HomeMy WebLinkAbout0154683 - Plumbing (water heater) CITY OF OSHKOSH No 154683
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1102 CENTRAL ST Owner LEE J TRITT Create Date 03/08/2013
Contractor JOHN D RANSOM Category 411 -Residential-Water Heaters Plan
Inspector Jon Mueller
Bathtub 0 Clothes Wshr 0 Classrm Sink 0 Surgeons Sink 0 Roof Drain 0 Deduct Meters 0
Shower 0 Lndry Tray 0 Exam Sink 0 Sterilizer 0 Soda Disp 0 Wtr Sewer Mtrs 0
Whirlpool 0 Sump Pump 0 F Prep Sink 0 RPZ Valve 0 Coffee Maker 0 Wtr Usage Mtrs 0
Lavatory 0 San Sump/Pump 0 Flr/Wst Sink 0 Bidet 0 Site Drain 0 Misc. 0
Toilet 0 Water Softner 0 Hand Sink 0 Urinal 0 Wait.St. 0 Fixtures
Kit Sink 0 Standp Rec 0 Lab Sink 0 Beer Tap 0 Ice Chest 0
Disposal 0 Gar Drain 0 Plaster Sink 0 Dip Well 0 Comm Ice Maker 0
Dishwasher 0 Local Waste 0 Sculry Sink 0 Drink Ftn 0 Int Grease Trap _ 0
Floor Drain 0 Bar Sink 0 Sery Sink 0 Wash Ftn 0 Ext Grease Trap 0
Hose Bibb 0 Breakrm Sink 0 Shamp Sink 0 Catch Basin 0 Eye Wash Statn 0
Water Heater 1
Use/Nature DUPLEX/REPLACE GAS WATER HEATER **debit Kitz&Pfeil acct
of Work
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
1007640000
Valuation $595.00 Plan Approval $0.00 Permit Fees
(��,Y i� $30.00 ❑ Permit Voided
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Issued By 3 L� Date 03/08/2013
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.
RI, MAR, 08. 2013 03: 29 PM KITZ&PFEIL OSHKOSH FAX No, 920 236 3348 P. 001/001
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Ci of,,Qshkosb
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Inspection Services Division s
P O Box 1130
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. . . . ,., .,
I I Oshkosh,WI 54903-1130
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Phone: (920)236-5050 Q/E-<-0/H.lax:(920)236-5084
, ON THE WATER
:Plumbing Permit Application ,
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thereby 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,
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4 Applications)anal fee(s)can be brought-to City Hall,Room 205.or mailed to Inspection Services,PO Box 1128,
• Oshkosh WI.549.0$-.1128. Commencing work without permit(i)will result in.fees being doubled or$100.00 plus the .
normal permit fee,which ever is greater.
.. pR .
if you a]'e a.coi.tractor participating in the Perrntt.Yee Account_Svstem and have adequate funds, check here .
jou want this processed through yo r aa_count fl
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.Job Address 110 a, Ge;-*rc i Value(Including labor and materials)_ J�/'� Date . ��'�P
• ,o•ymer. • e_ r r 1 I . • Contractor. :Tth\Y hS aM •
1 ntal Commlercial dnstrial • .
���ldg e:�'amily �-'[�Duple� � ulf2=�+'a�a�.y []Re ❑
• , 1`Ntunber of Fixtures: • -
i , Bathtub • Indry Stendp • Dent oper. Sharnp Sink[
Wbirtpopi Dispose]. •Dip Well 121r/Wst Sink
. Lavatory . Dishwasher •- Dtink Fm Catch Basin
' Toiiot Swirp Putap Wait.St wash FM -
Rea.Sink Bjeetoa/Cciud Ioe Chest Urinal
' . Bar'Sink Water'Softper Bxam Sink Gar Drain
' WaterI eater K Local Waste .Scully Sink Soda Disp
Ig 6as O Elect p rsvrVnt Clothes Wshr. Hand sink Coffee Maker _
1 Shawer Bidet F prep Sink _ Tee Maker
p1o0r Drain Beer Tap Sery Sink Site Drain
LAdry Tray • •Class m Sink . _ • Int Grease Trap Roof Drain
Lab Sink • Surgeots Sink Drxt Grease Trap Standp Rec.
I Plaster Sink .&seal=Sink '. . • 122.Z.Valve Eye Wash Sin •
Stetilizer •
Electric Contractor OR - [Electric Installation Verification form attached.
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Use l Nature of Work �-e l(1 10t�� G 5 sk - eY OL e v- ' - •,
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Size Material Type .# Conn.Type
• Sanitary Sewer . . •
.! StAISYI Sewer. ... I �.Is � e
wafer Service
' . tJ) 4)tr).,i. 3
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(:Received Time Mar. 8. 2013- 2: 17PM No. 2509