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HomeMy WebLinkAbout0142016-Plumbing (water heater) eD CITY OF OSHKOSH No 142016 OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 1203 OSHKOSH AVE Owner AUGUST A/E J KOHLHOFF Create Date 07/12/2010 Contractor JOHN D RANSOM Category 411 - Residential -Water Heaters Plan Bathtub Clothes Wshr Classrm Sink Surgeons Sink Roof Drain Deduct Meters Shower Lndry Tray Exam Sink Sterilizer Soda Disp Wtr Sewer Mtrs Whirlpool Sump Pump F Prep Sink RPZ Valve Coffee Maker Wtr Usage Mtrs Lavatory San Sump /Pump FIr/Wst Sink Bidet Site Drain Misc. Toilet Water Softner Hand Sink Urinal Wait. St. Fixtures Kit Sink Standp Rec _ Lab Sink Beer Tap Ice Chest Disposal Gar Drain Plaster Sink Dip Well Comm Ice Maker Dishwasher Local Waste Sculry Sink Drink Ftn Int Grease Trap Floor Drain Bar Sink Sery Sink Wash Ftn Ext Grease Trap Hose Bibb Breakrm Sink Shamp Sink Catch Basin Eye Wash Statn Water Heater 1 Use /Nature 1SFR / REPLACE GAS WATER HEATER * *check #1032 of Work J Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service Parcel Id # 1608450000 Valuation $595.00 Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided Issued By Date 07/13/2010 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 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. i City of Oshkosh 1 Inspection Services Division RECEIVED ® P O Box 1130 JUL 2 2 010 Oshkosh, WI 54903 -1130 1�4 � Phone: (920) 236 -5050 DEPHR ► MEN f OF 4 li`� I Fax: (920) 236 -5084 COMMUNITY DEVELOPMEN ON THE WATER i INSPECTION SERVICES DIVISION Plumbing Permit Application 1 . remises hereinafter described, the work to conform to the I hereb apply for t to do and install the following plumbing o n the p + Wisconsin State Plumbing Code, in the performance of which all parties hereto agree to and are bound by said statutes. ` • A. lication(s) and fee(s) can be brought td City Hall, Room 205 or mailed to Inspection Services, PO Box 1128, { ` Pp Oshkosh WI 54903 -1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the normal permit fee, which ever is greater. OR If you are a contractor ,artici.atin; in the Permit Fee Account vstem and have adequate and check here if you want this.processed throuzh your account fl Job Address (a h 03 ©sush Value (Including labor and ,trateriats) : � Date rl `1 (1 b Owner (t v St K by f Contractor c To k v` t�a.rysy Ailugle Family QI} p n Iex ult Family []Rental []Commercial ['Industrial Number of Fixtures: Dent _ Shatnp Sink Bathtub the s d p FirlWst Sink Dip Well Whirlpool Disposal � Think Fin Catch Basin Lavatory Dishwasher — Wait St Wash Fm Toilet Sump Pump Urinal Ice Chest Res. Sink EJ Gar Drain Bar Sink Water Softner Exam Sink `, Sculry Sins Soda Drsp Water Heater )( Local Waste Coffee Maker )(Gas 0 Elect 0 PwrVnt Clothes Wshr Hand Sink Shower F Prep Sink Ice Maker Bidet Floor Drain Sere Sink Site Drain Bar Tap Roof Drain Lndry Tray Clasarm Sink Int Grease Trap Lab Sink . Fact Grease Trap S�ndp Rec Surgeons Sink Eye Wash Stn Plaster Sink g r Sink RP . Valve Sterilizer e' OR []Electric Installation Verification form attached • Electric Contractor i � _ ,��„ t l Use / Nature of Work 1rep1ett e a otS vV c h �. *ev. , ... Size Material Type # Cow.. Type _ _ Sanitary Sewer Storm Sewer . Water Service . •