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HomeMy WebLinkAbout0155115 - Plumbing (water heater) CITY OF OSHKOSH No 155115 OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 644 FREDERICK ST Owner ROBERT E/KRISTALEE J WILCOX Create Date 04/18/20.1.3_ 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# 0704460000 Valuation $599.00 Plan Approval $0.00 Permit Fees $30.00 ❑ Permit Voided Issued By 61110 Date 04/18/2013 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. • Water Sorvice • w/10-' loJ• 03 HU....APR. 18. 2013 10: 37 AM K I TZ&PFE IL OSHKOSH . . . _ ,,Citx.of,,.9.*,,,?8.11 . . • Lupton=bermes Division . . . . . FAX No. 920 236 3348 . . • . • . .. . P. 001/001 .. • . . •; 1 P- 3.0 :11-30 Oshlrosh,,W1 54903-1130 • -. . . . . • . . ....... i'l.''":. ''' , . .. '-4.1-- .. . Phone:(920)236-5050 K0f17-1. Fax:(920)2364084 , ..• . . , • • ON ThiE WATER • . • • . • . . • . . . . Plumbing .Permit Application . - • ... , .. . • •• I hereby 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 parries hereto agree to and are bound by said statutes. 1 . •. . . • . . .• 'ApPlination(s)and tee(s)can be brouglitto.City Hall,Room 205 or mailed to Inspection Services,PO Box 1128, OslikoiliNg.54§.b-1128.•Comrnencing workwithout permit(i)will result in fees being doubled or$100.00 plus the • normal permit fee,winch ever is greater. • . )lt . , . .. , . ' I •• nu are a.contr.ctor .artici.ar; : in.the Permit ee . acaunt S stem and ave ade. ate und check here i ou ant thi ••roc6 ecTthrou!h o r account I . , • ' '• .OjOWb n Aeir l d• r.es.s14-0 il4-.3"0 1 7 • • Date i-i e - I? / c-ks . . contractor . h v,--1),,,c,..V.VS"t•VN•7•.. . . : • - • 1 . . Fami.::.. •. • ..§1e7ly 'LIDgplzx : OkinIttiiny •DRental • 0Copunercial []industrial • '. . . • , . ■ . . • • • Ntmber of Fixtures: , . . . . • . , . • . . • • Slump Sink . Saila& ',wiry Standp Dent.Oper. __.- — • _ —,— .. Whirlpool _ Disposal. . •Dip Well • Flr/Wst Sink — — • Lavatory Dishwasher • • Drink Pm — Cate.h Basin • • . — • :Toilet. . !Sump:Intrup Wait.St • -- Wash P.to — — Ites..Sink , EjeatOlierii.d •. . •lee Chest — Urina' I • • — . . . • . . Bar Sink WaterSoitner — -- _ Exam Sink • ear Drain • ____ - Waterietiter ' . Local Waste , • . Scull),Sink Soda Dip . •' Gas D Meet El.rwrVnt . . —7- • --7— I Shower . Clothes*abr. Hand Sink - • ' Coffee Maker _ Bidet . Prep Sinlc — . Itte Malta • Floor Dian% • • . . Beer Tap • Sea,"Sink Site Drain • — . — • • i'n'drY-A.B'Y. --! •. Clasann Sink. . Int Grease Trap • • Roof Drain — Lab Sink . ' • . Standp Rec. • Surgeons Sink — . Da&ease Trap —. — Plaster Sink • 'Brealema Sink ' • • R).1 Valve •— Eye Wash Sin • — • Sterilizer -. - , . . • i • . . . . . . • ,e4 • „ • ' . . . . • . • ' . Electric Contractor • OR: • []Electric Initallation Verification form attached. . • ,.-. • . (ItReplacement) : . . . , - - • .. . . , Use/Nature of.VVork . 17 ei la ce' . A i , u/41 e 'S-...4.•00----- • • . . ; - Size Material Type •# Conn_Type . . • , . • Sanitary Sewer •4' • • . . . . • • . . .• .. . ..._ — • -. 7 :. . : Water Service ,• - . — • .:--. . ' • . . . . • . . . . . .. • • • . , • . ! • ' • . . . • . . . . • . • . . . • - . . . . • . . . - • . ,