HomeMy WebLinkAbout0104619-Plumbing (water heater)OSHKOSH
ON THE WATER
,Job Address 2314 MINERVA ST
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 JAMES E GINNOW
Category 411 - Residential-Water Heaters
No 104619
Create Date 10/07/2003
Plan
Ejector/Grind 0 DipWell 0 F Prep Sink 0 Gar Drain 0
Water Softner 0 Drink Ftn 0 Serv Sink 0 Soda Disp 0
LocalWaste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
ClothesWshr 0 Ice Chest 0 FIr/Wst Sink 0 Int Grease Trap 0
Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0
Beer Tap 0 Sculry Sink 0 Wash Ftn 0 RPZ Valve 0
Dent. Oper. 0 Hand Sink 0 Urinal 0 EyeWash Statn 0
Lab Sink 0 Plaster Sink 0 Standp Rec 0
Sterilizer 0 Surgeons Sink 0 Ice Maker 0
Use/Nature SFR/Install gas hot water heater for Kitz & Pfeil.
of Work
Size Material Type # Conn. Type
Sanitary Sewer 0
0
0
0
0
Storm Sewer 0
0
0
0
0
Water Service 0
0
0
0
0
Valuation $280.00 Plan Approval $0.00 Permit Fees $20.00 ~J Permit Voided
Issued By
Date
10/07/2003
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
Agent/Owner
Address W5056 PARADISE LN FOND DU LAC WI 54935 - 9662 Telephone Number
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.
00T-06-2003 ~ON 12:68 PN KITZ & PFEIL
C{ty of Osbkmh
Inspeetiofl Services Division
P 0 Box 1150
Oshkosh, WI 54903-I130
~hO~: (920)
19202363348
P, O1
O./HKO/H
Plumbing Permit Application
I hereby apply for a pen'nit to do and ink,all the following plumbing on the premises h~reh~afler described~ ~e work m conform m ~h~
Wisconsin State Plumbing Code, m the perfonrance of'which all patties hereto agree ~o and ere bound by said s~amtcs,
Ow.er d, ~ q / '~ ~ d ~ ' Contractor ,,
.~Slugle Family ~Duplex E]Multi. Fumily r~Re. tnl E]commer¢ial E~lndustrial
Number of Fixtures:
Bath~b tagiry S~P.~p D~L O~r. Shatc~ Sink
~r~st Sink
~irl~ Di~l O~ Weft ~
~, Sink Ej~tor/Gdnd ~
Eiectrie Contractor
Use/Nature of Work ~ ~ ~
[] EIV form attached (If Replacement)
S~mi~ry Sewer
S~.e Mag:rlal Type # Conn. Type
Water Service
Application(s) and fcc(s) can be brought to City Hall, Room 205 or mailed to imspcction Services, PO Box 1128, oshkosh WI
$4903-1128. Commencing work without permit{s) will r~sult in fees being doubled o, $100.00 plus thc nornml pCnml: fcc,
which ever is greater.
OR