HomeMy WebLinkAbout0145126-Plumbing (water heater) CITY OF OSHKOSH No 145126
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1732 DOEMEL ST Owner MR/MRS FREDRIC E KIMBALL Create Date 03/11/2011
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 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 #
1514290000
Valuation $595.00 Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided
Issued Byi'-'"- Date 03/11/2011
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.
RI. MAR. 11. 2011 12:13 PM KITZ & PFEIL OSHKOSH
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. Cily.o.f.P,s.bk9sh . . • ..
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. • FAX No. 9202363348
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... P. 001/001
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Inveotion SeryinesDilrision . • •
P ()Box 11-30 .
OshIcosh,..WI 54903-1130 .
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Phone: (920) 236-5050 . .
. . CYHCIf
Fax: (920) 236-5084 .. . • • , H . ON TI4E WATER
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Plumbing Permit Application
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I hereby apply for a permit to do and install the following plumbing on the premises hereinafter doacnbe(l, the work to conform to the
Wisconsin State Plumbing Code, in the performance of which all parties hereto agree to and are boundby said stattrtes. . .
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.9 Application(s) and'frt$) con be broughtto City Hall, Room 205..or mailed to Inspection 'Services, PO Box. 1128,
• OalikoshW.1 ..540b-1128. Commencing work pennit(s) will result in fees bring doubled or $100.00 plus the
• normal permit fee, which over is greami.
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• If ou are a.contractor vartici atilt in Ike Permit Fee Account S stem and eve a e•uate a nds. check here
if vou wcznttItisproceked thrduzkyour account n. . .
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• .• •Job Address 17,3X Doam() Value (lnehicling labor and rriateriale) • 6 'OD - Zate //
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*Ovfmetr • :. . Fr" &-4 G i1 . 4 i ni (/,% I / Contractor • Pi/le 0/�_- • . . ; 1
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- :5S14elpieity • -'07kOlex : OlVitatiRataily •tatentai °Commercial. DIntlustrial • I
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Number of
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. Firtures: • • I
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• • . Bathtub' : Liairy Somdp .....,_._ Dent Oper. _,..._ Shernp Sink _ !
Whislpool Disposal • Dip WaU - Fir/Ws! Sink
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. Lavatory . , Dishwasher • • .,___ • Drink Pto . . Catch Basin • _ • i
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loner - • 41101PR-stutio - Walt,. St . _ Virasb Eto I
Res- Sin' it , • Ejeetor/Gripd . • lee blest Urinal ••
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' Bar'Sirsk Wet= Softer • Euro Siiik ' Gar Drain •
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• Water Neater , -- . • Local Waste - . • , Stsilry Siilk - Soda Div
0 3ect 0 EwrViat • ' • ' i
Clothes Wshr ' Hand Sink • • Coffee Mal=
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Shower Bidet . F Prep Siiik the Maker
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• . Floor Drain : • Beer Tap . Sart Sink Drain • • ' •
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• lildr TrA ---- • thiasrrn Sink i • • • 7-- ke Grease Trap . • • Roof:Drain .
. . Lab Sink . ' - • s urgeon , si ' . • • Ext Grease Trap • Standp R -
ec,
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• Plaster Sink . : • Breakrrn Sink • . • R.P.Z. Valve - Eye Wash Stn -
' • Sterilizer • • - .
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• Electric Contractor .
- • • OR. • EtElectric laStallation Verification. form. attached
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i . • . Mite:Placement) . .
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. - Use / Nature of Worik ..22)k '• . • . : .
Size Material Type .# Cora Type .
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. .. Sanitary Sewer • • ' • • • . . .
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- ' Water Service . .. , . .
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; Received : , . , •
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. Time Mar. 11. 2011 12:02PM 1■,lo. .424.1 • .
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