HomeMy WebLinkAbout0153481 - Plumbing (water heater) CITY OF OSHKOSH
OSHKOSH No 153481
ON THE WATER PLUMBING PERMIT -APPLICATION AND RECORD
Job Address 937 LEEWARD CT
Owner DENNIS/FRANCES ALLEN
Contractor JOHN D RANSOM Create Date 11/12/2012
_ Category 411 -Residential-Water Heaters _
Inspector Jerry Fabisch Plan
Bathtub Clothes Wshr
Classrm Sink Surgeons Sink
Shower Lndry Tray ---- _____Roof Drain Deduct Meters
Exam Sink Sterilizer
W Soda Disp
Whirlpool
Sump Pump F Prep Sink Wtr Usage Mtrs
Lavatory San Sump/Pump -_-_- RPZ Valve Coffee Maker --
p p _ Flr/Wst Sink Mis c.
Usage Mtrs
Bidet
Toilet Water Softner --- _ Site Drain Misc.
Hand Sink Urinal
Kit Sink Standp Rec — Wait.St. Fixtures
Lab Sink Beer Tap Ice Chest
Disposal _Gar Drain
Comm Dishwasher Plaster Sink Dip Well
Local Waste Ice Maker
Sculry Sink Drink Ftn Int Grease Trap
Floor Drain Bar Sink
Sery Sink Wash Ftn
Hose Bibb Breakrm Sink --- _ _Ext Grease Trap
Shamp Sink Catch Basin
Water Heater 1 Eye Wash Statn
Use/Nature SFR/REPLACE GAS WATER HEATER **debit Kitz&Pfeil acct __
of Work
Size Material --
Sanitary Sewer Type # Conn.Type
Storm Sewer
Water Service
Parcel Id#
Valuation $599 00 Plan Approval 1519930000
$0.00 Permit Fees $25.00 [1] Permit Voided
Issued By am
Date 11/12/2012
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 y p of
Inspection (i.e. Footing,Service, Final,etc.),Access into Building if Secure(how do we gain entry),
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 read your Name and Phone
Y
iliHU. NOV. 08. 2012 04: 16 PM KITZ&PFEIL OSHKOSH FAX No. 920 236 3348 P. 001/001
Litt+of gacc!sh •
Inspeanon S•ervi.o6s Division -
; P0 Box 1130 _
Oshkosh,WI 54903-1130 •
Phone.(920)236-5050 '
36 5050 Of H f H
I?a c(920)236-5084 - 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 Plurubing Code,in the performance of which all parties hereto agree to and are bound by said statutes.
•
l Insp PO Box 1128
-• Applicatioa(e) and fee(s) can be brought to City Hall,Room 205 or mailed to eciion Services, ,
. Oshkosh.VI 54903-1128. Con=encing workwitlanui permit(s)will result in fees being doubled or$100.00 plus the .
normal permit fee,which ever is greater. 1
flR
- ,i; Ifvou are a contractor varticivatin- in th-e Permit Fee Account Sv rem a d have ade.uate funds. check here
ifiou want this ro
vceased �hrouFh your account' Fl I
q 31 l�eP our- C-- - 'Vallee(urcludiaslabor$admamials) S.9a.--- --Date iF�--/2
3ab Aiidlress Ni Owner Q'e� S rt (F�► Contractor �ah,ti` l�o,r\SOr� - :
-
Comuaercial dustrial
• iCtge ��ri93� f, _I' Ie Multi F�u�rEp QR�ntal ❑ .
'
F '
. Number of Fixtures: •
+' ' Bathtub' T..nu.-y Stsiidn Dent Gees-
5heam Sink
Whirlpool Disposal. Dip Well filr/WstSink
Lavatory Dishwasher • • Drinic Fin Catch Basin
Tom . !won Pump Wait St Wash Etu
R Sink •Ice Chest Urinal
BarStok Water SoEtner Exam Sink D•
V.*a -Fleeter K • Local Waste .Sculry Sink Soda Ai6p
ACC[ awrvnt ,�ofhes We ]rand Sank Co-lee Maker
Shower Bidet ?Prep Sink _ foe Maker
?loot tram $ea-Tan Sem Sink Site Drain -••
Tiny Tray Class-nu Sink Int Grease Trap • RnoiDrain•
Lab sink Surgeons sink Fxt Orease Tray St431Op a=.
?leate Sink Brealtrm Sink : . P_P.Z valve Eye Wash Stn
' , steruiz=r ,
•
• Electric Contractor _ OR. • OMiei Be Ine.alla-fion Verification.form attached
(IfReplace:wet) . _ .
TJse/Nature of ork he h ace 4t_S vJ c. ►--' IL e oh V- - -
•
Size Material Type .;Y Cow`ryp•
Sanitary Sewer (y
• ' - -S oriu.eir es- - , - - . 1
Water Service . - -•
. ' 03
.Received. Time Nov. 8. 2012 3: 09PM No. 1590 . . .