HomeMy WebLinkAbout0154711 - Plumbing (water heater) g) CITY OF OSHKOSH No 154711
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 416 W 6TH AVE Owner DEBORAH H EIDEN Create Date 03/13/2013
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 SFR/REPLACE GAS WATER HEATER **debit Kitz&Pfeil acct
of Work
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
0905420000
Valuation $599.00 Plan Approval $0.00 Permit Fees $30.00 ❑ Permit Voided
Issued By
c--,
/ )LA. Date 03/13/2013
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.
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pitatain SenkceiDiviiion . . . • , . ,-,
• 1'17-Box 11-30 • - '
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Oshkosh,.•071 54903-1130 . •
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Phone:(920)236-5050 .
Fax:(920)236-5084 .
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. • ON THE WATER
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:Plumbing .Permit Application
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I hereby apply for a permit to do and install the following plumbing on the premises hereinafter descdped,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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-• Application(S)..and fee(s)can bebrought to City Hall,Room 205.or mailed to Inspection Services,PO-Box 1128,
- Oplalcosh WI:540:45J 4178.. Commencing work without permit(i)will result in fees being doubled or$100.00 plus the.
normal permit see,which ever is greater.
Olt . ,
if you cired contracwr participating i th- Per it F-a Acco. nt S tem and ave ade, ate und ch-ck her-
i ,u wait this•,r,ceS -d thro•u!h .ur account •
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Oer- orok WV Contractor i
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-...X141e•FailAy -0Duplex - -01VIniti=Fattnly DII:eutal • DCOmmerciai Dindustial ''.. .
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• Number of Fixtures:, • .
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• Bathtub' Lndry Standp
Dent-Oper. • &harm Sink
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Whirlpool .Diaposal •Dip Well ' FIrfWst Sink .
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• Lavatory . Dish —washer . - Drink Fln — Catch Basin . 7, .
1 :Toilet . •Surnpihanp Wait_St. Wash Eti
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Res:Sink Ejector/Grind
•Ice Cheat
— Urinal • - . ..
• ' BarSink Water Softer 'avant Sink - '" Gar Drain
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1 1:41-sfeeter. ,44%. Loral Waste Sentry'Sink • Soda Disp
• ' 0 Elect 0-PwrViat • — . ,
Hand Sink - Coffee Maker
Clothes Wehr. — __—
Shower .. Bidet .F Prep Sink Ice Maker
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7-
Floor Drain • Rear Tap • Sery Sink Site Drain .
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Indry'Tray'
Clamant Sink . . Int Grease MEP Roof Drain .
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Lab Sink -' • : . .
. • ----- SurgemasSbalc. Bxt Grease Trap - Standp Ron—
Plaster Sink
.13-ralcrai Sink • . ' R.P2.Valve • Bye Wash Stn • •
Sterilizer •' -
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' Electric Contractor . • OR. - DElectric Iuttallation Verification form attached
' Of Replacement). :
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.. , Use 1 Nature of Work v•ep 1 ce et,,y- LA-1.4Ace (---- .. . . •• •
Size Material Type ..0 Conn.Type °
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• • Sanitary Sewer
4-,,,,,
• , c. k Cee e
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Water Service - • - - .e
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100/100 'ci • 8fiEE 9EZ OZ6 noN XV,i HSOHHSO lIaddlaLDI lid EE-:E.0 •E I OZ t 1 IVIAI f