HomeMy WebLinkAbout0157664-Plumbing (water heater) � CITY OF OSHKOSH No �5�ss4
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 816 FRANKLIN ST Owner STAR PROPERTIES OF OSHKOSH LLC Create Date 09/11/2013
Contractor JOHN D RANSOM Category 411 -Residential-Water Heaters Plan
Inspector
Bathtub 0 Ctothes 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 FINWst 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 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 Kitr&Pfeil acct*'
L--
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcelld#
1006020000
Valuation $599.00 Pian Approval _ $0.00 Permit Fees $30.00 ❑ Permit Voided I
Issued By Date 09/11/2013
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 920-922-1957
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, SEP, 1 l. 2013 02; 21 PM KITZ&PFEIL OSHKOSH FAX No, 920 236 3348 P, 001/001
c��y a�os�os� � �
Inspcctian Services Divisioa _ ��
P O Boxc 1130 '
Oshlwsh,WI 54903-1130 � •
Phonc:(920)236-50�0 � �(�'(�:f �
Fa>:;(920)236-5084 . . � ��'��� � �
Ohl TMa �ar�a
� plumbing Permi# Application �
I harcby apply for a permit to do attd install thc followiysg plumbing on the prcmises hercanafter•descn'bcd,the work to conform to the
Wisconsin Statc Plumbislg Codt,in the performancc of wbioh all parties hereto agree to and are boutid by said statutes.
• Application(s)and fee(s)can.bo brought to G�ty l�ell,Room 205 ot mailed to Inspection SerViccs,PO Box 3,128,Oshkosh VJI�
� $4903-1128. Commcncing worl:without pea7�ait(s)will result in fecs being doublcd or$100.OD plus the normal pesmit fec,whic�t
ever is grcater. � �
� OR � �
If vou a�e a contractar parriciDCttin in the Permit Fee Accoun� Svstetr� and have ade, ua funds, check here
i vou want thir rocessed throic h �our accounl
**Ad.visory-For applicable pzoj ects, an Electrical Znstallatiosa'V'erification(E�foim, signed by t�e Electrical
Contra..ctor or T3om�eovcner(foz i.nstallations�allowed to be performed bp the homeo�vner)mnst be submitted
with the pernoit application. Applications submitCed without an�N when such is reqnilcd, wi]],not be
� processed.£or Pezmit Lssnance and will be ret�urned foz completion. � �
JobAddress,���o �Qc�I�I��h � Vallie(Txluding]abor�amareriB�) .��� � Date � / ��
er �"G,�- PrQoQ r�t e.s Contractor � � -s�� .
in„le Famils� �Duplex ❑Mul.ti-Family ��tental []Comnaexcial �]Industxial
Nnmbez-.n�Fixfures: �
BadaLuG Disgoeal Drink Fm � Cecct Basin
Whirlpppl Diehweahet Waic St GVash Pm
T.avatory Stlmp P1�P ' Tce C6est U"°�
Toi},� �jeecor/Qrind Exsm Smk Gar Drzin
R,as.Sinlc ' 'Water Solt�cr Sculxy SinL' . �b'� . .
• a�r SmK � �.ocal V✓asce Egad Sip1 ' C�fee Malcer . '
VVaz«Hea[er � Clothea GGshs •F Prap Smk Camm.ke Maker :
�C,C?s9 o Elec�D ParcVnc Bidet s«v SinL• S�c D�ain '
ShoWa Sau Tsp Int Csiease'Itag RoofDrein
Floo�Dreia � Clsssrm Sink . Ext Crr�se TYap , ���� -
���' , Surgeoas Sink _ RP.Z.Valve Eye VJash Sm
T�b Sink � Sreal�Sinl: Shsmp Sink WDr Sewer Mus '
Ftasca sink b�w� Plr/Wsc smk ' � Deduc[Meeae .
S6nrIIiza �Toae Bibs� ' Wa Veage Mas
D41sC. � ' . .
�iznues � ' �
Electric Cbntractor (for proj acts not requiring an E�V'Form) . �
Use/Nature of'Work r"�,' Gt c�? �t � '��p� Q� G''t/
Size Material T�pe # , Conn;.TYPe � � **********
' . . . " . PLE'�E USE TFiE !
Ssnysary Scwcr
° . . KZTZ'� Pk'EIL
Storm Sew� ' • . . '�yr• .
. . . . . �'�han.�{ �,'OU;
Wator Sc�cvice �
� � NAN
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