HomeMy WebLinkAbout0143467-Plumbing (water heater) (.D CITY OF OSHKOSH No 143467
OSHKOSH SH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 916 CENTRAL ST Owner NOU /NAO LOR Create Date 10/05/2010
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 SFR / Replace gas water heater. "'*debit Kitz & Pfeil acct
of Work
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id #
1006630000
Valuation $449 �Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided
Issued By (/f/' ''7 `/ Date 10/05/2010
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.
E. OCT. 05. 2010 12:28 PM KITZ & PFEIL OSHKOSH
City of Oshkosh FAX No, 9202363348 P. 001 /001
r inspection Services Division • •
0 .
• PO Box 11:30
Oshkosh, WI 54903 -1130 � n �
Phone: (920) 236 -5050 �J n K0Iu l
i Pax: (920) 236 -5084 ON THE WATER
i
i Plumbing Permit Applicatio
1 l h. - re6y apply for a pit to do and install the following p lumbing on the premises hereinafter described, the work to conform to the
�� hereto aoroe to and are bound by sand statutes_
Wisconsin State Plumbing Code, in the pezformance of which all. p
1 .
• Application(s) and fee(a) can be brought to City Hall, lam 205 or mailed to Inspection Services, PO Box 1128,
1 • Osblkosh 54903- .1.128. Commencing work without pe�t(s) w� result in fees being doubled or 5190.00 plus the
normal permit fee, which ever is greater. '
I• OR '
i I" ou area e•n tor •a rtici,atin! in the Per»tit Fee ecaunt System a d have ade•uate and check here
if you want this processed through your account
1 /\ '�'� / • ' Q � Date /0 �/
J ob �, liress t 6 (� " value (lrich,ait g labor and ; - )
Owner P U e n C z_ r, C o ntra ctor 1 f% `i .
'
�/ ntal OCommercial cIustrial •
i •Ci1o.ge 'stay .0 :Duplex - 031411-Family ' ❑
. Number of Fixtures:
Dent Open .Sharp S
Bathaib•y stsndp Plr/Wst sank
Whirlpool Dispose] Dip Well Catch n:;nk Berm •
` lavatory Dishwasher wait St. Wash Fog
Toad Std ?mnp Urinal Ejector/Grind Ice Chest Rea_ Sink T� Gar Be< Sink Water Softuer Exam Sink Soda rii Drain
Wt Treater, Local Waste Sentry Sink •
lit Gas C7131ect 0 ?wrVnt q Ws1a Tieid Smk
■ Coffee Maker
P Prep Sink Ice Maker
Shower Bidet Drain
floor Dram Beer Tap Sery Sink -- Site
LndrY TrAY 'Classcm Sink • 1nt Grease Trap Roof brain
Lab Sink - Pact Grr�so Trip Standp Re
s�eoas 3ipk
plaster sink • Break= Sink R2.Z" valve Bye 'Wash Sta
" lectric Jnstallat ,on Verification form attached.
Electric COILtraCtOt OK (If Replacement) •
/ '
Use / Natnre of Work ,1 = • /� y'
Size Material Type Conn, Type . _____
' . oe).
• Sanitary Sewer - ,‘•,, , _,
• Sto i�i heaver
_. . Water Service • _ _ .
. 0
Received Time Oct. 5, 2010 12:21PM•No. 3120 ••••, ` .