HomeMy WebLinkAbout0143533-Plumbing (water heater) CITY OF OSHKOSH No 143533
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 416 FULTON AVE Owner LEE J TRITT Create Date 10/08/2010
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 FINWst 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 Kit & Pfeil acct
of Work
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id #
1004110000
Valuation $595.00 Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided
Issued By 49-4,42/ Date 10/08/2010
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.
RI. OCT. 08. 2010 11:17 AM KITZ & PFEIL OSHKOSH FAX No. 9202363348 P. 001/001 •I
City of Oshkosh .•
1 Tttspcction Services Division
PO Box 1130 • •
Oshkosh, WI 54903 -1130 �/
I Phone: (920) 236 -5050 O _/ HKOIH
I
Fax (920) 236 -5084 ON THE WATER
•
3 ca tion
1 Plumbing Permit Application . .
1 •
I 11i reby apply for a pewit to do and install the following plumbing on the premises hereinafter d sc bed, the work to conform to the
1 Wisconsin State Plumbing Code, in the performance of which all parties hereto agee to and are bound by said statutes. .
1 • Application(s) and fee(s) can. be brought to City Hall, Room 205 or mailed to Inspection Services, PO $ox 1128,
1 • Oshkosh W-I 540Q3 -1122. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
1 . . normal permit fee, which ever is greater.
OR
.i
I If you are contractor _partieivating in t PermEt Fee Account S tem and have tide. uate fu ds. check here
if volt want this p rocessed throu> -h your accountD
•
• Job Andress /6 r-- I 1.0 )'t YalloLe (lncludiaglaboranarrmtrriale) 575 , pr, • Bate 7 `"
. L .. E 1 ' Contractor ti � . d . ,.::i iiA , 0 . C?waa�r Ti- �� ,
21 igleFauiily • ' • uld iam y f kental [Commercial Dbulustrial •
{
1 . Number of Mares: • •
Bathtub Ladry Standp • Detri Open_ Slump Sink
1 Po al Dip Well FirfWstSink •
Lavatory Dishwasher , Dank Pm . Catch Basin
Toilet S anp P.0 np Wait_ St. Wash Feu
• Rea Sink • Elector/Grind • Ice Chest Urinal
Btu- Sink Water Sof her Exam Sink (3a[ Drain
1 Water Heater . Xe _ Local Waste Seulry Sink Soda Disp
7(c3as C mete O PvvrCnt clothes Wshr ];land Smlc Coffee Maker
O Bidet Prep Sink'
Ice Maker
Poor brain Beer Tay Sery Sink Sire Drain
Tsedry Tray Class= SW • hit Grease Trap RAOf Dram
• Lab Sink- Surgeons Sink fad Grease Trap P
• Plaster Sink - Brealo-m Sink R.P.Z- Valve Bye Wash Stu
■ Steriazs - ' •
Electric Contractor • OB. • electric Xustallation Verification form attached
• - (fReplacemcnt) •
• t • 1 O•
Use / Nature of Work i'• ft_ i i� •
•
•
Size Material Type .# Cozm -'type . //,h. N .
4 S anitary Sewer ■ I �1
• SEo�rniSewer' \' i4 $/u
Water Service •
Received Time. Oct. 8. 2010 11:10AM No. 3178 ' •