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HomeMy WebLinkAbout0152494 - Plumbing (Water Heater) CITY OF OSHKOSH No 152494 OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 1620 LAURIE AVE Owner ARON A BLACKMORE/KRISTIJANA RAHN Create Date 09/20/2012 Contractor JOHN D RANSOM Category 9 ry 411 -Residential-Water Heaters Plan Inspector Jerry Fabisch Bathtub Clothes Wshr Classrm Sink Surgeons Sink Roof Drain Shower Lnd Tra --- — Deduct Meters ry y Exam Sink Sterilizer _ Soda Dis Whirlpool Sump Pump F Prep Sink RPZ Valve p Wtr Sewer Mtrs Whirlpool Coffee Maker Wtr Usage Mtrs rY San Sump/Pump _ FIr/Wst Sink Bidet Toilet Wate -- — __ Site Drain _ Misc. Water Softner Hand Sink Urinal Fixtures Kit Sink Wait.St. Standp Rec Lab Sink Beer Ta Disposal Gar Drain Tap Ice Chest 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 Water Heater 1 Eye Wash Statn Use/Nature SFR/REPLACE GAS WATER HEATER "check#3896 of Work Size Material Type # Conn.Type Sanitary Sewer Storm Sewer Water Service Parcel Id# 1612500000 Valuation $695.00 PI Approval $0.00 Permit Fees — $25.00 El Permit Voided Issued By 2 Date 09/20/2012 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 PARADISELN _ 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. City of Oshkosh Inspection Services Division P O Box 1130 ler Oshkosh,WI 54903-1130 Phone:(920)236-5050 i Fax:(920)236-5034 OJH\JJ ON THE WATER Plumbing Permit Application I 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 contractor participating in the Permit Fee Account System and have adequate funds, check here if you want this processed through your account El Job Address I I 00 b y r.i c I tie_ Value(Including labor and materials) CO 1-5- e- Date 9 - 18-0.0 I c -Owner R70nelCA Gkn- rQ, Contractor ,l©l')I` iG.nSO Vigingle Family ODupiea • [Multi-Family ❑Rental [Commercial [Industrial Number of Fixtures: Bathtub Ladry Standp Dent.Oper. Shamp Sink Whirlpool Disposal Dip Well Fir/Wst Sink Lavatory Dishwasher _, Drink Fm Catch Basin Toilet Sump Pump Wait.St. Wash Pm Res.Sink Ejector/Grind Ice Chest Urinal Bar Sink Water Sofiner Exam Sink Gar Drain Water Heater )( Local Waste Sculpt Sink Soda Disp /Gas D Elect 0 PwrVnt Clothes Wshr Hand Sink Shower Caff Maker Bidet F Prep Sink Ice Maker Floor Drain Beer Tap Sery Sink Site Drain Lndry Tray Class=Sink Int Grease Trap Roof Drain Lab Sink Plaster Sink Surgeons Sink Ext Grease Trap Standp Ree Break=Sink R.P.Z.Valve Eye Wash Stn Sterilizer - . r . Electric Contractor OR JElectric Installation Verification form attached (If Replacement) Use/Nature of Work re e 14 Co- b pt S vU ake,,, h - ) Size Material Type * Conn.Type I Sanitary Sewer 1 Stoim Sewer { Water Service . •