HomeMy WebLinkAbout0132206-Plumbing (water heater)OSHKOSH
ON THE WATER
Job Address 1117 MERRILL ST
CITY OF OSHKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
Owner NAO/LHOUA/VONG LOR
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 132206
Create Date 08/12/2008
Category 411 -Residential-Water Heaters Plan
Water Softner
Local Waste
Clothes Wshr
Bidet
Beer Tap
Lab Sink
Sterilizer
Dip Well
Drink Ftn
Wait. St.
Ice Chest
Exam Sink
Scuiry Sink
Hand Sink
Plaster Sink
Surgeons Sink
F Prep Sink
Serv Sink
Valuation $395.00 Plan Approval $0.00 permit Fees $25.00 ^ Permit Voided
Issued By ~/Yy{,~J Date 08/12/2008
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
_ Shamp Sink
_ Fir/Vllst Sink
Catch Basin
_ Wash Ftn
Urinal
_ Standp Rec
Ice Maker
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
a~nvau~e ~nspeczions please can the Inspection Request line at 238-5128 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 pertormed within two business days from the time the project is ready.
AUG-12-2008 TUE 12 27 PM KITZ & PFEIL FAX N0, 19202363348 P, 02
~::~ ci ;~;;;,;~
~~<~zcaon Ser4ici;,s ~~vision
~? v Sox I :3~ ...
~:u~.ausq, 'vT! X4903-113p
' .?done: (g2~) 236-5050
:.:F•ax: (920) 236-SOb". ,
_ ~~
are rH~ nrrJ?
~i
.. f?ft~~bEng f'~rmifi ~ppfica#io~t ' k,
:~ .. ~
lic::c~y aPp15~.foz.a permit to eo snd install the follow ..'
VJ;scorsin S~,tc Pl.irxr~i~ C '~ P~~g oa cha premises ftsr rieser~, i3~'wark to co~iorm ;v nc~ ;?
g ode, in zhe Pie of whic.,~ alI p~~ het~tn agre~ bo and ara bout by said statutes.
..~
~ppliearior. s • ~'~
t i 4nd feels} car_ be brought to City Tian, Roam 205 or ~~
Ushkas~ vVX j4903_X 128. Comm~cin~ ma,~led ra InsPecfjon Servi.ees, PO .Box I I2a,
j {~~.~?•~ ~zxnit fee, which ewer is a word witha-~t ~ser~niE(s) wilt Iesult in des being d~ubietl or X1.00.00 pli„ tn~ .:
t OR &ea~. ,
%~ ate a COr_zra~ pt ' ~ ~
r[rz~cs r~n8 .
;il U.•n»r ~{,... ,....- _ _ _ _ _ iT rn Ppr11rlr Fee Aern,... C.......__ _.. _
acb Ad~dress^(/~ ~'•C.J/`'r.,~~ ~
`V .
weer - _~~~ n l^ 0 w
4 - ~ alge (Tnc)uaing Iabor sud uriaJs)
C r
3 7 s , ~ ~ ~1~.tLC -/.z -~'
o~utra.~or
!~:n~le Fam~'~- I~~u~1ex ~Molr~-Fames
~ ...
~ []Cor~eroial ~~dustri~!
. .. .,
~'~nber of Fixtures: '
~• ~ripopl '' ikot Offer. II
Dlspos`.,i c"„~
vatay ~
Dishwy,L~ ~ ~~ "--~ ~IWsr Smk -•--
f
. ~ i . ~,( 3c::~p ^~=n'4
. btiakFtn ,,,~_ Cazch Basin
..
JJ
. ~' i"'~
~ ~ E)acTOr/Cr~rd W21L $C ~.
WBShPII1
'
6°' Sink ' '
Wa.~ Sof~cr Ice Chrat Ur@si ~~~
s:er ~+~er .~
EiBC. ~ Pwr1'a. Locai Was~a Fxam Sank
Scu
ky Sink ^"..
--- Cyr ~ •.U
C.othes ~~s~-
-,,,,,
and Sinl, Soda Iyisp '~
`-~
`_
Sider
:.~S L)/a:C
~'QI'~ru)tlk C4f~~ ~~ •
~!~
.$Sr. 3
r,a~' F:IIy ~ T F 'Sere Sink ~'w_'_Y
+.ua.sciF ~- -• • I•~
:~ Sim ! Cisesrm Si»k
,,_ " Inc
~^ Groose Traq~ Site Drain
'
F
.
S:::g83a-IS J4'~~C
:rs~r Sink &T Gcesse TraF Raoi Driia
__ ~ ~
-..
t
Breaiezr. Sink
~.. ~ ize. S~dp R
e
"-`- .~ ~
T1 ~
~ciric Cobtt'aetor ! '~
_ 012 ' QEl~crric T~staita#iart Ve
~
~/
(~1~iscema;t} x•
ra~ion form atta::hed ,'
~~~'la~re of VVor1; .~li.~ ~, ,,. ~ ~ ~O
Lary S.-wver . i~w.•~,a tp~e ~ Conn. Type
•=•= Se~~.•er _
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