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0155750-Plumbing (water heater)
� CITY OF OSHKOSH No 155750 OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 1614 W MURDOCK AVE Owner SCOTT E AUGSBURGER Create Date 05/22/2013 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 Fir/Wst Sink 0 Bidet 0 Site Drain 0 Misc. p 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 Serv 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 FR/REPLACE GAS WATER HEATER **debit Kitz&Pfeil acct > of Work � Size Materiai Type # Conn.Type Sanitary Sewer Storm Sewer Water Service Parcei Id# 1217220000 Valuation $600.00 Plan App�oval $0.00 Permit Fees $30.00 ❑ Permit Voided I Issued By � Date 05/22/2013 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 AgenUOwner 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. E, MAY. 21. 2013 09: 49 AM KITZ&PFEIL OSHKOSH FAX No, 920 236 3348 P, 001/001 � . . � r:� .• � � � . ��,Qr:t,s�osh . . �. � . ::��. : : x � � . �s�;�es�n���on � � . . ��� . . � . . . , � P�O�Box 1130 � . • Oehkosh,.WY 54903-1130 - . � � � ` � �P�ne:(920)236-5050 . . . � '�y��O� FSX:(9ZO)23S-�OS4 , ' . , , ' � .qN H A ER,' � � . � �?lumbir��g .P�ermit A►:ppNica�i.on � � .. . . � I hereb�aPP1Y foz a pomrit to do and nostaA thc follownag plumbing on thc pxemises he�reina�ter deecnbcd,.tt�c work to confona to thc Wisconsin State Plumbiug Cocle,in the pczfozman.ce af which a11 pa�tios hcr�to agcoe to and are bound by said stgtutes. ' APp�cafion(s)aud f.ec(sj ce�t�e�brougk�t to City Hall,R:oom 2D5 or mailed to Inspection Services,PO�ox 11zS, • Os�osh�.54�.D3-1128. Commencirtg work'withol�P��S)�L�x��t�`���g doublcc}or�100.00 plus tY�e. . . nacmRl permi�fcc,which c�ver is�ca.ter. ' • - . � � �. � I Ot[ r.e�U C tOraCtOr dr.ttad atYn in t �e p it .Fee Accaunr S stem ari:d have ade udte� unds heCk ere� �, i ou want th'zs,�rocessed' thro'�hP our account� � � :. , � . �� � �1 � �`���"��V��e h►cludiaS labor and malerials) � � � bate s S �2'� , ��3 .:Tab�A:iiil.ress I ( r� � � . � � ,p . � . a��:eh fl s�P� ✓ � , Cnntz�ctor, �o('] � (-�-e h S Z� : � . , � �� . ..�.'�� . .� � . . . . E � �g�le Tra»ii�y �'[�Dup7.e� � f]M�ti�'a'mily []�ntal � �[)Commercial []�dnstrial. .. { � • . . � , . � . . • ( . . . � . � . : � Niumber af.F�`ixturES: . � ' . . . • � . I '. � �. Deot pper• shamv 5�n1c i . Bethp� L°�'�'� • FlrlWstSink. . . i. ��ol � �;�,, n�wou ' • lhink Fu� Catch B�ssin � ��y� Aieha�nshcr • • . ' � � � - Wait Sc. W�sh Fta ' 7oi�et' • 'S�P'P+�RSP • , � �jednNC�ciad •IoeChesc �� . . ; ,���.:l,'. �a=3� • ° Wetar'3oftnea F�cam Bink ��'u` � Bec'Sink • . . , . .� . ' Sculry Sink ' Sada Aisp . ••i � WaYerFFeatx. Local'9Ve¢te . Coffee Maker � � �sOSloccO•PwrV� � ClothrsWsDr. ' FlandSink , ,;�, Showa S' Iee Melcm' . I Bidai ' �� � • . ' �+loar Dtain Bea'1� � ScN Siltic S{te Iheia • � • ' ; Tnt Gcessa T�BP ' Rnof Dtsin t�►a�r T� � c�smx . � . , � : , Yab Sink ' • �geons Siu1c ' Bxt C�rease Trap S�� � p�� ' •aT��� • ; • R.PZ Va1va • Eye'Wa4h Sm ' Stailiaet �_ � . . • ' ' • '� ! � � � • �+lecfxic YnstaUation Veritficafion fornx attached.. ' ,-Electric Contractor . ��� `. � � . : . � C7If'Replacem«+t) . : . . � Use/Nafure uf Work �'�� ���� �`�� w��,� h���V � . � , . . . . # Co�.�ype . ' ' ' S1zo Ma#criel �'Pe . n � � . Sflnit2ty Scwer . . . . � (�' � . . .,�.. . ... . _:. _ .. _ . . . -- - _. . . . ��� ... _. ���e�,� - . . � � �. � . � � 1 . , � - - . � . . � - �- , � Water Servi.ce " • , • • . • ' ' . . 3 } . � ' , , • , , ' I . ,