HomeMy WebLinkAbout0157008-Plumbing (water heater) � CITY OF OSHKOSH No 157008
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1712 GRABER ST Owner ROBERT A BREHM Create Date 08/02/2013
Contractor JOHN D RANSOM Category 411 -Residential-Water Heaters Plan
Inspector Jon Mueller
Bathtub 0 Clothes Wshr 0 Ciassrm 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 FINWst Sink 0 Bidet 0 Site Drain 0 Misc. p
Toilet 0 Water Softner 0 Hand Sink 0 Urinal 0 Wait.St. � Fixtures
Kit Sink 0 Standp Rec 0 Lab Sink 0 Beer Tap 0 Ice Chest p
Disposal 0 Gar Drain 0 Plaster Sink 0 Dip Well 0 Comm Ice Maker 0
Dishwasher 0 Locai 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 SFR/replace water heater
of Work
"use money from Kitr 8�Pfeil acct"
I
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer :
Water Service
Parcel id#
1524650000
Valuation $599.00 Plan Approval $0.00 Permit Fees $30.00 ❑ Permit Voided j
Issued By �'vl.� Date 08/02/2013
In the performance of this work, I agree to perform alI 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 Ciry 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 W 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.
HU, AUG: O1._ 2013 02: 56 PM_ KITZ&PFEIL OSHKOSH FAX No, 920 236 3348 P, 001/001
c��y of oS�os� � � �
Inspection Scr�viccs Di'visioa � , ��
P O Box 1].30
Oshkpsh,Wt 54903-1130 ' .
Phone:(920)296-5050 � �p/� .
. , Fas::,(9z0)236-5084 , f lt`.
oN � �r�
, } . � Plumbing Perm�t Applica�ion
. I hareb�apply£ar a permit to do aud install the following plumbiag on the premises heaeinaftcr�descnbed,the work to conform to the
' ' 'VJ'iscoasin State Plumbing Codc,in the performance of which all paYties hcseto egrec ta and are bound by said statu[es.
• Applica�ioa(s)eti�d fee(s)can be brought to City Hall,Room 205 or mailed to Inspxilau Scrviees,PO Box 112S,Oshkosh VJI
' 54903-1128. Commarcuag wark�rithout permit(s)a+ill resuit in fees being doubled or$100.00 plus the uoxmal permit fee,which
evr.r is greaies. . .
OR � • '
f vou are a contra�cor parii.c�pating in the Permit Fee Accou,:t Svstem and hai�e adeguaie funds check here
t���ou want. fhis prQOgsred throug�h vour a.ccQUnt �
**Advisory-For applicable prvjecta, an Eleetrical Tnstalla�ion Vexification(EIC��orm, signed'by the Elec[rical
Comzractor or Homeownet'(for+'�ts�ar�ons�allo�oved to be performed b�the homeowzxer)mu.st be sxibmitted
with the�e�application. Applications su��mii�ed without au EIV when sucb.is requix�ed; �will n:ot be
' pzoccssed for Penmit Xssnance and will be retvxned for coxnpletion, � '
�
� rob Address �1 �c� (gc�A b��f '�ralue(�i�ams�or�a�ce�;a�).. � �� Date � �� J�
Owner l�b �re�M . Contractor ���►� (��'1 S��
•`�Single Familp �Dapleg [�Multi-Famil� [f�tental OCommercial �IndusEriiai
Nwmber.of Fi�ures: .
� Bathnih • Disposal DriaL•Pm Catc6�asin
Whuipool Dishwashu Waii,3c VJssh Fm
Lsvatory 5�P�P • Ice Ches6 ' Urinal
Tw7ec �jeoWr/Grmd �cam Slpk Ger Drnin
. Ttes.Sink`. ' V✓ater Soi�er . • Sc�1rY Sink . Soda Aiep ,
• Bar 5ink �� Loeal Waste Tiand Sit�lc � CoSee Msk�r '
� Watar E�ear�r ;�,_ Clothes Wshr •F Prep Siak � Comm.ka Malcc
�Oas�ETecc�PavrVnt aid'et. Seav Sinlc . Sitc Araia -
• Showar Beer Ta� .. Tnt(3rea9e 7rep Rno[Thain
Floar brnin ' Qe.s�m Sin1: . Fact Oreasa ZYep S�andP� ,
• Lndry Z?ay , Surgeons Siak' . RP.Z.Vaive Eye Was'h Sin
• . T�h Sink'� � Breelam Sink ' ShemP Sink Wa Semer IvfDs
plast«Sink bip'OVell . F�lQVsc Sink ' Aeduct Meuxs
Stea7ize9r iiose�xbs� � ' V✓a UsaBe Mtrs .
Misc. • � � . � , •
Fixauu - • ' .
Electric.Contxactoz(for projects not reqttiri.n;an En�Form) .
. Use/Nature of'Work ���(Jl�ICG� � °I Ars Kl�ev' �f'
� Sizc Material Type . # . Coan:..TYP� • '. **********
� � PLEASE USE �'HE
Sanitary Sewex KITZ'& P�ZC,
Storm Se�wer � � . ACCT. � '
. ' . �' . � 'I'hank 'You!
Water Secvice � .
- . . NPiN
. �s�a'� . o� o�