HomeMy WebLinkAbout0105042-Plumbing (water heater)OSHKOSH
ON THE WATER
.lob Address 1158 W 7TH AVE
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 CARY K/SUSAN GAUGER
Category 411 - Residential-Water Heaters
No 105042
Create Date 10/30/2003
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
LocaIWaste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
CIothesWshr 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 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 $389.00 Plan Approval $0.00 Permit Fees $20.00 ~J Permit Voided
Issued By
Date
10/30/2003
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.
0CT-27-2003 HON 11:46 RH KITZ & PFEIL
P O Bo~ 1
Oshkosh, ~ 54903-113~
Phone: (920) 236-5~0
Fax~ (910)
NO. ]9202363348
P, O1
Plumbing Permit Application
I hereby apply for a petrol! to do and ~nztall the follow,ag plumbing on the p~eml;cs hereinafter described, the w~rk to conform to t~e
Wisconsin State Plumbing Code. in the performance of which eli parties hereto agree to ~ arc bouud hy sak~ s~mtes.
~ingle Family ~Duplex ~Multi-Fa~ly ~ental ' '~Co~erciai
[~[ndustriai
Number of Fixtures:
~irt~l Dis~l Dip Well ~ ~ Sink
~va~ ~ Dish~r ~k Fm ~ ' Cash
T~le~ ~ Su~ ~mp ~ Wait, St. ~ W~ Pm
~. Sink ~ Ej~/G~d [~ ~t
Bat ~{nk ~ Wa~ ~er ~m Sink Gar
Wat~ H~ . ~ ~i Wa~ ~ ~u{~ Sink S~a ~
Electric Contractor
.Wgt ~r S~rviee
Size Mararial
Ty~e
OR l~ EIV form attached (Ir'Replacement)
Applicazion(s) and t~e(s) can be brought to City Hall, Room 205 or ra~iled to Inspection Services, PO Box 1 l:28, Oshkosh WI
54903 - 1128. Commencing work without permit(s) will ~esult m fees being doubled or $100.00 plus the normal permit fee,
which ever is greater. '
o~
C~sck l~ere i-~ you ~'anc CI~.~.~ processed ChrouTl~