HomeMy WebLinkAbout0127587-Plumbing (water heater)
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OSHKOSH
ON THE WATER
Job Address 807 W 5TH AVE
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
No
127587
Owner PHYLLIS J TILLOU
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
Category 411 - Residenti~~~ater ,:!eate.!"~____ Plan
Create Date 10/31/2007
Shower Water Softner Wait. St.
Floor Drain Local Waste Ice Chest
Lndry Tray Clothes Wshr Exam Sink
Disposal Bidet Sculry Sink
Dishwasher Beer Tap Hand Sink
Sump Pump Lab Sink Plaster Sink
Classrm Sink Sterilizer Surgeons Sink
Breakrm Sink Dip Well F Prep Sink
Ejector/G rind Drink Ftn Serv Sink
~FR / Replace gas water heater. "DEBIT KITZ & PFEIL ACCT"
I
i
I
I
i
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
Size
Material
Sanitary Sewer
Storm Sewer
Water Service
Type
#
Conn. Type
$395.00 Plan Approval ____....lQOQ
n_._~
Permit Fees
Parcelld #
0604530000
__._.__t2.~.99 O~_~r~.it.\I~i~~~j
Date 10/31/2007
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
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.
OCT-31-2007 WED 09:29 AM KITZ & PFEIL
FAX NO: 19202363348
P. 01/01
l
City of Oshkosh
Inspection Services Division
POBox 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
~
OfHKC)Jo
ON THE VlATFR
Plumbing Permit Appl cation
i
T hereby apply for a pennit to do and install the following plum~ing on the premi. es hereinafter described, the work to conform ,0 th.;'
Wisconsin State Plumbing Code, in the pelfounance of o/hich all parties h reto agree to and are bound by said statutes.
1
Job Address:... r;67 tv 5 ~ Au
Owner -f;c,tc. tt. t/ II" tA.v Contrac~or
i
~Single Family DDuplex DMulti-Fa.mi1r
!
iled to Inspection Services, PO Box Il2S,
"esult in fees being doubled or S100.00 plus the
. Application(s) and fee(s) can be brought to City Hall, '~oom 205 or
Oshkosh \Vl 54903-1128. Commencing work withoujt pcrmit(s) will
normal permit fee, which ever is greater. .
OR "
~.u are a contrflctor var!ic,Watinf{ in the eflrmit )~ee
iiJ!!1J:!:_J't.fJ,[!,z this lJro(;~gsed throufll_ VOUl' account_..q
Ch(H:k h.lLry
Date-.LO - 3/-Q.1
Dlndustrial
Number of Fixtures:
W"lo:T lkuer ~
)X..(;as U El<::ct 0 !'w-rVnt
Shower
rloor !)rdin
Lndry Trfl.Y
Lao Sinl<.
Pla~tcr Sink
Sl;::ri\j~,el'
Lt1dry Standp
Disposal
Dishwasher
Surnp Pump
Ejector/Grind
Water Scfmer
Local Waste
Clothes Wshr
Eidel
Beer Tilp
Class.rm Sink
Surgeons Sink
BT~alcm1 Sink
Dent. Opel'. Shamp Sink
Dip Well rlrlWst Sink
Drink Ftn Catch B~si 1'1
WaiLSt. Wash Pm
lceChe::;1 Urinal
Exam ~ink Garl..>rain
Sculry Sink Soda Disp
}innd Sink Coffee Maker
r l'l'ep Sinlc Jee Maker
Serv Sink Site Dr.\in
Inl Grease 'ITa Roof l)ra.in
Ext Grease -rr p Standp Rec
8:nhtuh
Whirlpool
Lavatory
Tcil.<
~CS. Sink
Bar Sink
Electric Contractor
~
DElectric InstallatiolJ. Verification form ~tt.athed
(If R lacement)
Use I Nature of Work
4-/~
.....----".,.
"
Size
Material
Tyj,e
I
// Conn. Type::
; S' S
I . amlary , ewtf
!
i Storm Sewer
I
I, Water Service