HomeMy WebLinkAbout0152061 - Plumbing (replace water heater) CITY OF OSHKOSH
OSHKOSH No 152061
SHKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 710 JACKSON ST Owner STAR PROPERTIES OF OSHKOSH LLC
Contractor JOHN D RANSOM Create Date 08/30/2012
Category 411 -Residential-Water Heaters Plan
Inspector Jerry Fabisch
Bathtub Clothes Wshr Classrm Sink
aowur Surgeons Sink Roof Drain
Lndry Tray Exam Sink Deduct Meters
Whirlpool Sump Sterilizer Soda Disp Wtr Sewer Mtrs
p ump Pump F Prep Sink RPZ Valve Coffee Maker
Lavatory _San Sump/Pump Flr/Wst Sink Misc.Usage Mtrs
Bidet Site Drain Mis
Toilet
Water Softner Hand Sink Urinal
Kit Sink Standp Rec Wait.St. Fixtures
Lab Sink Beer Tap Ice Chest
Disposal Gar Drain Plaster Sink
Dishwasher Dip Well Comm Ice Maker
Local Waste Sculry Sink Drink Ftn
Floor Drain Bar Sink Int Grease Trap
Sery Sink Wash Ftn Ext Grease Trap
Hose Bibb Breakrm Sink Sham Sink
Water Heater 1
p Catch Basin Eye Wash Statn
Use/Nature 'DUPLEX(UPPER)/REPLACE GAS WATER HEATER **debit Kit&Pfeil acct
of Work
i
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
Valuation $59 1005270000
�9j0 0 Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided
Issued By
Date 08/30/2012
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. 29. 2012 12: 39 PM KITZ&PFEIL OSHKOSH
-----------'� FAX No 920 236 3348
P. 001/001
. c_#y.of Oshkosh. .
In.pcctY.ou S.erviaes Division
P 0 Box 1130
Oshkosh,WI 54903-1130 , . •
Phone:(920)236-5050
Fax:(920)236-5084 ooI N I
• ON i ilE WATER
•
_ Flurr�bin ` •P.erm.i A' lication •
I here apply for a nenult to do an In
hereby F� Y .Mall the following plumbing on the premises hereinafter described,the work to conform in the
Wisconsin State Pl unbind Code,in the performance of which all parties hereto agree to and arc bound by said.statutes.
. • Applicatian,(s)and fee(s) can be brought to City Hall,R:oom.205 or mailed to Inspection Services,PO Box 1128,
• Oshkosh W.I 54903-1 128. Comr9enoing work without pe- ait(s)will rsult in fees being doubled or$100.00 plus the
normal per it fee,which eve:is greater. -
oR.
•
I'vou area contractor yarticioatino in the Permit fee Acc unt System and have adequate funds- check here
if you want this processed throw-h Your account. fl
•
•
.dab Address • �c s0 r\ . 'Valve onaludiszslaborandmaterialk cY9I9 '' 7Aate 8 112-•
s i-6:4-- P 16 e-te
�'Yl'31 X Q `f"t o f i•
•
[]S-iii ;eFamiiY .qtEupiex Diviaiti4ranifiy ig}2eniiai OCommercial Oindustrial
. Number of R cures:
.
21 ank 3rila� rnnTySto Dent a)CL
Whirlpool • Disposal. Dip Weil FIr/Wst Sink
1 lavatory Diaurovasnc - Dzinic Ftn Can:h Basis
Toilet -
. ••Sin p:;ttuap Wait St Wash Eto
Res_Sink • uleetatiGrin@
ke claC:iz Urinal
CT Drain VJ•ate Sofia= a 1�m Sink R. �_
Rr lIIestec 7 oral Wsane
Sc Sink •
Gab CEkeEl:N cVnt • Clothes- Wsiu
____i____ "'ry Soda Disp
Sink Coffee Maker
Sh wet Bidet
.F?rep Sink Ice Maker
Floor brain.
Beer Tan
Lathy Sere Sink Site Drain
•
lay c7assrra Sink
7n[Grease Trap
_Tao sink i Roof Drain
Surgeons Sink Fxt Grease Trap
Plaster Sink Stamp .
• Stern zer •.. .
Break=Sink R PZ Valve Rye X�ssh Ste
Electric Contractor OR. - ❑Flee Izstallafion Verification form attached
- (Ir'Replaaoment) .
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Use/Nature of Work r 9 ..CL • •5 tAJ - V\P
. Size Material Type ,, Cow 'Z`ypei
Sanitary Sewer -
, _._Storm Sewer•- - .. . �'�� a itie
•
4 "
1 Water Service -
. l
a3
Received Time Aug, 29. 2012 12: 35PM No, 0663. . • .:J3j.-) (4))i) -