HomeMy WebLinkAbout0158073-Plumbing (water heater) �
� CITY OF OSHKOSH No 158073
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
-
Job Address 330 W 10TH AVE Owner LEE J TRITT Create Date 10/03/2013
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
1
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. 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 DUPLEX/REPLACE GAS WATER HEATER `"debit Kitr 8�Pfeil acct
of Work
Size Material Type # Conn.Type
Sanitary Sewer
#
Storm Sewer
Water Service -
Parcel Id#
0903370000
Valuation $599.00 Plan Approval $0.00 Permit Fees $30.00 ❑ Permit Voided�
Issued By�� Date 10/03/2013 �
i
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.
ED, OCT. 02, 2013 01 . 44 PM KITZ&PFEIL OSHKO5H FAX No, 920 236 3348 P, 001/001 '
City of Oshkosh • �
Jnepectian Scr�iccs Aivision _ ��
P 0 Bo�1130
Oshlcosb:,'VJI 54903-1130 •
p}wne:(920)Z36-5050 � • u�
F�;(920)236-508A� • � �
ON Mc ATE
� Plumbing I'ermit�Applicafron
I hereby apply for a permit to do snd install tb.e follo�x�ing plumbing on tbc premises heraina.fter.descnbed,the work to conform to the
Wisconsiu State Plumbing Code,in the performance of which all pa�ties hcreto agree to and are bound by said statutes.
• Application(s)and fee(a)ce�d be brought to City Hall,Room 2DS or mailed.to Tnspection Semccs,PO Box 1125,Oshkosh WI
' j4903-1128. Commcacing work'without pamit(s)wil]result in fcts being doubled os$100.00 plus the normal permit fee,which
cver is gccatcr.
.p�
If vou are a contraetor parti.eipazinQ in Che Permit Fee�lceou��t 5vstem and have adeqruate {u>+ds cheek here
if vou wa�1t ihis processed through our accounl� •
*'�Advi.sory-For applicable pzojects, an Elec�ical Installati.un�eiification(E�foim., signed by the Electrical
Contractor oz Homeowner(for insCallations�allowed to be pezfoim.ed bp the homeowner)mixst be submitted
with Yhe permit ap�lication, Applicahons snbmitted without an EXV when sa.ch is requi�'ed;�'°�not be �
� processed£oz Permit Issnance and will be xeturned for compleLion. '
� Job Address � � � � Value(�iva�g��o=�,a�;au) .�9 � Date_ �ln —��/�
Owner �'T . Contractor �..J ��h 1 �nso
OSingle Famil� Duplex �Mn1ti�Faxaily ❑R��t� �Cammercfal �T�udu$tri.al
Number.nf Fiztures: �
�a� �os� D��m cacch sssia
'fiirh'slpool 1�iShaesLer Wait SG D✓aSh Fm
Iavatory S�p l�amp • . Icc Chcst Usinfll
7oilet $f eccor/Gcmd F-xam S3nk CTat Drain
R�S,Sink ' Wacer Sofraer gculty SinY , Soda llisp
- �nr 6mk �.00aI Wesoc Fiand Sinl: � Coffoe Maker .
� 'Wetes�carer _ '� Qothes VVshr •F pzep Smk Comm Ice M�]cv
'�'Q2s 0 Elcct�ParrVnc Bidet Scrv Smk Site Aram
� SiaoWer Bxs Tap � TaE Grease T:Sp RoofDrair+ .
F7oorArain � Cles�m Sink .Pxc Gtease Ttap ' Sreadp Rec .
La�7'��Y Surgeops Sink . RFZ.Va1ve Eye Waat Sta
Lsb Siak Bnal�Sink SbamP SmL' Wtr Sswc Mhs
Plesr�r SmL' �p,r� PlrNVst Sink ' Dcducc Moters
Stealizer Iioae 9ibs� . ' Wa Use6e l�itrs , .
Ddisc. .. . .
FaciureS •
Electric Cflntractor (for,projects not requiring an EY'V Form)
Use/Natt�re of Work �S � h �'~
,
Size Matesial Type # . . Conn:.'X`ype • ,�,t*at�E***�:*
� • � � pr.�`.A�E' USE TA�
Sanitary Sawcr , fCZTZ'& PFEIL
Storm Seaer • • . � � ��'r.
' . � 'I`har�k YOi�!
Water Setvicc '
• � NA;N
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