HomeMy WebLinkAbout0146863-Plumbing (water heater) CITY OF OSHKOSH No 146863
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1417 CEDAR ST Owner STANLEY A STENSON Create Date 07/18/2011
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 Kitz & Pfeil acct
of Work
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id #
1205560000
Valuation $595.00 Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided
Issued By 1ccr.— Date 07/18/2011
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, JUL. 18. 2011 11:43 AM KITZ &PFEIL OSHKOSH No, 920 236 3348 P. 001 /001
• City of •.Oshkosh
InspeCi on ServiceS'Dkrisiort
POHox1130
Oshkosh, W154903 -1'1.30 .
PbA e: (920) 236.5050 Of I I OfH •
E.: (920) 236 -5084 ON Tr{e WATER
•
.Plumbin Perm App •
I hereby apply for a permit to do and install the following plumbing =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 fees) call be brought to City Hall, Room 205 or mailed to Inspection Services, p0 Box 1128,
• Oshkosh Wi 5490.3 -1128. Commencing workwithout permit(s) will result in fees being doubled or N100.00 plus the .
. normal permit fee, which ever is greater. '
• OR •
If you are a contractor part in the Permir Fee Account ,System and have adequate funds. check here
if you want this processed through vour account' El
• Gr00 •
r (including rater and materials) l ' - )Date q t , I 1 1
' .Job Address_ l 4 11 C -e.d Val (in ng -i -. 6L h So Iris . f
;gyp •er • • e h S 0 Yl .. Cnnraetor • _ ° h .
• - 6lugle'. amity . Etruplea : • uli ' y .QRenta.1 []Commercial (industrial •
• • •
,Number of[gturrs: 0 -
De nt pp Sbamp Sink
. Sail Lain/ Standp 0
Whirlpool Disposal'
Dip W F1r/Wst Sink
Lavatory , Dishwasher
Drink F Catch Basin
:Toilet • :SumprAsimp •
Wait St. Wash E?ta '
Res. Sink • SecwslGamd • Ice Chest Urinal •
BstBink • Water Sofrner Bxam Sink Gar Drain
�/ •
Water Heater X., • Local Waste , Baldry Sink Sofia Disp j
P ,��" Coffee Maker •
as ❑ Elect 0 pwr�►nt Clots Wshr • Hand Sink
Shower Bidet FPrep Sink Ice Metter
• :Floor Drain. Bar Tap Sery Sink Site Drain .
),nary Tray Classrm Sink . Ent orea5e • • RoofDraain I
1. Lib Sink Surgcoae Sink B t Grease Trap Standp Rec
Plaster Sink . • 'Breakrns S • RP.z- Valve. • Aye Wash Stn •
. StenTzer •
• •
• Electric Contractor OR. • DElectric Instal Verification form attached
(tf Replacement) . •
Use / Nature of Work ceT \ al C'L 4 • 'J l,Ja
U m QR e �ov~ •
. Size Ivlateri U Type .# Conn. Type '
•
Sanitary Sewer • . •
6 - S t orm newer ' ,... .. ' (' . ,i
Water Service , i
' • A - \ ,A% .
_ • . .
!Received Time Jul. 18. 2011- 11:55AM No. 6371 ..