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HomeMy WebLinkAbout0145770-Plumbing (water heater) la) CITY OF OSHKOSH No 145770 OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 1100 JACKSON ST Owner PAUL B SMITH Create Date 05/06/2011 Contractor JOHN D RANSOM Category 411 - Residential -Water Heaters Plan Inspector Paul Wolf 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 FIrIWst 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 MULTI - FAMILY / REPLACE GAS WATER HEATER (1 HEATER SERVES ALL 3 UNITS) ""debit Kitz & Pfeil acct of Work Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service Parcel Id # 1008330000 Valuation $695.00 Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided Issued By 1Y' Date 05/06/2011 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. ED. MAY, 04. 2011 02:52 PM KITZ & PFEIL OSHKOSH FAX No, 9202363348 P. 001 /001 . Cit of Dsblcosh Inspacfion Srarvices'Division .. A,. PO Bolt 1130 ' Osbkosb,, WI 54903 -1130 • . Phone: (920) 236 -5050 FIKOJH • RUC: (920) 236 -5084 - ON THE WATER • A • •:Plurn•bing 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 Wisconsin State Plumbing Code, in the performance of which all parties hereto agree to and are bound by said statutes. . • •• A1'P. lioation(s) and• fec(s) can be brought City Hall, Room 205 .or mailed to Inspection Services, PO Box 1128, • ©slilcosh'WX 549D3 -1I28. Commencing work'Without permit(s) will result in fees being doubled or X100.00 plus the . normal permit fee, which ever is greater. • • • . OR . . If vote are a.contractor participarina In .the Perm'ir Fee Account S stem and ave ade•uate unds check her if you want th2sprocessed through vouraccount • ' la Andress S� Yt� 1a'[l�e (Ioolo&g labor and ... . . .) le 5 c )Date 5 f)yir er • . Pc. I / l , 5 /4'i / i' A.-. Contractor al -----..._ • -,[ 51 e:Tanilly .'[jDni lax NZutte= Fanily . 111 4 a ta1 ❑Commercial. Elludustrial. • s i • . Number of Fi terms ; . • • • - • Satharb . Lndry Standp Dent Open. Skimp Sink • I ' • Whrzipaol Disposal• Dip Well Flr/Wst Sink • J Lavatory Dishwasher . • Drini Pm Catch Bssin • - 'Potter :Suurpola Wait. St Wash Fro Rea Sink Ejector/Grind Ice Chest Urinal ' •• ' BarSink . • Water Softner • bona Sink Gar Drain • Water Beater A. anal Was Scully Sink Soda Disp . R Gas 0 Meat 0 PwrVnt • Clothes Wain- . Hand Sink Coffee Maker Shower Bidet F P rep Sink Ice Maker Floor Drain- ' Beer Tap • SC TV Sink Site Dram Lndry Tray Class= Sink . Int Grease Trap • ' Roof Drain • . Lib Sink surgeons Sink Ext Grease Trap Standp Rec. . Plaster Sink . 'Breakrrn Sink • : • R.P.Z. Valve. Eye Wash Ste • ' . Sterilizer ' • . • • • • Electric Contractor • 0.1? • • • ❑Electric Installation 'Verification form: attached (If Replacement) . Use / Nature of'9S'ork _ �� 1 hea-ftr serves 3 n' 5 Size Material Type .# Com'- Type - 1 Sanitary Sewer • • 'Storm 5evaes .. 1 v(9 . Water Servi ee , . : ._ 1 ' . 11---", 0 A I ) .. r . Received Time May, 4. 2 011. 2:40PM No, 5531 `. . . . )? 4 -