HomeMy WebLinkAbout0151611 - Plumbing (replace water heater) CITY OF OSHKOSH No 151611
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1003 EASTMAN ST Owner KATHRYN A MOORE Create Date 08/09/2012
Contractor JOHN D RANSOM 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 FIr/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#
1002520000
Valuation $595.00 Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided
Issued By ni.,3 Date 08/09/2012
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 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, AUG. 08. 2012 02: 48 PM KITZ&PFEIL OSHKOSH FAX No, 920 236 3348 P. 001/001
f .City of Oshkosh .
r ctien Servikds Division
0 .
i PO Box 11;0
Oshkosh,WI 54903-1130 - of H( f H.
I Phone:(970)236-5050
Fax:(920)Z36-5084 ON TFT=_wnrE�
Plumbing Permit Application _ .
=the promises hereinafter described,the work to conform to the
I I hereby apply for a permit to do and insert!the following plumbing
l Wisconsin State Phunbing Code,in the performance of which all.pies hereto agree to and arc bound.by said statutes.
• Appli:oation(s) and fee(s) cast.be brought to City Hall,Room 205 or mailed to Inspection'Services,PO Box 1128,
Oshkosh WI 549Q3-1I28. Co encing work without persni.'t(s)will result in fees being doubled or n100.00 plus the
1 normal peamit ice,which ever is greater.
au are a c nOaciar rsCtrticibrrtzn� In the Permit Fee Account Svsl`e and ave adequate funds. cheek here
► � fv Q ,
if vyu want thi aroceised throutrh vour account.
1003
• L -)Date e-- s_.1•
3db gcidress aS"7 Y�o�v� Value C,�t,�ma�b�*�a a">`s�
ire _ o �� ��
i �r-�.- Contractor •
j Officer -
i iu, ie" arrii13 •'O p - •
FIIMuli Fey mental f eommerciai D�:��strial •
1
Number of Fires:
?• Bathtub- I z dry S-tido Dent_O
-
sten k
t c
whirlpool Disposal. Dip Well IIr/Wst Sink
DrinicFin Cam°
vatory Dishwasher - Wash Do
' Wait St
Toilet •Surma R roan Y al
nje_^tor/Grind .Ice Chest
Res.Sink Gar
Ware Soffner Yw.m Sink
38r Sink Soria Disp
Scale Sink•
Waive;desir" I Deal Waste Cages Maker illit'teas 0 Mezzo ry.V nt Clntkua VVsis �'�10 S -
ice Makes
I }�Prep Sink
. Sltoavc Bidet Site Drain•
Floor Drain. Beer Tap Sere Sink
• ',nary Tray 'Clap=Sing • Out Grease Trap Roof;Drain
Da Grease Trap Stange .
;.sh Sink • _ • gr�eons Sink Eye-Wash Stn
Plaster Sink Break=Sink : - R2.2.Valve •
K*^ pg. - nElectric ustatiafion Verification form attached
Electric Contractor OR
Use I Nature of
Work Ire \ C� G e, s - on e � •
?vlatcrial Type Conn_Type
Sanitary Sewer Size /
I 1 � ._ ,e• .
..1. storm,ewer' • r
•
• Wafer Service r
r•
I Received Time Aug. 8. 2012 2:45PM No, 0315 . •
• , ' ‘)kj-) :- V-)j)--) .