HomeMy WebLinkAbout0145105-Plumbing (water heater) (a0 CITY OF OSHKOSH No 145105
OSHKOSH PLUMBING PERMIT -
M T APPLICATION AND RECORD
ON THE WATER
Job Address 676 JEFFERSON ST Owner EDWARD C /DIANNE WILCOX Create Date 03/08/2011
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 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 Scully 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 * *debit Kitz & Pfeil acct
of Work
Size Material Type # Conn. Type
YFe
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id #
0402690000
Valuation $595.00 Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided
Issued By Date 03/09/2011
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.
E. MAR. 08. 2011 12:48 PM KITZ & PFEIL OSHKOSH FAX No. 9202363348 P. 001 /001
•
. • RECE IVE 1.
. City °t ` s MAR ' 8 2011
lowect SaiVi00S Div. sion : +'
Yo Boys 1130 • DEPARTMENT OF • •
Osbkosh,,WI54903 -1130 DEVELOPMENT
COMMUNITY D
Phone: (920) 36 -5050 VICES DIVISION
R �•K � H
`p INSPECTION SE Of H ��
TN
1'&lC. 920 236-S084 D N THE WATER
,
•
.
:Plumbing Permit Application
1 hereby apply for a permit to do and install the following plumbing on the premises hereinafter described, the work to conform to the
Wisegnsin State Plumbing Code, in the performance of which all parties hereto agree to and are bound by said statutes. .
• •
.• Applioation(s) and fe(s) can brought•to City Sall, Room. 205 • or mailed to Inspection *Services, PO Box 1128,
- OshkosI 1.56903 -1128- Commencing work without permits) will result in fees being doubled or $ 100,00 plus the
•
normal permit fee, which ever is greater. • •
• OR ,
1 ou are a.contractor •arttci•atins in .the Permit Fee Account Svster and have ade•uate ands. check here
i you wanes '• ed throu • h our account' ■
recess _
j
. J 'IC - Value (including labor and materials) J 7� Q. 0 "spate g `� 9' ' I
rj Adi�I'SS I
Jb �
c to rI1G�7i(/
• A ga ex � , � . {, Contra r ,
•
- : G ]S - li e e• ' Dupl ex : nlfi- 'a> .y . Mi` ental [Com�oaercial Land�lstrial
• er o Fixtures:
Nnml .
Dent Oper.
Sharn Sink
i' Bathtub LndryStaaadp dP
W1± •
pool Dieporal pip Well Plr/Wst Sink
Lavatory Dishwasher Drink Pin Carrh Basin
-
Tbtlet 7 Wait St Wash Fin
Tres. Sink • Fjectnr /Grind • • Ice Chest Urinal •
Bar Sink • Water Sooner - Exact stmt Char Drain •
Sally Sink Soda Disp
. Water Fleater : X Local Waste '
' Atlas O Bi a 0.1'wrVnt • Clothes Wsbr • Hand Sink Coffee Maker
Shower Bidet _ pPrep Sink Ice Maker
$leer Drain Seu Tap • Sery Sisk Site Drain
Lndry Tniy osig to Sink , Int Grease Ttap • Root'T) rain
• IBb Sink • surgeons Sink • Fat! Grease Trap Stffildp Rao.
• • Valve • • Eye wad., Stn •
Plaster Sink ; • Break= SinkR P Z
10T
• Electric C,ontlr • • OR. • [Electric Instafation Verification form attached
• - hicettueot •
. . , (u )
. • - Use / Nature o f Work j..�_" , .. - c . • / , - ' / . i • • I /— . - • • •
. .# Conn. Type a
. Size Material . Type .
Sanitary Sewer '
] . -
.
Voun _
. .
Water Seuvoe . ' , • . . — .
•
3
. Received Time Mar. 8. 201 - 12:37PM No. 48 .