HomeMy WebLinkAbout0131971-Plumbing (water heater)CITY OF OSHKOSH
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 448 W 11TH AVE ' Owner JEFFREY G SCHMIEDEL
Contractor JOHN D RANSOM
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
Shower
Floor Drain
Lndry Tray
_ Disposal
Dishwasher
_ Sump Pump
1 Classrm Sink
_ Breakrm Sink
_ Ejector/Grind
No 131971
Create Date 08/01/2008
Plan
Water Softner Wait. St. Shamp Sink
Local Waste ' Ice Chest FIr/Wst Sink
Clothes Wshr ' Exam Sink Catch Basin
Bidet ', ~ Sculry Sink Wash Ftn
Beer Tap'., _' Hand Sink
- --- Urinal
--_
Lab Sink'... Plaster Sink _ Standp Rec _ _
Sterilizer ' Surgeons Sink __ Ice Maker
Dip Well ' F Prep Sink Gar Drain
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 $25.00 ^ Permit Voided
Issued By ~~a ~~~`~ ' ~ Date 08/01/2008
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the
easement holder(s) and to secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address W5056 PARADISE LN FOND DU LAC
WI 54935 - 9662 Telephone Number 920-922-1987
~ o scneauie inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
Category 411 -Residential-Water Heaters
JUL-31-2008 THU 01;47 PM KITZ & PFEIL FAX N0. 19202363348 P. O1
~L.
' ~ i ;' of Oshkosra '', I ! . .
lnspzction Services Division . , ~ ; '..
P C L3ox I ? 30 ' ~. ~ ~
Os:.l:;~sh, vJI 54903-1 I30 I '. '
Pao~r: (920) 236-~0~0 O I 11\ ~~
Fax. (920) 236-SObf '~ .•,,.[ rum wwrFa
i?lumbiing' Permit Application
~~ ht~ by ~pply.~or a permit to clo and install the io'~owing pluuibizsg on the premises hereinafter described, i~,e work to conform ;n the ~
,' ~ ' ~%isconsin State Pli$nbing Code, in the periormancc of Which all parties hcrCto agree to and rare bound bar said staastes.
• Applis:arion(s) sr~,d fee(s) can be brought to City HaII, Room 205 or mailed to lZ,spection Sezvices, PO Box 112$,
Oshkosr WI 54903-? 128. Commencing vvor~ without permitEs) will xesult ire fees being 3oubled or $1(}0.00 plus thz ;
` normal permit fee, which ever is g;eatrc.
~::. DR
:' /!•,n~. nrP n rnnr.rnr.r~r narti.cznatin~ in zhe Fermi! Fee_Account Svstem and hove ud~guate funds. check herY
Jab Address ~f ~L~ L!J l / ` 'Valve (inertains labor ana teriuls> ~"/ ~ , U ~ )Date / - ~ W ~~
Owner irp ~ ,S ~ /Y1 l~eq~ ~ Contractor
.~'1Sin;le Family ^Duplea , []Multi-Family Q'A ntal []Commercial QIndustrlal
,;
.~~ i
•~ ~umber• of Fixtures: I l
•
3:oihtub
iadry Sr~adp i
i
DecC Open.
Sl,aasp. Sink --...
V+•'hirlpoo! Dtspc>31 ~ Ihp'9Ve11 Rk/Wst Sisilc
I.svstory Dishwashar ~~ DrittkFtn Catch Basin ._.--
'° ,Toilet ~,_ Su^.1p 1'unp ' i~ Wait St. Wash Ftn --
. ~.cs. Sirtk~ Ejector/Crrind Ice ChC3t
~M1 8s: Sirl: • •
Water Softner !
j '
Exam Siai: Gar Dsaia
'VV [ar Roster _~~
~
I.oca] Wrote
SculxY Sick Soda Dr.+p ~
-~
Csas ~ Elect i~ Pwrvat Clothzs `Nshr i fisttd Sink Coffee Mttker -i . ~~ ...
i ~howtr $ide: ' F prep Sink ICe Maker _ !. '
N Floor Drain gym -~ Serv Sirrlt Sits Ika'm
:.r:cry Tray Classrm Sink . ' Int Grease Trap Roof lkain ._ .. _
....^ Sittk _.,,_ S~raeoru Sir+k I S,¢ or~asa'irap SmndP lioc ._.
o ?luster Sink ..,._ I3reaxsn: Sink
.~ 1'SCi1i23i ~
I '
11 ~ ~ I 'o• '~
I .
+~+ lcct>"le Contractor _ Ol7 ~lectric 1Ge:stallatilola Verification form attached
.. _ (If Replacement)
Lase / tiature of'VVork
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