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0132555-Plumbing (water heater)
OSHKOSH ON THE WATER Job Address 1606 OAK ST Contractor JOHN D RANSOM Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater Site Drain Roof Drain Misc. Fixtures UselNature of Work Valuation Issued By CITY OF OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD No 132555 Create Date 08/28/2008 Plan Shower Water Softner Wait. St. Shamp Sink Floor Drain Local Waste Ice Chest FIrIWst 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 Ejector/Grind Drink Ftn Serv Sink Soda Disp Date 08/28/2008 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 AgenUOwner Address W5056 PARADISE LN FOND DU LAC WI 54935 - 9662 Telephone Number 920-922-1987 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 pertormed within two business days from the time the project is ready. Owner MARY SCHILCHER Category 411 -Residential-Water Heaters Coffee Maker Int Grease Trap Ext Grease Trap RPZ Valve Eye Wash Statn Wtr Sewer Mtrs Deduct Meters Wtr Usage Mtrs $495.00 Plan Approval $0.00 Permit Fees $25.00 ^ Permit Voided T ~ jt # i°{ ?1 iJe City of ©shltosn inspection Services Division P G Box 1'_30 ©s~.kosh, WI 54903-I 23G F ,cne: {920} 236-050 Fax: (920} 236-SOa ~~f ~~~! t Qid TFIE WATER Njum~~ng Nerm~t ~tpp~icat~c~n l hareby apply~for a permit to do and install the foiloWing plumbing on the premises hereinafter described, the work to conform to the Wisconsin State B~umbing Code, in the performance of which all parties here#o agree #o and aze bound by said sta#u#es. • Appli~atior,(s} and fee(s) car. be brought to City ~Ia11; Room 2(}S or mailed to Inspection Services, FO Box 1228, Oshkosh ~VI 5493-1128. Commencing work without permits} will result in fees being doubled or X104.00 plus the '; ~ Itor~.l permit fee, wl-:ieh ever iS ~ea#er. ;~; ' , OR If you are a contractor sari°ciDaiinb in the Permii Fee Account Svstem and have adoauat~ {.uxs~'s. check here i{ you wani this ~rucessed throu,~your account [~ Boa Address / CO (-, ~~~ K ---~K Value {In~I~du-,glaho~a~d ~ Is3 ~` O Date 'O ~ ~~~ i;:; Owner ~,~ Contractor r' Ingle Family ^I3uplex []Multi-Family ~R tai ^Commerciai Industrial .:~~ ~,.. ' Number of Fixtures: aaiJn~,~ Whirlpool k ~~ l.,avatory ~+"~oilet . I i:~Res. Sink B2r $ink Water Heater l~Gas ~ Elect ~ PwrVat Si1o~.er Fioa: Drair, ~~ .,;:drJTra~ E gab Sin:: ,; ;;~ °ias?er Sink '~ S:araizer ' F,Iectric Contractor Lndry Standp Dent Oper. Disposal Dip Well Dishwasher Drink Ftn Sump Pump Wait. St Ejecior/Crrind Ice Chest • • W2ter SOfL11e* ~ Exam $tnk I,ocai Waste Sculry Sink Clati~es >~srr Hand Sink Bidet F Prep Sisk Beer Tap Sere Sink CIa;,~xTn Sink Int Grease Trap Surgeons Sink Ext Grease Trap Break?-n: Sink 'se i nature of Work .i ,Y . +' ` ? ' - Size ~ r anitarv Sewer SEOrIli Sealer '~ ate* ~e;ti~ice ?~ 3hatrq~ sink FlrlWst Sink Catch $asin wash Ftn Urinal Gar Drain Soda Disp Coffee Maker Ice Maker Site Drain Roof Draia Sra-idp Rec OR []Electric Installation Verification form attached (If Replacement; Material Type # Conn_ Type izW#l