HomeMy WebLinkAbout0157872-Plumbing (water heater) � CITY OF OSHKOSH rvo 157872
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1386 CEAPE AVE Owner CELIA J SAWICKI Create Date 09/23/2013
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 FINWst 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 p
Disposal 0 Gar Drain 0 Plaster Sink 0 Dip Well 0 Comm Ice Maker 0
Dishwasher 0 Local Waste 0 Scuiry 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 water heater
of Work
debit Kitr&Pfeil acct"'
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel id#
0803070000
Valuation $599.00 Plan Approval $0.00 Permit Fees $30.00 ❑ Permit Voided�
Issued By Date 09/23/2013
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 City strongly urges the permit applicant to contact the
easement holder(s)and to secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
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.
RI. SEP, 20. 2013 03: 19 PM KITZ&PFEIL OSHKOSH FAX No. 920 236 3348 P. 001/001
c��y of o�� � � � .
TIISpCCt10A S�1CPS nSV1S10Il _ �
P O Box 1130 �!
Osblcneb,WI 54903-1130 •
P}�ne:(920)236-5050
Fax:(920)236-5084 .
. o�1H�wh e
� Plumbing Permi� Application
1 hereby appl�far a penaut to do and iustall t�c followin,g plumbing oa the prcmises hercanafter.dcscnbod,the work to conform to thc
•W'isconsin State Plumbing Coda,in the performancc of vvh,ich all parties hereto agree to and ate bound by said statutc§.
� Application(s)and fee(s)can bc broaght m City Hsll,'Room 205 or mailed to Tnspection Setvicos,PO Bo�,1128,Oshkosh VV�1
' S4903-1128. Commencing work without permit(s)will res[tli in fees bcing doublcd or$100.00 plus tbe normal permit fco,vvhich
e'ver is grcater,,
OR � ' �
It vou a�e a contrdetor l�arfi.cipntinQ tn the Perrrtit Fee Accou�:t S�s em and have adeguate fu»ds. check here
tf��ov wnnf this D�ocessed thro��h rour acco .�Q
**Advisorp-Foa applicable proj ects, an ElecCtical T.ustaltati.on Vezi�.cati.on(EI�form, s�gned by t�e Electxacal
Contra.ctor ox Hom.eu�vner(£oz installations'allowed to be perfozmed bq the b.omeown,eX)must be snbmitted
with the permit applica.t�on. Applicatiwas submitted wit�aat an EN when such is xeqrured., will not be
� processed t'os�ezulit Issaance and will be zetuzned�or coxnpletion. �
� Job A.ddress 13 0 � C�o"1°� Val,ne(����s�r�a��) �� w Date —d D�'13
O �r C2l i o�. � c�. W��k� . Contractor ���'L��{�h S o+"�
�S'm;le Fa.mily� QDnple� ❑Multi-Family []Renr.al OCommercial �Lndtislrial
Nrsmber af�irtures: � �
BatDn�, . n;spossl nrid:Fm ca��nBasin
�ppp� Dishwesher V✓aic St WasL Fm
I.avawry Su1pvD P�P • Tca Cbest ilrinal
To�let �jccEor/C3rit+d Px�Sink Garbsaiu
�RCS.Smk Watc�Soima • Souky sink . Soda Aisp
• Bar Sia3c Local W'esPe • Ftand SinL' ' CoSa Maker . '
'OJater TieaYet' � Clothrs'OVslnr �F Prop Sink Comm Ice I�6slc�r '
'�Ci&s D�led❑pcvrVn[ $idet Serv Sinlc Sitc Ihain "
• Shower Baar Tap � Tat Grease Trap �'.00tDrein
F1oor brain � Clas�Sl'hk Fixc(�rease 1t� S�P�� •
�3'�flY SurHmns SinY . R.P.Z.Ve,Ive Eye VJasfi Sm
T.nb Sink 8reakiva Sinlc Shnmq Siak Wv Sewer lvt�
�lestes Sinlc �p WeII FJr/Wet Sink � Dcduce Metets
Stmliza Hue�Bibs� . ' VJa CJsage Mas . •
2vfi9c. • '
Fixattes �
Electxfc Contractor (for pzojects not reqairing a�E1�'Form.) .
Use/Nature of Work Y`E� �G���- W��'� ���e� :
Siza Mateaial Type # . . Cona;TYPe � � �*****�**�
. . • PLEASE USE THE
SaniCary Sewer . KzTZ�& PFEII�
Stomi Sewex ' ' �C • P'�'�'
Wat�Scrvice
�. � . I7�8'?� � Thar�k Yau�
. . NSl�7
. o� o�