HomeMy WebLinkAbout0104060-Plumbing (water heater)OSHKOSH
ON THE WATER
.lob Address 919 IOWA ST
Contractor RANSOM, JOHN D
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 CRAIG T KORDES
Category 411 - Residential-Water Heaters
No 104060
Create Date 09/09/2003
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 hot 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 $277.00 Plan Approval $0.00 Permit Fees $20.00 ~J Permit Voided
Issued By
Date
09/09/2003
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 W5056 PARADISE LN FOND DU LAC WI 54935 - 9662 Telephone Number
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.
' SEP-IO-2003 NEb 01:23 AM
City of Oshkesh
Inspeetlon Service~ Division
P 0 Box 1130
Oshkosh, WI 54903-1130
Phone: (920)
Fnx: (~0) 236-5084
P, O1
Plumbin PermitA lication
I hereby apply for a permit to do and insuOl the following plumbing on the premises heminnfter described, the w~rk to con,form to the
Wisconsin State Plumbing Code, in thc performance of which all partie~ hereto agt~e to and arc bound by said statotcs.
Job Address ~/~r ~/.Og~. .__ Value'(,.~t~l~.s;,~.~rf~t~ri,,~ . ~¢~7t'~ ~ Daie ~ ~'~- O~,~
[--]Single Fanfily ['-]Duplex [~dulti l~amilr [~eatal ' ~Commerc:a! ~-]Industrial
Number of Fixtures:
~ammb l.nd~ S~dp __..~. ~em. Oper. sha~ S~k
~nk Fm ~t:h ~n
~t~ Di~h~ ,
Electric Contractor O~ I'1 EIV form attached (Ir'Replacement)
Size Matins! Type # Conn. Typ~
sani~ ~ewer
Wat~ Ser,,ic~
Applica~n(s) and fee(s) can be brought to City Hall, Room 205 or mailed to lmpecfion Services, PO Box 1128, Oshkosh WI
54903-1128, Commencing Work without permit(s) will remit in fees being doubled or $100,00 plus the normal permit fee,
which ever is greater. / r~ ~
OR
Check here ~f,l,~U W~nC Chis processed through F~ur account