HomeMy WebLinkAbout0128305-Plumbing (water heater)
CITY OF OSHKOSH
No 128305
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1816 MOUNT VERNON ST
Contractor JOHN D RANSOM
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
Owner VICKIE M POLLNOW Create Date 01/02/2008
Category 411 -Residential-Water Heaters Plan
Shower Water Softner Wait. St. Shamp Sink
_
Floor Drain Local Waste Ice Chest FIr/Wst 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
1 Classrm Sink Sterilizer Surgeons Sink .Ice Maker
Breakrm Sink Dip Well F Prep Sink ' Gar Drain
_
EjectorlGrind Drink Ftn Serv Sink Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Valuation $395.00 Plan Approval $0.00 Permit Fees $25.00 ^ Permit Voided
Issued By ~~ Date 01/02/2008
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.
Date
Signature ~ -
Agent/Owner
Address W5056 PARADISE LN FOND DU LAC WI 54935 - 9662 Telephone Number. 920-922-1987
T,. ~,.~,.,,.ae ~.,~.,o..+~~.,~ nipa~p call the Inspection Reauest line at 23Fi-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 reedy 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.
DEC-31-2007 MON 02 47 PM KITZ & PFEIL
1t:~k~c:ail.~n ~es'~icL;L>i~°lslc~n
.k'n(ioxli:~il
(')shk:~~sit, y%v'1 '_~49U- -1130
i~~:.x: (yzq) 23,_508=~
P, 01
OfHKOf'H
ON THE WATER
• ~
P~urnbing Perm~t Appiiba ion
l h~r~by al~pi~,~ fn?' a pzn:'ut to do at~d iust.ali the following plumbing qn ~ pzemiises ?~ eirtafter described, the 'w'ork to conform :o tl~c
'Wisconsin St:ttr 'E'Ium6inD Code, in the per{ormance of rvhic~ all panes hcrato agret w and are bound by said statutes.
v :',p~~licatiur+(s} :i.nd ~i=z(s) can ire brought to City 1-Ia11, R
Ushakosi~ Vv°1 54903-1125. Commencing work without
norillitl l:•ennit fbc, which ever is ~~ c=3teT.
OR
1'rt„!nu a.r;~,_c_: curt?reac:l.rtr' czrzir_i ~a:'n.__,_an the Per it A
<,,;,,, wnri: rhr.c t,n~cESS[-.d thrDUr~h vo~ar acco nt
,iei7 Aclt~re~s ~ ~ ~7 ~ ~~~10 Ul Value (mc~uai,1
d~~'ner ~G, d L(I Contractor ~~
~,Siwgic l~':~z~zify []Duplex []Nulty-Family
R u;ssbcr uk' l+'iatures
Csw~ t!.aa .-....
'4VyaLC~r :IwU=r .~
i~fuorUra~A . _.-.~
ir;diY t~~'aY ~.. _..
l.sh Jitih ~-•--
Piester 5i;rk _-,-
~;~~ i isze. ..__. .-
i~lt:ct~•ic Cot~lract.o;i-
C.udy Sc~udp
~ISpUzat
DiShw;aSktCr
Sump pump
• E.jeCinr/C;rind
water Socincr
Li,xsl ~t+VJ5 Lc
C,autkttS GJshr
~i~ict
A ecr ':'ai's
Cluss:r,: Sirilc
Sumac>rIS Sink
T~3reakr•.YI Sint
5 i"l.~
~aFU::;iy ~t,~:ta
~co~'m S~w't:
OR
---._Mt6Tert31- x"~C
FAX N0: 19202363348
205 or mailed o Inspection Services, PO Bow 112b,
~it(sl will resin in fees being doubled or $100.00 plus the
l .J , 04, Date ~ ~ ~- 3~ ~ 0`~
iaba and materiaSs
~ComnaerciaY
Dent (}prrL',
pip Well
brink Fun
Wait. SL.
icc ChcSt
Exam Sink
Sculry Sink
~ Hand Sink
F Prep Satk
S6r++ Sltilc
int Gteasc Trap
I EXL GreaS~ Trap
^Electric
^In.dustrt;31
Sisar~ sink
Flr/W'su Sink
Catch B35in
`gash .'ptn
C1Lina1
Cssr L?rakn
Sod:,, Dior
Coffeo Maker
Ico Maker
$iLC DP23n
hoof Drain
Standp Rcc
tian ,Verification form a
# Conn. Type
i
~~
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