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Home My WebLink About0154738- Plumbing (water heater)OSHKOSH ON THE WATER Job Address 903 N LARK ST Contractor JOHN D RANSOM Inspector Jon Mueller Bathtub 0 Clothes Wshr Shower 0 Lndry Tray Whirlpool 0 Sump Pump Lavatory 0 San Sump/Pump Toilet 0 Water Softner Kit Sink 0 Standp Rec Disposal 0 Gar Drain Dishwasher 0 Local Waste Floor Drain 0 Bar Sink Hose Bibb 0 Breakrm Sink Water Heater 1 Use/Nature of Work CITY OF OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD Owner TODD/KRISTL THOMPSON Category 411 - Residential -Water Heaters No 154738 Create Date 03/14/2013 Plan 0 Classrm Sink 0 Surgeons Sink 0 Roof Drain 0 Deduct Meters 0 Exam Sink 0 Sterilizer 0 Soda Disp 0 Wtr Sewer Mtrs 0 F Prep Sink 0 RPZ Valve 0 Coffee Maker 0 Wtr Usage Mtrs 0 Flr/Wst Sink 0 Bidet 0 Site Drain 0 Misc. 0 Hand Sink 0 Urinal 0 Wait. St. 0 Fixtures 0 Lab Sink 0 Beer Tap 0 Ice Chest 0 0 Plaster Sink 0 Dip Well 0 Comm Ice Maker 0 0 Sculry Sink 0 Drink Ftn 0 Int Grease Trap 0 0 Sery Sink _ 0 Wash Ftn 0 Ext Grease Trap 0 0 Shamp Sink 0 Catch Basin 0 Eye Wash Statn 0 FR / REPLACE GAS WATER HEATER **check #1840,1845 Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service Parcel Id # 1603210000 Valuation $700.00 Plan Approval $0.00 Permit Fees $30.00 ❑ Permit Voided Issued ByKnj Date 03/18/2013 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. City of Oshkosh Inspection Services Division MAR 14 2013 P O Box 1130 Oshkosh, WI 54903-1130 Phone: (920) 236-5050 DEPARTMENT OF Fax: (920 236-5084 COMMUNITY DEVELOPMENT INSPECTION SERVICES DIVISION Plumbing Permit Application L OfHKOfF ON THE WATFR I hereby apply for a permit to do and install the following plumbing on the premises hereinafter described, the work to conform7j. ific Wisconsin State Plumbing Code, in the performance of which all parties hereto agree to and are bound by said statutes. Application(s) and fee(s) can be brought to City Hall, 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 $100.00 plus the normal permit fee, which ever is greater. OR ff ;you are a contractor participating in the Permit Fee Account System and have adequate funds check hr: if you want this orocess_ed throuzh your account f Job Address q03 U lark S+ Value (Inciudinglaborandmaterials) Date 12 1 3 Owner —F,?Aa—n-) Yk sort Contractor �oh h�an-� Do) _ Single Family ❑Duplex ❑Multi -Family ORental ❑Commercial [-]Industrial Number of Fixtures: Bathtub Lndry Standp Whirlpool Disposal Lavator, Dishwasher Toile: Sump Pump Res. Sink Ejector/Grind Bar Sink Water So±mer Water Heater )< Local Waste XGas - Elect 0 PwTvnt Clothes Wshr Shower Bidet Floor Drain Beer Tap Lndiy Tray Classrm Sink Lab Sink Surgeons Sink ?;aster Sink D-1-..., ., v Steil i fzer Electric Contractor Use Nature of Work !rte I CAW Size Material Sanitary Sever Storm Sewer , Vvater Service Dent. Oper. _ Shamp Sink Dip Well _ F1rfWst Sink Drink Ftn Catch Basin _ Wait. St. Wash Fm Ice Chest _ Urinal Exam Sink Gar Drain _ Sculry Sink Soda Disp _ Hand Sink Coffee Maker _ F Prep Sink _ Ice Maker Sery Sink Site Drain _ Int Grease Trap Roof Drain _ Ext Grease Trap Standp Rec OR ❑Electric Installation Verification form attached (If Replacement) Ck w a r ht':�O+e r Tyae # Conn. Tvpe