HomeMy WebLinkAbout2011-Plumbing (water heater) 0 )1 CITY OF OSHKOSH No 146113
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 903 VIOLA AVE Owner HOUA/ZOUA Y LOR Create Date 05/31/2011
Contractor KELLY INSPECTION SERVICE LLC Category 411 - Residential -Water Heaters Plan
Inspector
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 #
1220230000
Valuation $520.00 Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided
Issued By o Date 05/31/2011
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 5097 SHERMAN RD OSHKOSH WI 54901 - 9755 Telephone Number (920) 284 -1458
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.
IA
T. MAY, 28. 2011 09:46 AM KITZ & PFEIL OSHKOSH FAX No, 9202363348 P. 001 /00,1
t
City, of 9shkosh
,:....,:. - ,
Inspeeri ae:rvlods Division ,
• P O. Box. 11-30 . : e
Oshkosh, W1 54903 -1130 . • .
Phone; (920) 236 -5050 1HKOlH
FaX (920) 236-5084 ON THE venTER
Plumbing Permit Applicatio . . .
I tast 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.
• •
•• Application(s) and £cc (s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
• Oshkosh. WI 54903 - 1128.. Co xir encitg work without permit(S) will result in fees being doubled or 5100.00 plus the
normal parinit ffcc, which ever is greater. . ,
•
•
If you are a contractor participartne in the Per It Fee Account System and have adecuate unds cheek here
if you want this processed thro'u our account' Q •
•
q ` � 3 V o l 0. 'Va ( In cluding tabor and materials) 5 � 7p $te 5 " Z� (( ,
Job Andress i
Owier• -4 o /o l^ Contractor 13 0, v e- t k )L .
- Obitle' anaily •• tile,x - fl Multi Family DU` uta1 • [Commercial Ludnsf rial •
. Number of Fixtures: - • •
ii • • Bathtub • Imry Siandp Dent Oper. Shamp Sink f Vibiripool Disposal. Dip Well • Mr/Wet Sink
Lavatory , Diekwesher • • Think Fm . Catch Basin •
.Toilet S�P:P' Wait St �Kssh Ent
• Res, Sunk • Ejeetar/Grpd- • • lee Chest Urinal •
• eras sink water soihter • E s Gar Drain
i Water-Heater • Laaal waste .. SeakY Sink Soda niap
• XG1ss 0 Electp•pwrVnt • Clothes Wain-. 14211 Sink Coffee Maker •
Shower Bidet • F Prep Sink Tee Maker
Moor Drain' Beer Tap Serif Sink Site Drain '
LndIY TrAY Ciasetm Sink , Int Grease Trap • • Roof Drain _____
• Lab Sink Surgeons s ink Isu Grease lisp Stattdp•
Plaster Sink • Brealotm Sink • R.P.Z. Valve. Bye Wash Sizt •
Sterilizer . .
' Electric Contractor ' • • OR. • QElectric Installation Verification form. attached
• , (IfR:placement)
U se / N ature of Work ' . � .. (I ._ r, ` - ' .
• S ine Material Type .# Conn. Type • .
•
• Sanitary Sewer • • • • 5tonn f ewer • _ . .. .
1.
:Water Service r • • , ,
' 0
!Received Time May, 28. 2011- 9:34AM No, 5838 , .