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0133800-Plumbing (water heater)
r~ OSHKOSH ON THE WATER Job Address 158 N LARK ST Contractor JOHN D RANSOM CITY OF OSHKOSH PLUMBING PERMIT - APPLICATION AND.RECORD Owner DOROTHY L GERNER Category 411 -Residential-Water Heaters 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 133800 Create Date 11/04/2008 Plan Water Softner Wait. St. Shamp Sink Coffee Maker Local Waste Ice Chest Fir/Wst Sink Int Grease Trap Clothes Wshr Exam Sink Catch Basin Ext Grease Trap Bidet Sculry Sink Wash Ftn RPZ Valve Beer Tap Hand Sink Urinal Eye Wash Statn Lab Sink Plaster Sink. Standp Rec WtcSewer Mtrs Sterilizer Surgeons Sink Ice dNaker Deduct Meters Dip Well F Prep Sink Gar Drain . Wtr Usage Mtrs Drink Ftn Serv Sink Soda Disp Valuation $495.00 Plan Approval $0.00 Permit Fees $25.00 ^ Permit Voided Issued By ~ Date 11/04/2008 In the performance of this work, I agree to perform all work pursuant to rules governing the described construction. While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement holder(s) and to secure any necessary approvals before starting such activity. Signature Date Address W5056 PARADISE LN Agent/Owner FOND DU LAC WI 54935 -9662 Telephone Number 920-922-1987 ~ o scneawe mspect~ons please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may continue if the inspection is not performed within two business days from the time the project is ready. NOV-04-2008 TUE 08 07 AM KITZ & PFEIL .~ ,,. ' OI U$lil;J5~1 • acuOti Strvices l7i~isi0:. ~ Box 1 r 30 ~osgh~VJI X45103-1130 ant: (920) 2S6-~G50 F: (920) 235-5086 '~4 .. ~?lu~~i~g~ P~rrr~it App~ica~~o~ ~ `. e~y a~ply..for a pe~i~ to c!o and instal the foIlo~.mg plumbing on t~.e premises hereinafter dc-scribed the work to eonfoxr =.o the ~%is:.orsin Smote P?ts`.rribiag Code, i~ ~ xrformaace of wltic?! al?parties hereto agrc`C to ~ are bound by said sr2nttes. ;~, .i ~ .. caiion,`S} and iaets} catz oc brought to City Mall, Roor}3 ZU5 Or Wiled to ~ec~o~a Servzees, PO Box 1128, i ~S s?~ 'VV~~ ~~~903- S 128. C~m~e~ic:ug work w~iwoat perFr~itEs) c~li result in {ees b~e~g do~l+ed or S10a.U4 plus .•~ ~" 1 peroiil fee, which ever ;~ ~ea;:e=. th Ad~ress ~ ri i~•alue (m~~ua~ ~o~ a~ t~tari819) ~el ~ , 6 ~ lcr ' a'1 .p~L Contractor a'- C.~- e Family 'QI?i;><~ie~ ~'V~ulti-~'an~y tal OComrl~ercis~ dir. of Fp~L-~ares: •Dai~e ~/ ~ 3 r~~ ` ; ... . Q~dlast~al ..l ': ob ~ ~ I .. ! ~.G~y Swnd~ 1~CnL Opu- Sl~a:su~ Sv+k _ .. .. 1?ispasal Dip Wo11 Pl;1V1'st Sink ~ . 6~ 1 " Disy~:'as~r Dunk Ftn CatcY Basin , ; .. Sump Putsp Wait. SL ,- 'GVas2s k~: _ _. ~ iinl4 .. F,je,Ctor/G:itid lce Chrst Utiasil w. .. ,1 .i mk ~ ~ F'steT$oI~ter ShwrnSAd: Gar3hai.`s Hester ~ I.oca; k'ase SeulrySiak Soda DiaP _.._. a.:Fjoct~Pa:vnt . C10'hes ,~'s~r - T~aadSitu - ~ CaffeeMalcz: __-... i I ~ ~ Bide: F Prep Sink Ice Maker ~ -_... ih:in g~ r~ JOty Sio7t SIOC I712n1 ..T % T'aY Ctasa`r..t S;nk 1nf Cmee9e T5•ap ~ ItOOf 3kain -~ ~~ ~ i''i` : S• oceans 5i:.i: 8n CKrsse Tip r. ~" ~~~ S'~idP Rec __...-- + r.Sitik Brey]aT Sitils za: i;~ ~ontraccor .. ~~ t ~~~ I. I ;.~ >rure o~;Wot ;' ~ J~wei Sewe: . . ~r~icG FAX N0, 19202363348 P, O1 ., . ~~ oN TI.~-o w~Tee ~ , ~, ± ~i ~R Electric Itatstallati©n 'Verification farm attact;ed (If Reptacclncrt) ~~~ ,~, ~ ~ t LYE Size ivlatcrlar T}•pr # Conn. Type t ~ t