HomeMy WebLinkAbout2007-Plumbing (water heater)
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OSHKOSH
ON THE WATER
Job Address 841 W 4TH AVE
PLUMBING PERMIT - APPLICATION AND RECORD
CITY OF OSHKOSH No 128153
Owner KATIE J SCHMUHL Create Date 12/13/2007
Plan
Contractor JOHN D RANSOM
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
Category 411 - Residential-Water Heaters
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
~FR / Replace gas water heater. **DEBIT KITZ & PFEIL ACCT**.
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
0603600000
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
$395.00 Plan Approval
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$0.00 Permit Fees
$25.00 D Permit Voided I
Date 12/13/2007
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 - 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.
.~, , '
City or Oshfwsh
!A.IS1.'~':lion Services Divisioll
l-' 0 Box 1130
Oshkosh, WI 54903-J 130
Pholle: (920) 236-5050
Fax: (920) 236-5084
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.Job Addrcss_i?'+/ (JI If..cl~
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Plumbin Permit Application
I h,~reby' apply for lll~;;;rmit to du and install the followi g plumbing OXl tl premises he.r~after described., the work to conform t(, the
Wiscon::;in State Plumbing Code, ill the perfo , nee of which aU1arties hereto agree to and arc bound by said statutes.
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· Appli~atiol1(s) and fee(s) GaD. be brought to Ci Hall, Room zo~ or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees being doubled or $100_00 plus the
normal pennit fee, whjc.:h ever is great'-T. !"
OR I
1(1.'()u rJ.,t.~..i!....J:...fI(ltracror PA!..Uc:ir:Jatinf1 in the P rmlt 'q..,4(:cciunt, System and have t!.deauat,e,funds. check here
if FUN wan"r...lf1Ls.l.u:or.essed thrSJ..rJ...f?h your acco nt I
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V lue (!ncluding la.bo1' a
ON THE WATEI?
Owner
~iug]e :Family
DDuplex
C ntractor
DMulti- amily
Date/3-v J ';}..-!J.~7
Dlndusttial
2','uluber of Fixtures:
P.,,,\hlUb
Whirlpooi
Lndry Stand"
Di~PQ~al
Dj~hwashcr
Dent ~. Shamp Sink
Djp~el1 FlrfWst Sink
Drink tin Catch Basin
Wait",t. W3<lh Ftn
lee ~htst Urinal
EX3IJ\ 'ink Gal' Drain
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Sculry link Soda Pisp
Hand illk com:e- Maker .---....
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F Prep ~ink Ice Maker
S<<v sibk ' Silt, Drai~
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Int (',I1"c~ Trap' Roof Dl'ain
Ext o+sc Tr311 St.mdp Rec
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r...a\'~tury
j""ik'l
Sump Pump
Ej\..'Clor/Grind
Wawr Sonner
Local W!l.5lC
Clc,t)'L;S \I/shr
B1U<:l
Re.'., Siu;~
0,,;' Sjll~
, W~IC" H~(II-.;r X,-_
) Ga~ ,_, Blcc; :,: I'weV1l1
$!'u)wur
.F!o~~r ])ri,dn
r.'::~~ej T~~p
ClO:S$ml ~il1.k
!,;",dl'y r "i\Y
12b S/'!l!\
SlJq,:,t10n$ Sirl~
($1 <::.\krtl'1 $ ink
P;a,....t~r ~j:lk
Sil:r dUXi
Electric Contractor
OR
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D:tle~tric Installation Verification form attached 4)
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Type
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Conn. Type
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