HomeMy WebLinkAbout0158026-Plumbing (water heater) /�"'� CITY OF OSHKOSH No �sso2s
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 421 MERRITT AVE Owner PAUL B SMITH Create Date 10/01/2013
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 FldWst Sink 0 Bidet 0 Site Drain 0 Misc. 0
Toilet 0 Water Softner 0 Hand Sink 0 Urinai 0 Wait.St. 0 Fixtures
Kit Sink 0 Standp Rec 0 Lab Sink 0 Beer Tap 0 Ice Chest 0
Disposal 0 Gar Drein 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 SFR/replace water heater
of Work
*debit Kitz&Pfeil acct"
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
0400380000
Valuation $599.00 Plan Approvai $0.00 Permit Fees $30.00 ❑ Permit Voided I
Issued By �J �Yl Date 10/01/2013
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, OCT, O1. 2013 12: 41 PM KITZ&PFEIL OSHKOSH _ FAX No, 920 236 3348 _ P. 001/001
Ciry of osh�osh � � �
Inapection Services Division �•
P O Box 1.130 "
Oshkpsh,VVX 54903-1130 � .
Phone:(920)236-5050
Fax;(920)296-5084 • . �
. oN H��wxrea .
� Plumbing Permif Application
I hcreby spply far a pamit to do and install tht followiug plumbing on the prcmises hacanafter.descnbed,the work to confotm to the
Wisconein State Plumbing Code,ia the performanco of which all patties hexeto agree to and are bound by said statutes.
• Applica�on(s)and fec(s)ean be brought to Ciry T3all,Room 205 or mailed to Iusp�ctiox�Seuviccs,PO Box 1128,Oshkosh WT
' S4903-11z8. Comuieneing ovork wiihout permit(s)will result in fees being doubled or$100.00 plus thc normsl permit ficc,which
evex is gteatcr.. ' '
OR � , •
Ifvou rtt'e a con,�,ractor�ort�,eiz�ating in the Permit Fee Aecou�nt Svstem and have adeguate fun.ds. ch.eck h re
if vou want this processed Chrough ��ou� aeoount �
*�Advisor9-For applicable ptojects, an Electdcal Iustiallarion Verificatiou(EI�£oxm, siga,ed by the Electzical '
Contractox or�Tom�eo�ner(for 3nstaltations'allowed to be pezPormPd b�the homeownez)mn.st be submitted
wit'h the�ermit agplication,. A}�plications su�bmitted wirhout an EXV when such i�s rec�uired; will not be
' processed.£oz Pezruit�ssnance a.nd wiYl be retvx�aed for co�plerion. � '
00
� 3obAddress ��Pv'rr}�` � 'Valne(�r�,a�elaborandmatcrials) � Date 1�� '�
Owner av l S��� Contractor �1 4 h h-�.CY-1�S d�"`'
❑Siagle k'amfl� �Duplex ��t-Familp' 0},te�Yal [�Com�ercial �Indu�trtal
N�ucmber.of Fig�Lres: � .
BathtuL Disposal ,ArinL•Fm Catcb 8asin
Whirlpool Dispwashcr 'Wait.St Wasb F�
Lavscory S�p p�p • . 1ce Che.9c u�i°al '
• Toilet Ejeetos'/Grmd Exam Siak �Th�
�.Sink Wacer Safiner . Son]cY Sink . Soda bisp
• Har Siak . . T.ocal'Wasco Iisnd Smk ' CofCea Mekes . �
INec«Heacer � Clothes Wehr �P prep Sink Comm Ice Malcer
�C'JaS��lect 0 Pwr'Vnt Bidet Secv Sink SiCe Ihain -
• Shoaa Bou Tap Iat Qrease TYap RoofThaia ,
Floor Yhein � Ciss�m Sink Pxi Criesse Trap S�aP� . :
��'�Y . Sisgeoas Siak . RPZ.Vs1ve . Bye wash Sm
Lab Smk BreeLzm Sink S6amp SmY Wt Sawcr Mae
Plaster Sink b�y�� Flr/GYsc Sin1c � Doduc�Meters
Stea�izec .Hose B�be . . WcUsage Mas .
. Misc. ' , • '
Fi�wrea � '
Electrfc Cantractor (for projects uot requ[iri�g an E��Form)
Use/Nature of'OV'ork Y� GtC A,S (/�� �
Size Material Type # . , Conn,'I�pc • � **�*�*�*a�a�
• S���a PLEASE USE 'rHE ;
. .. . . . . � . • KITZ�& PFE�Z
Storm Sew� ' • � . � ��•
� • ' � ''�.'hank YOL1.!
Water Selvicc �
. . NAN
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