HomeMy WebLinkAbout0144117-Plumbing (water heater) el CITY OF OSHKOSH No 144117
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 30 W TENNESSEE AVE Owner LORI A MADES Create Date 11/17/2010
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 Flr/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 #
1501270000
Valuation $595.00 Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided
Issued By Date 11/17/2010
In the performance of this work, 1 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. NOV. 16. 2010 02:40 PM KITZ & PFEIL OSHKOSH
FAX No. 202
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Oslikosh,W1 54903-1130
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Phone: (920) 236-5050 .
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Fax: (920) 236-50&4 • • . .
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• • Dim THE WATER
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. • Plumbing .Permit Application"
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• 1 hereby apply far a permit to do 6Ind install the following plumbing on the premises hereinafter described, the erotic to coaform to the
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Wisconsin State Plumbing Corle, in the performance of which all parties hereto agree to and are botnadby said statutes. .
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• ApplicationWand tit(s) cah be•brought tO City Hall, Room 205 or mailed to Inspection, Services, PO Box 1128,
• Oshkosh WI .$40.0412,8. Commencing workwithout permit(s) will result in fees being doubled or $100.00 Plus the . .
• normal permit *, whioh ever is greater. .
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If v.0 are.cteo tractor ‘artici.iatinl 1 the .ermit , ee cco nt S stem aid h
i mfma2ttthts.roceisedh our accour r . •
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• • .johAddress 35 (V 7 n C55 Art • 1 (including labor end - Is)
• • 019 .. • •• . Contractor . V, / i f?(A414 1 4/ --.1 , •
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lia4tr •'' l5 4 ie
•:. In e.. • y - up x • nistilti-VaDifty 0 , /entai • ECOmmercial Dinciustrial
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i-..01` ■ M . q . c/V...S • • • • .. • •
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Number of Fixtures:
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• lisibodY _ IndryStandp ,____ • • • Dent Oper- - • • Shan* Sink '
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WhiTIP - Disposal • .. • • Dip ell •
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- W FirtWst Si-.....
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i Lavatory • i Da hwasticr • ' .. Drink Pin - Catch Basin
1 :Toilet
_ • • - .SunipiktotP Wait St. - .
Wash Fto
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111 _ ink . • • tjector/Grin' d ' • lee Chest • • thinal ' ' • •
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BarSink Watcr;Softier Elm= Sink • Oar Drain
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i Soda Disp
WaterIleater. X L., Waste _L___ . • Seulry Sink • -
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Gas 0 Elect otwrvnt . - Cl
i othes Wiz ' Had Si:111c • Coffee
Bidet Maker • ' '
Shower . . —7— • F Pr S • —
,ep inic _ lee Maker
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. Floor Drain . •
' Stay Sink e r •
Beer Tap - SitDain • • .
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Inch" Tray ---!. '. Class= Sink . • . • '
' Int Grosse Dap • • • RoofDrsin
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, . Lab Sink • ' • . .
Surgeons Sink Bict Crease Top ,•____ . Standp Rec. •
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MEW: Sink •
' • Breelgto Sink • ______ . • R.P.Z, Valve' ___ Bye Wash sae ,
' • sterilizer • ' - - . - • •
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. Electric Contractor • . OR, . ['Electric Inttallation Verification form attached. . .
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Use 1 Nature of Work ..e.1.‘....1 •
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. . Size Material Type .# Conn. Type 1
Sanitary Sewer • . .• . • • .
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, . . . ). • ; Water SeiVice ..• • • •
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Rece ived Time Nov. 16. 2010. 2:32PM No. 3753 .• . . . • • . . . )1(j) 0
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