HomeMy WebLinkAbout2012 - Plumbing (water heater) CITY OF OSHKOSH No 151449
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 121 PROSPECT AVE Owner LEE J TRITT Create Date 07/31/2012
Contractor LUDWIG'S PLUMBING Category 411 -Residential-Water Heaters Plan
Inspector Jerry Fabisch
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 DUPLEX(UPPER)/REPLACE GAS WATER HEATER **debit Kitz&Pfeil acct
of Work
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
1007120000
Valuation $501.98 Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided
Issued By 37ilki Date 07/31/2012
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 1903 ASHLAND AVE OSHKOSH WI 54901 -2303 Telephone Number 231-5770
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.
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ON, JUL, 30. 2012 12: 54 PM KITZ&PFEIL OSHKOSH FAX No, 920 236 3348 P. 001/001
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City of Oshkosh
Inspection Services Division
P 0 Box 1130
Oshkosh,WI 54903-1130
0 .
Phone:(920)236-5050 •
Fax; (920)236-5084 _ /HKO/H
ON rkE w,r e
• Plumbing 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.
• Application(s)and fee(s)can be brought to City Hall,Room 205 or mailed to Inspection Services,PO Box,1128,Oshkosh WI
54903-1128. Commencing work without permit(s)will result in fees being doubled or$100.00 plus the normal permit fee,which
ever is greater.
OR .
If you are a contractoy_porticjnating (n the Permit Fee Account System and have adequatejujds, check here
if you want bhi processed throJigh you upi„F I—I
•
' •*4'Advisory-For applicable projects, an Electrical Installation Verification(EIV)form, signed by the Electrical
Contractor or Homeowner(for installations allowed to be performed by the homeowner)must be submitted
with the permit application. Applications submitted without an EIV when such is•required, will not be
processed for Permit Issuance and will be returned for completion. �r�� f �j .
Job Address r L Pr Os e6 Value(Including labor and materials) `7 )!. L u Date 7--,.3p '2 I�
Owner Ls,�_' 7 ! Contractor ..M,,,V_ -- ° --1-❑Single Family ,buplex ❑Multi-Family FA Rental ❑Commerc r ❑lndustria
Number of Fixtures:
Bathtub • Sump Pump Plaster Sink hoof Drain .
Shower • San.Sump/Pump Scullery Sink, Soda Disp
Whirlpool Water Softener Service Sink Coffee Mlo-
Lavatory Standpipe Roc Shamp Sink Site Drain
Toilet Garage FD Surgeons Sink Waitrs Stu
Kit Sink . Local Waste Sterilizer Ice Chest
Disposal Bar Sink P.PZ Valve Comm Ice Maker
Dishwasher Breakrm Sink Bidet Int Grease Trap
Floor Drain Claserm Sink Urinal Eict Grease Trap
Hose Bibb Exam Sink Beer Tap Eye Wash Stn
Water Heater . F Prep Sink - Dipper Well Deduct Meter
)(ban o Elect 0 PwrVnt Floor Sink Drink Pntn Wtr Sewer Mtr
Clothes Wshr Hand Sink Wash Finn Wtr usage Mtr
Lndry Tray • . Lab Sink Catch Basin Misc Fixtures .
Electric Contractor(for projects not requiring an EIV For m)
0 ng •
.
' Use/Nature of Work j i jv e UJ&t A. ( .0 CU ( feX )
****** ****
Size Material Type # Conn.Type �
Please use
Sanitary Sewer the
Ritz & Pfei1
Storm Sewer Acct 1
•
Water Service • Thank you, .
. t,.nris
***********Ad
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• 06/09
Received Time Jul. 30. 2012 12: 51PM No. 0245 .