HomeMy WebLinkAbout0101714-Plumbing (water heater)OSHKOSH
ON THE WATER
,Job Address 1131 SAWTELL CT
Contractor RANSOM, JOHN D
Bathtub 0 Shower 0
Whirlpool 0 Floor Drain 0
Lavatory 0 Lndry Tray 0
Toilet 0 Lndry Stndp 0
Res. Sink 0 Disposal 0
Bar Sink 0 Dishwasher 0
Water Heater 1 Sump Pump 0
Site Drain 0 Classrm Sink 0
Roof Drain 0 Breakrm Sink 0
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner CAROLAARENT
Category 411 - Residential-Water Heaters
Ejector/Grind 0 DipWell 0 F Prep Sink 0
Water Softner 0 Drink Ftn 0 Serv Sink 0
LocaIWaste 0 Wait. St. 0 Shamp Sink 0
CIothesWshr 0 Ice Chest 0 FIr/Wst Sink 0
Bidet 0 Exam Sink 0 Catch Basin 0
Beer Tap 0 Sculry Sink 0 Wash Ftn 0
Dent. Oper. 0 Hand Sink 0 Urinal 0
Lab Sink 0 Plaster Sink 0 Standp Rec 0
Sterilizer 0 Surgeons Sink 0 Ice Maker 0
No 101714
Create Date 05/22/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature SFR/Install gas water heater for Kitz & Pfeil.
of Work
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size
$355.00 Plan Approval $0.00 Permit Fees
Material Type #
Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
$20.00
Date
05/22/2003
Permit Voided
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address W5056 PARADISE LN FOND DU LAC WI 54935 - 9662 Telephone Number
922-1987
tlR¥-21-2003 NED 11:32 RI1 KITZ&PFEIL ~, .,~. 920....236 3348 P, O1
~Y-2~3 ~ 03:26 ~ KITZ&P~IL ~' ~
920 236 3348
?, O]
Plumbing Permit Application
OR
J~'~mgl' la'~mJl? r-]Dgpl= [~]Multi.,i~,~il~ E~t. I'-IC~mn~reial [~imdm,rla,
%.,.......,,,,o...
Size
Scmrm
Wa'm,
OJt [~JElec~rk lntalatin. Verification form attached
)/02
~Y-20-2003 TUE 03:26 PM KITZ&PFEIL
920 236 3348
P, 01
City of Oshkosh
Inspcctiol~ Services Division
P O Box 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
INCOMPLETE
Your request can not be
I~Oe,ssecl unUi complete
~k~salion is provided
OZI-KO/H
Plumbing. Permit Application
I hereby apply for a pein'tit to do and install file following plumbing on the premises hereinafter described, rite work to conform to dsc
Wisoonsin Stale Plumbing Code, in tho performance of which all parties hereto agree to and are bound by said statutes.
· Application(s) and fee(S) can be brought to City I-/all, Room 205 or mailed to Inspection Services, PO Box 1125,
Oshkosh WI' 54903-1 I28. Commencing work without permit(s) Vnll result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
I_~. vou are a contractor, participa, ting in the ,P. ermit Fee ,4ccount System.. anti ha]fi_? adequate, funds, ~heck here
If you .want lhi.,"p'~bcea'$ed'through 3,o~.r"accounr..F~
Owner ..~.'~o ~
[~ngle Family F"]Duplex [-~Multi-ffamily E~Re. tal E~Oommercial
'Date
[~]lndustrial
Number of Fixnlres:
Bathtub Lt~dry Standp Dent, Opet,
Whirlpool Disposal ~ Dip Well
~vnlory Diahw~l~r Drink F~
Toilet Sump ~p ~ Wait.
Rcs. Sink Bj~t~'/~ Icc Ch~
r3 ~hs D ~Iect 0 ~Vnt Cl~es Wshr ttand Sink
S~ " Bidet F Pr~ Sink
Fl~r Drain .... Bccr Tap ....... Sm~ Sink
~dry Tray , . , CIa~ Sink lnt G~se Tf'ap
Plas~r Si~k Broakrm Siek
Shamp Sink
FIrP~s: Sink
Cnmh BaSi,t
Wash Pm
Urinal
(tar Drain
S~a ~sp
Cu~ Maker
I~ Mak~
Sit~ Drain
Slandp R~
Electric Con tractor
?~Use / Nature of Work
Sanitm'y Sewer
Stotrtl Sewer
Water Scl'vice
Size
~-'lElectric Installation Verification form attached
(Ill, placement)
Material 'T'~e #
Corm. Type
3/02