HomeMy WebLinkAbout146825-Plumbing (water heater) CITY OF OSHKOSH No 146825
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 151 W 22ND AVE Owner DEBRA J BUNKER Create Date 07/14/2011
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 #
1402510000
Valuation $595.00 Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided
Issued By Date 07/14/2011
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.
ED. JUL. 13. 2011 04:06 PM KITZ &PFEIL OSHKOSH FAX No, 920 236 3348 P. 001 /001
. • Cif ' of .Oshkosh { .
l uspcotie n. Se •
• P 0 Box 11;30 "
Oshkosh,. WI 54903-1130
Phone; (920) 236 -5050 0/_ �.�f
Fax: (920) 236 -5084 oN YHe 1r�ATEs
Plumbing Permit Application • .
1 hereby apply fora permtt 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.
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•e Application(s) and fees) can be brought to City Hall, Room 205 .or mailed to Inspection Services, PO Box 1128,
• Oshkosh .54903 -1128. Commencing workwithout pernnit(s) will result in fees being doubled or X100.00 plus the
. normal permit fee, which ever is greater.
OR
' If you are a contractor participating in.th.e Permr:t Fee_4ecount System and h ave adeq uate f unds ckeck here
if you want . th'is processed through your account' 11
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. - c b AAddress 11/ 6/ . a -a a _ Value (Ir oh,dipz labor and = terials) L . • v ° . - >Date la �I " `) i
To D • .D. a G t echn Ro i - �'nntr�or • / � �. •
'[]'D>ocplex : " u.1 i- iami1y 'DR.clatal . DCommoa.ercial Orfitctastrial. •
. Number of Fixtures: .
. Bathtub' Lndry Stendp Dent Oper, • Shamp Sink
Whirlpool Disposal. Dip Well • FIr/Wsi Sink •
•
Lavatory Dishwasher • • Think Pm Catch Basin
:Toilet 410M Prtmp Wait St. Wash Em •
•
Res_ Sink • Eje *1 • Ise Chest Urinal
Bar Simk • Water Softrrer • T 2ro Silk • Gar Drain
• . Water Heater Local Waste . Sudsy Sink Soda Dip .
yeas 0 Elect 0- , 'Vet • Cloth
lothetc Wahr Hard Sink Coffee Maker •
Shower Bidet • Prep Sink Tee Maker
• Floor Draia: Beer . Tap • Sery Sink Site Drain • .
Lndry y Glassful Sink . Int Grease Trap • • • Roof Dmin • • Lab sink Surgeons Sink Bid dream Trap Stffirdp Rec. t plaster Sink • arealam Sink • R.P.Z. Valve. • Bye Wash Stn • • • i Stenliya •
• Electric Contractor OR. • DElectric jmsta lation Verification form attached
(If Replacement) .
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• U / Nature o f Worn, % 4_' i ? - — • .
:P P)-2--
Size Material Type .# Conn, Type . •
. • Sanitary Sewer
._. •.,. ,. Storm ScWtr' • ...__ ... • Water Service r
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3
• . t„. 4
. Received Time Jul, 13. 2011- . 4: 19PM No, 6342 • . .
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