HomeMy WebLinkAbout0105402 POSHKOSH
ON THE WATER
,Job Address 811 W 19TH AVE
Contractor RANSOM, JOHN D
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner THOMAS T KRASNY
Category 411 - Residential-Water Heaters
No 105402
Create Date 11/19/2003
Plan
Bathtub 0 Shower 0 Ejector/Grind 0 DipWell 0 F Prep Sink 0 Gar Drain 0
Whirlpool 0 Floor Drain 0 Water Soffner 0 Drink Ftn 0 Serv Sink 0 Soda Disp 0
Lavatory 0 Lndry Tray 0 LocalWaste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
Toilet 0 Lndry Stndp 0 ClothesWshr 0 Ice Chest 0 FIr/Wst Sink 0 Int Grease Trap 0
Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0
Bar Sink 0 Dishwasher 0 Beer Tap 0 SculrySink 0 Wash Ftn 0 RPZValve 0
Water Heater 1 Sump Pump 0 Dent. Oper. 0 Hand Sink 0 Urinal 0 EyeWash Statn 0
Site Drain 0 Classrm Sink 0 Lab Sink 0 Plaster Sink 0 Standp Rec 0
Roof Drain 0 Breakrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0
Use/Nature Gas hot water heater from Kitz & Pfeil
of Work
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type
#
0
0
0
0
0
0
0
Conn. Type
Valuation $300.00 Plan Approval $0.00 Permit Fees $20.00 ~J Permit Voided
Issued By
Date
11/19/2003
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.
NOV-18-2003 WED 10:18 R~ KITZ & PFEIL
NO, 19202363348 P, O1
Plumbing Permit Application
. · ' bi~ on lhe prcmise~ hc~einaf~e~ descrlbcd, thc w&k to co~o~ ~o ~c
~ ~ __ / ~...-.-" .,- ~Renml ','"~Commercial ~Industrial
~nRie Fn~y ~D~plex ~Mum ~amlnY ~ .
Number of Fixtures: ' Dent. Opcr. ~ Shamp gink
~s~l - ~ Camh B~
Di{hw~h~ ~ w~h Fm
Ej~tnr/~ad ~ Gat ~in
~, Sink ~ E~m Sink
~oW~ -- ~ ~r~ Sink
Bidet ~ Sim
~ ~in ~ , S~ Sink
~e~ Tap ~ ~ ~f~in
C{~ Sink - ~ ~
~b Sink ~xt ~ ~ --
. Su~s Sink -
Electric Contractor
Use / Nature of Work~
[] l~IV form attached (IfP,~placcment)
Water Service ~
, Application(s) and fac(s) can be brought to City Hall, Room 205 or mailed to InspectiOn Services, PO Box 1128, Oshkosh WI
54903-1128. Coromancing w°rk with°ut permit(s) will result in fees being d°ubled or $100'00 plus the n°rmal pcml'nit fee'
which ever is greater. ' ~.~
C~heek /~ere t£ you wane ..~is processed U~rou,qh your aceou~ ·
Size Mamial Ty~