HomeMy WebLinkAbout0144849-Plumbing (water heater) e oh CITY OF OSHKOSH No 144849
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1422 E MURDOCK AVE Owner CHARLES S /MARDELL R SOWERS Create Date 02/08/2011
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 *"check #1193
of Work
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id #
1521780000
Valuation $695.00 Plan Approval $0.00 Permit Fees
$25.00 ❑Permit Voided
Issued By 8M-S". Date 02/08/2011
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.
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Ci of Oshkosh
Inspection Services Division RECEIVED
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Oshkosh, I 54903 -1130
Os FEB - 8 2011
hkosh, WI (�
Phone: (920) 236 -5050 DEPARTMENT OF Of Of Fax: (920) 236-5084 COMMUNITY DEVELOPMENT ON THE WATER
INSPECTION SERVICES DIVISION
Plumbing Permit Application
I hereby apply for a permit to do and install the following plumbing on the premises hereinafter described, the work to conform to the
Wiscormin State Plumbing Code, in the performance of which all parties hereto agree to and are bound by said statutes.
1 '
{ • Application(s) and fee(s) can be brought t0 City 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 S100.00 plus the
normal permit fee, which ever is greater.
OR •
lou are a contractor participatinx in the Permit Fee Account System and have adequate funds, check here
i ou want this ,rocessed throu: h our account •
Job Address / -` IMtti zd. Value (Including labor and materials) !O 9' Date 1 `-,3 I'_ I 1
Owner • Contractor
•
*Ingle Family 'DDnplex • - 01Viu1ti- Family QRental DCommerciai []Industrial
Number of Fixtures: -
Bathtub Lndry Standp Dent Open. Slsamp Sink
Whirlpool Disposal - Dip Well Flr/Wst Sink
Lavatory Dishwasher Drink Ftn Catch Basin
Toilet g Pip
Wait St. Wash Ftn
Res. Sink Ejector /Grrind Ice Chest Urinal
Bar Sink Water Softner Exam Sink Gar Dram
Water Heater Local Waste Sculry Sink Soda Disp
Oran 0 Elect 0 PwrVnt Clothes Wshr Hand Sink Coffee Maker
Shower Bidet F Prep Sink Ice Maker
Floor Drain Beer Tap Sery Sink Site rain
Lndry Tray Classrm Sink Int Grease Trap Roof Drains
Lab Sink Surgeons Sink - Ext Grease Trap Standp Rec
Plaster Sink Breaham Sink R P Z Valve Eye Wash Stn
' SteriIizer -
Electric Contractor OR []Electric Installation Verification form attached
(If Replacement) -
Use / Nature of Work ft lac ?
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer -
Water Service '
F . •