HomeMy WebLinkAbout0153829 - Plumbing (water heater) CITY OF OSHKOSH No 153829
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 743 FRANKLIN ST Owner STAR PROPERTIES OF OSHKOSH LLC Create Date 12/05/2012
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 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 SFR(RENTAL)/REPLACE GAS WATER HEATER **debit Kitz&Pfeil acct
of Work
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
1005160000
Valuation $ 99.00 Plan Approval _ $0.00 Permit Fees $25.00 ❑ Permit Voided
Issued By Date 12/05/2012
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.
i ON. DEC. 03. 2012 11 : 21 AM KITZ&PFEIL OSHKOSH
FAX No. 920 236 3348
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ici*o.f 9.61cosla • . •
.4 ingp.evd.imiServines Division. • , • • --.. .,
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i P 0 Box 1130
Oshkosh,WI 54903-1130 .
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Phone:(920)236-5050 . .
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Fax (920)236-5084 . .
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• - OfHKO/H•
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ON TRE WATER
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2 Plumbin-9 Permit Application
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I hereby apply for a pe7..it to do and install the following plumbing on the premises hereina.fter described,the work to conform to the
Wisconsin State Plumbing Code,in the nerformancf-..of which all parties hereto agee to and are bound by said statutes.
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1 -• A.pcgion(s)and.fee(s)can be brought to City T-fill,Room 205 or mailed to Inspection'Services,PO Box 1128,
I - Oslzkoshl 54963-1128. Commencing work.wifoont permit(s)will result in fees being doubled or$100.00 pins the
. normal permit fee,which ever is greater_
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• te au are a contractor *articivatins tn the •ermit Fee Acaaunt System and have adeauate funds. check here
i if vou want this ,roc- red thrius;-hvour account
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JOb Address ()I/3 Firciii k cl I Yk ITake 1 ...,
(including labor and inaterials) ate 1 1...—3
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.Owner ,. ...LQ(,Ve 5 C, ontractor
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i Piiigieanaily -'0Daplex - .17—Mniii-Faidily ilite-1 EMI LiCommercial llinThlustrial
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5 . Number of Fittares:
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.i • , Bathtub' — tads.);Stscraip Dent.Oper. _ Sap Sink —
WErirlpool Disposal Dip Well _ FIeWst Sink
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i Lava.iorY ____ DiaInvasher . Drink Fto Caren Sasin
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Toilet -- . 'S:Innpaurnp ____ Wait Sr- , . Wasls F.to _
Res.Sink - Bjeztor/Grinti •Ice Chest _ Wesel
BarSink War= — —
Softacr • 3=Sink Gar Drain
Wa. -Iimtcr ..)4-• Local Waste .SeCiity Sink Soda Diso
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Vas 0 Elect 0 rivcvnt Clothes"Nair Rand Sink Coffee Maker . • 1
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Shower F Prep Sink Ira Maker
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Floor Drain-
Beer Tap Sery Sink _ Site Drain • — . .
Lthry Tray 'Class=Sink . Int Grease Trap ' Roof-Drain
Lab Sink , Surgeons Sink . . • —
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Da Grease 117p Stendp Ii.=,
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131serci Sink
, Break=Sink : R2.Z.Valve • Eve Wash Stu -
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Steriliz= .•' -
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Electric Contractor • OR. • DEledric IttStallatIon Veritcation form attached
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Use/Nature of Work r 1 etc-0 41111A c b__•E'cir
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• I . • • Size Material Type , ' Conn.Type
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Sanitary Sewer
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Water Ser . •. . '" " 0 k ,6
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I. Received Time Dec. 3. 2012 10: 13AM No. 1820 ,
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