HomeMy WebLinkAbout0127980-Plumbing (water heater)
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OSHKOSH
ON THE WATER
Job Address 252 W 14TH AVE Owner WAYNE WIBRENDA J SOBIESCZYK Create Date 11/28/2007
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
No
127980
Contractor JOHN D RANSOM
. Category 411 - Residential-Water Heaters
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Plan
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
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature [Duplex 1 Replace gas water heater:- ""DEBIT KITZ&-PFElLACC"f**:---
of Work
Valuation
Issued By
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Size
Material
Type
#
Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
_ _..__$:3.~5.00 Plan Approval
t2/171.KJ
$9.00 Permit Fees
$25.00
Parcelld #
0901610000
Date 11/28/2007
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.
Address W5056 PARADISE LN
Signature
Agent/Owner
FOND DU LAC
WI 54935 - 9662
... - ..-- ...
Telephone Number
Date
920-922-1987
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To schedule inspections please call the Inspection Request line at 23~-5128 rloting 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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NOV-28-2007 WED 11:33 AM 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
~
O/HKOJ~-'1
ON THE WAT"-R
i
Plumbing P~rmit Ap
i
I hereby apply for a permit to do and install the following plul!nbing On the pre . es hereinafter described, the work to confornl ;u "h~'
Wisconsin State Plumbing Code, In the performance: of which all parties hereto agree to and are bound by said STatutes.
i
,
. Application(s) and feces) can be brought to City Ral1j, Room 205 or ailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903~ 1128. Comn:lencing work withqut permit(s) wi! result in fees being doubled or $100.00 pJustni.:
normal permit fee, which evE..'T is greater. .
OR ,
lfvou are a contractpr artici atinf! in the f>r1rmit! Fee Account ,vstem a!LfLl~_a.y".qJddiULuate funds. check her:.:'
if..J~(lJL'CIJllJl,.this rocessed throu h vour account
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Job Address :;..5;2 W ('-I fb Ad Value i!lnclUdinglaborand
Owner 1M> ill e. f · 6: 1 e 5 C ::i 6 ^ c.ntr~ct.r
DSingle Family [0Duplex Multi-Fam~ly
i
;
Date /1~a8-Q.'J
Dlpdustrial
Number of Fixtures:
Bathtub Lndry Statldp Dent. Oper. Shamp Sink
WhiTl?ool Disposal Dip Well folr/Wst Sink
Lsvatory Dishwasher Drink ftn Catcb Basin
Tcikt Sump Pump Wait.St. Wash Frn
Res. Sink Ejector/Grind Ice Chest Urinal
Bar Sink Water Softner Exa.m Sink Gar Drain
Water Hear<:f L- LQcal Wa.~~ Seu Iry Sink Sod!) Disp
'!IGas 0 Elect::J PwrVnt Clothes WShT Hand Sink Cot'fec M akc:r
Shower Bide!. P Prep Sink lee Maker
FlOUT Drain Bee: Tal' SCTV Sink Site Drain
tndTY Tray Classrm Sink lnt Grea~e Tr p RoofDrai:\
Lab Sink Surgeons Sink. Ex! Grease T ap StandI' Rec
Plastl:t Si;1.k Brealmn Sink
Sterilizer
i
Electric Contractor ~ DElee rie Installation Verification form attached
i (If <:placement)
., n) ,
Use I Nature of Work_ ~ ,~A'~ .~ ~"-
Size
Material
Conn. l';pe l
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I t
I I
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TYflt:
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#
Sanitary Sewer
Storm Sewer
, Walet Se:vic;: