HomeMy WebLinkAbout0146337-Plumbing (water heater) (2D CITY OF OSHKOSH No 146337
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1616 EVANS ST Owner DENNIS M MAHY ETAL Create Date 06/14/2011
Contractor JOHN D RANSOM Category 411 - Residential -Water Heaters Plan
Inspector Rich Wood
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 #
1511080000
Valuation $595.00 Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided
Issued By ,i i' (-) Date 06/14/2011
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.
ON. JUN. 13. 2011 03:11 PM KITZ & PFEIL OSHKOSH FAX No, 9202363348 P. 001 /001
. City of .Oshkosh •
I Snrvides•Division ' • POox1130
Oshkosb, 54903 -1130
Phone: (920) 23b =5050 �1� ---{Q�
Fax: (920) 236 -508 ON YNt WATER
Plumbing Permit Applicatio .
1 hereby apply for a permit to do and install the following pllmnbing on the promises 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.
•
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•• Applioation(s) and fce(s) can be brought to City Hall, Room 205 .or mailed to Lnspection Services, PO Box 1128,
• Oslikosh WI.54903 -1128. Commencing work without permits) will result in fees being doubled or $100.00 plug the (7 .,
. normal liermit.fee, which ever is greater.
. bit
If you are a .contractor par.ticivating in the Permit Fee Account System and have ade•uate unds, check here
i you want •this • • roce.ssed ahrou : h our account' ■
/ r j! � , 11 r j . v i1 1M:e (chidin labor ea rnateriais) �7 / 5 £ O 7Date C ✓ /"/
. � .Jrib Address 1
'` / .
• r . t_ P ¢ '� 1� . Contractor - i G -�
OSrfiigle'zauiily • .' up1e% : ]1Vfultt at ii1y {Rental. []Commercial E1udnstrial. •
- .
. Number of Futures: .
i • . Bathtub Lucky Sfandp ' Dent Oper. Sbarnp Sink
. • Whirlpool Disposal. Dip Well Plr/Wst Sink
Eaavatory Dishwasher • Drink Pte Catch Basin
.Toilet . Stmtps8utup Wait St. Wash Fin
Res. Sink . Ejector/Grind - Ice Cheat T7rinal •
Bar Sisk Water Softtter � Sink Gar Drain . •
•
Water Heater y Local Waste Scully Sink Soda Disp
as C SleetDINIVnt ' Clothes Wsbr Hand Sink • Coffee Maker
Shower Bidet F Prep Sink ' Ice Maker •
Floor Drxia l3eer Tgp Sew Sink Site Drain
•
Lndry Tom' Classrm Sink , Tot Grease Trap • • Roof br in •
Iab Sink Surgeons Siaik Bxt Grease Trap Standp Rec.
Plaster Sink 'Breakrm Sint; • • ' l r.Z. Valve ByeWash Stn •
Sierilizer • • •
• Electrltc Contractor O . • ❑Electric Installation - Veri�fiication form attached
- - - (I flteplacement) . •
��
Use / Nature of Work .lj' �.i -1 , • A L -
' . Size Material Type • Conn T yp e •
l
. • Sanitary Sewer
:._ —_ - ......__ ..... �... . 1 -
• 'Storm Sewer - 1 `�
: Water Seuvice . ` .
l ,
1 . , . , . . ? j j 4.) ),p . ‘
• ( R eceived Time Jun, 13.
2011 2:58PM No. 6003 •