HomeMy WebLinkAbout0104036-Plumbing (water heater)OSHKOSH
ON THE WATER
,Job Address 2295ALLERTON DR
Contractor JNL PLUMBING
Bathtub 0 Shower 0
Whirlpool 0 Floor Drain 0
Lavatory 0 Lndry Tray 0
Toilet 0 Lndry Stndp 0
Res. Sink 0 Disposal 0
Bar Sink 0 Dishwasher 0
Water Heater 1 Sump Pump 0
Site Drain 0 Classrm Sink 0
Roof Drain 0 Breakrm Sink 0
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner JAMES F/SHARON KIECKHAFER
Category 411 - Residential-Water Heaters
No 104036
Create Date 09/08/2003
Plan
Ejector/Grind 0 DipWell 0 F Prep Sink 0 Gar Drain 0
Water Softner 0 Drink Ftn 0 Serv Sink 0 Soda Disp 0
LocaIWaste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
CIothesWshr 0 Ice Chest 0 FIr/Wst Sink 0 Int Grease Trap 0
Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0
Beer Tap 0 Sculry Sink 0 Wash Ftn 0 RPZ Valve 0
Dent. Oper. 0 Hand Sink 0 Urinal 0 EyeWash Statn 0
Lab Sink 0 Plaster Sink 0 Standp Rec 0
Sterilizer 0 Surgeons Sink 0 Ice Maker 0
Use/Nature SFR/Install gas water heater for Kitz & Pfeil.
of Work
Size Material Type # Conn. Type
Sanitary Sewer 0
0
0
0
0
Storm Sewer 0
0
0
0
0
Water Service 0
0
0
0
0
Valuation $300.00 Plan Approval $0.00 Permit Fees $20.00 ~ Permit Voided
Issued By
Date
09/08/2003
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 1111 Minnesota Oshkosh WI 54902 - 0000 Telephone Number
232-7270
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.
I2:01
City of Oshkosh
Inspection Services Division
POBox 1130
Oshkosh, WI 5490:~-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
920 236 3348 P, 02
K I TZ&PFEI L
Plumbing Permit Application
I ht~eby apply for a permit to do and install the following plumbin§ on th~ prerm~s lmreinaflcr d~scfibed, the work to conform to the
Wi~:ollsia Stat~ P}umbing Code, in the perforroauce of which all parties hereto agree to and a~e hotrod by said s~a~utes.
· Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI' $4903.1128. Commencing work without permit(s) will result in l'~es being doubled or $100.00 plus thc
n~cmal permit fee, which ever is greater.
OR
If ¥o~ are ct confrabtor r~arSici~atDt~.f~ tt~ permit Fee /IcaouOt Sgstem qOd have qd~.q~sate funds,
~f ¥ou want ~,his ~roce.~vsed through your n¢cognt r~
[~]Single Family I--IDuplex [-~Multi-Family E]Rental ~'-]Commercial [--]Industrial
Number of Fixtures:
Dathntb _ Lndry Stondp
~l ~ Dis~l Dip
~Va~ Di~bw~s~
Tnil~t Sump Pu~ Wait,
~s, Sink EJ~/~nd Ice ~%~t Ur~sl
~ ' .
~ D ~e~ ~ ~Vnt C~h~ W~r .... FLed S~k ~ ~ M~
8~w~ .... Bidet
Electric Contractor
Use / Nature of Work
Sa~itarygower
Storm Smver
]Wa~ S~rvicc
Si~e
Material Type # Com~. Type
3102