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Home My WebLink About0122574-Plumbing (water heater) � � CITY OF OSHKOSH No 122574 � � C3SHKOSH PLUMBING PERMIT -APPLICATION AND RECORD ; ON THE WATER x Job Address 817 E NEW YORK AVE Owner ROBERT/JOLINDA POTTER Create Date 11/15/2006 Contractor JOHN D RANSOM Category 411 -Residential-Water Heaters Plan Bathtub Shower Water Softner Wait.St. Shamp Sink Coffee Maker Whirlpool Floor Drain Local Waste Ice Chest Flr/Wst Sink Int Grease Trap Lavatory Lndry Tray Clothes Wshr Exam Sink Catch Basin Ext Grease Trap i Toilet Disposal Bidet Sculry Sink Wash Ftn RPZ Valve � E Res.Sink Dishwasher Beer Tap Hand Sink Urinal Eye Wash Statn Bar Sink Sump Pump Lab Sink Plaster Sink Standp Rec Wtr Sewer Mtrs Water Heater 1 Ciassrm Sink Sterilizer Surgeons Sink Ice Maker Deduct Meters f Site Drain Breakrm Sink Dip Well F Prep Sink Gar Drain Wtr Usage Mtrs Roof Drain Ejector/Grind Drink Ftn Serv Sink Soda Disp Misc. Fixtures Use/Nature FR/INSTALL GAS WATER HEATER*'debt Kitz&Pfeil Acct of Work � Size Material Type # Conn.Type � Sanitary Sewer Storm Sewer Water Service Parcel Id# 1109640000 Valuation $395.00 Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided I — -- ; Issued By _�� ) Date 11/15/2006 � 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 perrnit 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 -0000 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. NOV-15-2006 WED 02� 10 PM KITZ & PFEIL FAX NO, 19202363348 P, O1 ° , . . . . , ' of Oshkoslt /,�,� � tinn Sezvices Division �� ' � �� "J � � � : Box 1130 � � ' Oshkos�WI 54903-1130 � � Pha�ae_(920)��6-5050 . H F3x-�9ZO�236-SOH� ON TN�WATER Plumbing� Permit Applicatia� I hereby apply for a pezmit to do and inst�ll tb.e followi�phicnbing'on�Pzz�scs lureinafter described, the work to c:onform to the Wis�onsia State Plumbing Code,in th�Pe�orm�ee of whic�al1 parties hareto agree to ancl aie bamd by said statutcs. • Apptication(s)and fee(s)can be Urought to City Ha11,Roam?OS or mailed to Ynspecdon Services,PO Box 1 I28, Oshkosh WI 54903�1128. Commencing woxk without p�t(s)will result in fees being doubled or$100.00 plus the normal pernzit fee,vvhich ever is��ater. OR 1' nu are a c ntrac r artic' ati i the Per it Fee �counz S s em an hav> ade. ate un s c.heck h re i o want th's rocecsed throu h our ac� unt 8�� Job Address 7 Value(�,�iva;�8��o�s��> � Date ///�'�� Owner , �o-ttiCl'V Contractor � Single FamiX� QDuple� C�Multi-Famil� DRental ❑Comnnercial Q7ndustrial � Number of Fixtures: � ' r)ent Oe�� s�Sinlc Be�hwb T.adry ytandp Flr/Wst Sink � Di o,al I?ry Well ..� Whirlpool � Catch Bssin ' Dishwashdr Drink Ftri Lavatory ~ Wsit 5C. _ Wssh FCr. Toilec Sump Putt� �� EjecwrlCrrind Ice Chest „ Rts.Sink �}ar prain � Watrr SoRnner Exam Sin1c . 8ar Sink � � Soda DisP L.o�tl Wusta Sculry Sink Wsu*�+� Coffx 2vfakc ,�Gas a Elect C]i'wcVnt Ciothcs Wslv Hand Sink Shower �— giQee g Ps�p Sink Ice Maker �Si� u— Sitc Ch'ain P1poY prain gctr'Cap Lndry 7csY Ctass m Sink -- Tnt Cirease'Itap linof Urgin i.ab Sink �„� Surgeons Sink Exc CR�7Yap S�P�c � Ptuscer Sink gTealarm Sink - . Sterilizer _ p� �Electric Ynstatlation Ve 'r�fiicatXOn form attachedE. Electric Contractor ��i,��„ti� � TJse/Nature of Work _ � ` — Ivla-ttrial Type: � Conn.Typc y ,,, y ��,�,; Si2@ �`'�" : i. r`� � .�o, "�8II1t81��eWC7 ..� . .'.. �'.r '. '7 � � l', ., �,,.1. . � • , ,r.,.-• �„�. _...r..... .y �'v,,. �..,�.�ui�� Stoizu Sewer � , Water SZrvice . ° �l �2 � ��e i � ��• ' "'�a.�n�s 3ioz y ��— ;