HomeMy WebLinkAbout0143920-Plumbing (water heater) a CITY OF OSHKOSH No 143920
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 424 BOWEN ST Owner TIMOTHY P DOLAN Create Date 11/03/2010
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 DUPLEX (LOWER UNIT) / REPLACE GAS WATER HEATER **check #1119
of Work
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id #
1100500000
Valuation $695.00 Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided
Issued By Date 11/03/2010
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.
1
1 City of Oshkosh
Inspection Services Division R E 1 V E
1 PO Box 11 -30
Oshkosh, WI 54903 -2230
Phone: (920) 236-5050 NOV 0 3 2010 0, f - -1K{�1-
Fax: (920) 236 -5084 ON THE WATER
DEPARTMENT OF i
COMMUNITY DEVELOPMENT
. ES DIVISION
1 Plumbing Permit I ��'
a
! on the remises hereinafter described, the work to conform to the
I hereby apply for a permit to do and install the following plumbing P
! Wisconsin State Plumbing Code, in the performance of which all parties hereto agree to and are bound by said statutes.
I
1 .
• Application(s) an fee(s) can be brought t6 Ci ty Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
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. 1 k
1 you are a contra tor ,artici'atin.' in the Permit Fee Account System and have ade,uate un check here
i ou want t is i rocessed throu f h our account •
• Job Address 1 7 1 07 i i eo ux Jl Value (Including labor and materials) G 9 ° " Date l / -1 _ / 22
-Owner " ► Tv \.0 y Do fan Contractor ,_ TO v■-. Ra/202
OSin.gle Family I!49 uplex • OMu1ti- Family [Rental OCommercial Dlndustrial
Number of Fixtures:
Dent Open. Shatnp Sink
Bathtub Lndry SAP Flr/Wst Sink
Whirlpool Disposal Dip Well
Lavatory Dishwasher Think Ftn Catch Basin
•
Toilet SAP Pump
Wait St. Wash Fat
Res. Sink Ejector /Grind Ice Chest Urinal
Bar Sink Water Softiies Exam Sink Gar Drain
Water Heater x Local Waste Scuby Sink Soda DisP
)(Gas 0 Elect 0 PwrVnt Clothes Wshr Hand Sink Coffee Maker
Sh °a eT Bidet F Prep Sink Ice Maker
Floor Drain Beer Tap Sery Sink Site Drain
Lndry Tray Classrm Sink
Int Grease Trap Roof Drain
Lab Sink .
Surgeons Sink Est Grease Trap Standp Rec
Plaster sink Breakrm Sink R.P.Z. Valve Eye Wash Stn
Sterilizer
Electric Contractor OR []Electric Installation Verification form attached
(If Replacement) .
Use / Nature of Work L! - ' ' -:' I bLJe-f
r
Size Material Type # Conn. Type ?
Sanitary Sewer
Storm Sewer
1
' Water Service .
i