HomeMy WebLinkAbout0128204-Plumbing (water heater)
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OSHKOSH
ON THE WATER
Job Address 1143 VAN BUREN AVE
CITY OF OSHKOSH
No
128204
PLUMBING PERMIT - APPLICATION AND RECORD
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
Owner JAMES PIJULlE J MAYER Create Date 12/19/2007
Category 411 - Residential-Water Heaters Plan
Water Softner Wait. St. Shamp Sink Coffee Maker
Local Waste Ice Chest FlrJWst Sink Int Grease Trap
Clothes Wshr Exam Sink Catch Basin Ext Grease Trap
Bidet Sculry Sink Wash Ftn RPZ Valve
Beer Tap Hand Sink Urinal Eye Wash Statn
Lab Sink Plaster Sink Standp Rec Wtr Sewer Mtrs
Sterilizer Surgeons Sink Ice Maker Deduct Meters
Dip Well F Prep Sink Gar Drain Wtr Usage Mtrs
Drink Ftn Serv Sink Soda Disp
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
Duplex (upper unit) 1 Replace gas water heater. ""DEBIT KITZ & PFEIL ACCT"".
Size Maferial Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id #
1605260000
$395.00 Plan Approval
~
$0.00 Permit Fees
$25.00 D Permit Voided I
Date 12/19/2007
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 approvalsbefore starting such activity.
Signature Date
Agent/Owner
Address 427 N MAIN ST
OSHKOSH
WI 54901 - 4907 Telephone Number 920-236-3340
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.
i- _I!C-IB- 2007 TUE _04 : 45 PM KlTZ & PFE II
FAX NO. 19202363348
P. 01
'::itj ill G:;h~ll.sh
[!~sp~..:ti(\n Services Di\'i~wn
P () Box l130
()sh~()sh, W.l 549(J.l..1130
1'111)11<.;: (~20) 236-5050
Fa:,: (920) 236-5Dg.1
~
OfHKO/r1
ON T..e WATER
Plumbing Perm~t Applica i<;')n
!
1 h,:r<.:by appl) for;.\ pennillo do and install IDe following plumbing ~ the premises he 'einaftbr described, the work to conform to the:
Wisconsin STate Plumbing Code, in the performance of wruchlalI parties hereto et to and ate bound by said statutes.
. Applicat:.on(s):md f't;;.:;(s) can be brought to City Hall, Roonb. 205 Or mailed Inspection Services, PO Box 1121),
Oshkosh WI 54903-1128. Cornmc:ncing work without ~t(s) will resuJ in fees being doubled or $100.00 plus the
norma] pennit fee, which ever is greater. !
OR !
J!' vOJl~f1r(:! 1l....fJl..1l.!~.actn1:.J2.2r."jciDa.tin~ in the Permir Fee c{;()unt S
iIJ;{Lu WO/1L1.l1.JS /uO,r;:essetj through nur account
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.Job Addn::"islli~ .lJa,1 B O_f e.. P\.. V alue (Incllldi~ Iabor!lnd matc:rials)
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OwnCi" _u..yf.-Le:_~- Contractor i
DSingle Family !>ZlDuplex DMulti-Family!
,
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,
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and have f.!.deq1.Late [unds. check here
i)
Date /;;.. - 1,-/_(')'""1
DIndnstrial
[\;umber of Fixtures:
i:,: :;1(.1' Sink
Swrg<:<.>lls Sin):.
Bri;!l.kr:n Sink
Pent, Oper. Shamp Sink
Dip Well FlrlWst Sink
Drink FIIl Catch Basin 'I
.1
Wait.St. Wash Pm
Ico Chest Urinal
Ell.lI1n Sink Qar Drain
Sculry Sink S<lda bisp
Hand Sink Coffee Maker
P Prep Sink 1= Ma):cr
Sorv Sink Site DrllIn
Int Grease Trap ~ Roof Drain
Ex. Grallso Tr~p Standp Rec
l...::1V~~viY
LniJry SLandp
Di~po$r!l
DisllW"$hel'
S\.Oi'l1p hlll1p
Ej.,t;IOr/t irind
Water ::>u[:nL:r
Bt!th~Ll\)
Wililipo.\1
'[.)ikt
R.:". Sink
I~~I' ~il\l:
vV:.H(.~r Hi,;,l,~tc..;f ~u._
)(.:.. ia,; : : hi~L:1 ; . f'wII/;1I
Sb~Jv,,:t.:.1'
F:L1ui' lJl'''~r.
C<lClll W~~tc
Cj()l\1C~ w shr
Bi(\i;;t
B~cr Tap
L;c.!ry Tray
L!h Sin!;.
C\s..srm $inl,
Si~:.lilZC.r
.Ekc'[ric Coutn'iC(.ol-
-,'---'.'-.0,,---
OR
DEl~ctric Installation Verification forID attached
(l.f Replac TI1~l\t)
lJSl: / Nature of W()rk.~ ._.u,tt:r~j
~~_.
I
-'~;iz~'-----"-'Mat~~~"--' Typ; i
!
#-
Conn. Type
. Slni!,'lr)' ::),;\\'c:!'
:)!()fln :-:;;;:'",\:r
j
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\\/~l:{'.~. ~i..~rvic;:
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