HomeMy WebLinkAbout0100899-Plumbing (water heater)OSHKOSH
ON THE WATER
.lob Address 1322 BROAD ST
Contractor RANSOM, JOHN D
Bathtub 0 Shower
Whirlpool 0 Floor Drain
Lavatory 0 Lndry Tray
Toilet 0 Lndry Stndp
Res. Sink 0 Disposal
Bar Sink 0 Dishwasher
Water Heater 1 Sump Pump
Site Drain 0 Classrm Sink
Roof Drain 0 Breakrm Sink
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner LAWRENCE D SEYBOLD
Category 411 - Residential-Water Heaters
0 Ejector/Grind 0 Dip Well 0 F Prep Sink 0
0 WaterSoftner 0 Drink Ftn 0 ServSink 0
0 Local Waste 0 Wait. St. 0 ShampSink 0
0 CIothesWshr 0 Ice Chest 0 FIr/Wst Sink 0
0 Bidet 0 Exam Sink 0 Catch Basin 0
0 Beer Tap 0 SculrySink 0 Wash Ftn 0
0 Dent. Oper. 0 Hand Sink 0 Urinal 0
0 Lab Sink 0 Plaster Sink 0 Standp Rec 0
0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0
No 100899
Create Date 04/22/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature SFR/Installwater heater
of Work
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
$300.00 Plan Approval $0.00 Permit Fees
Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
$20.00
Date
04/22/2003
Permit Voided
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address W5056 PARADISE LN FOND DU LAC WI 54935 - 9662 Telephone Number
922-1987
RPR-16-2003 NED
City of Oshk~h
Inspection Service~ Division
P 0 Box 1130
Oshkosh, WI ~4903~1130
Phone: (920) 236-5050
Fax: (920) 23~084
11:47
KITZ&PFEIL 920 236 3348 P, O1
Q/HKO/H
ON THE WATER
Plumbin Permit A lication
I hereby apply for a pern~t ~o do and install the following plumbing on thc prcrrdsc$ hereinat~er dec.bed, ~c work to ao~o~ to thc
Wiscomm S~tc Pl~bing Code, h~ the perfo~n=c of'which all pa~i~ hereto a~ee to and ~e bound by ~id s~mtes,
Job Address~ ~
Number of Fixtures:
Den~- Oper ..... Shamp Sink
I~uthtub Lndry S~ndp _ ,.
~ Ddnk F~ CaSh Basin
~vnt~ Dishwasher _.
Wait. St. -_ Wash Fm
T~I~ ~ Su~ P~
R~. Sink _. E{e~/GH~ __ , ~ ~ot Urinal
Water Sofmcr .._ ~xam S~k ~ Oar
Bar 8ink
Wa~ H~t= ~ ~cal W~ ~ Scu~ Sink ~ $~n Disp
Clothes Wshr ~nd Sink ' Coffee Msker
Shower
Floor ~in .... Bidet W. r F P~ Sink Ice Make,
B~ Tap S~v Sink Site
~d~ T~ay _.
Class~ Sink iht Oeose T~ Roof ~in
~b Sink
Plas~ Sink S~ons S~k F~t G~as~ T~p Stamp Rec
S~Iiz~ B~ Sink
Electric Contractor
Use / Nature of Work
{S EIV form attached (IfReplacemen0
Sanitary S~wer
'Storm Sewer
Wat~ Service
Size Material Type # Conn. Type
KrrZ & PFEII. INO.
427 N. f~Alt',J ST.
OSHKOSH, WI 54901
Application(s) and fee(s) can be brought to City Hail, 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 $I00.00 plus the normal permit fee,
which ever is greater.
Check here if you wane ~hia processed ~hrough your account