.0.0. Plan Approval __~lo.j)Q Permit Fees _~~___$25.0Q D P~r11~_\l_~d~J
-- -n==--=- _
Issued By ~
Date 10./0.1/20.0.7
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 e.asement 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 W5o.56 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 (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.
l
SEP-28-2007 FRI 02:04 PM KITZ & PFEIL
FAX NO. 19202363348
P. 01
City of Oshkosh
Inspection Services Division
POBox 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
~
OJHKOJI...",I
ON '1"1-1 E: WATEl':
Plumbing PerrJlit Application
, .
1 hereby apply for a pernlit to do and install the following plumbinJg on rhe premises hereinafter described. the work to conform to the
Wisconsin State Plumbing Code, it1 the performance ofwh!ch all parties hereto agree to and are bound by said statutes.
;
. Application(s) and fee(s) can be brought to City Hall, R.~om 205 or mailed to lnspection Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees bl;ing doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
J( yOU are a cO/"l~r.lJ..'(.J<.?.!.-I!..flrtici1)atin,? in the Pi'-.I!!I.~ Account System and have adequate (und$.o check here
i.LY.9..u want this processed !!.u:.ough vour account n ;
Job Address ,q])" Ot;t. k
Owne.... -l-~ e (5..e. r .e Y\
[]lSingle Family DDuplex
~ Value (ll)OIIl~ing labor and materials) 1 '3 g.!;l~ ~OO
i
'Z... Contractor
DMulti-Family ;
Date ? - ~3-o_L.
Dlndustrial
Number of Fixtures:
Bathtub
Whirlpool
Lavutory
Toile!
Res. Sink
Bar Sink
Willer H~:lt<rr Y--
II Gas [i EleCL oflwrVnl
Shower
Floor Drain
Lndry Tray
Lab Sink
Pl,.~tC'f Sink
S!c:riJj~er
Lndry Standp
Disp()~al
Oishwash.:r
Dent. Optr, Shamp Sink
DipWtlll FlrlWst Sink
Drink Ftn Catch Basin
Wuit.St. Wash Fm
to.: Chc:st Urinal
Exam SinJ..t (.ar Dru.in
Scuhy Sink SodaDiSp
Hand Sink Cotft:c Maker
F Prep Sink Ice Maker
Sc:rv Sink S'ite Drain
Int Grea.qe 'Crllp Roof Drain
Ex! Grcll.so Trap Standp Rec
Sump PUml)
Ejector/Grind
Water SoCln<:1'
Locii I W'il.S1Iir.
ClomCli Wshr
Bidet
Beer Tap
Classrm Sink
Surgeons Sink
Breakrrn Sink
.Electric Contractor
OR,
DElectric Installation Verification form attached
(If Replacemenf)
Use! Nat.ure OfWOI-k~.'~1
0\\
J~1
---~
. _t }-.l
~r1~
I
, Sanitary Sewer
Size
Material
Type;
#
Conn. Type;
Stonn Sewer
I
I Water S~,rvice
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