HomeMy WebLinkAbout0102752-Plumbing (water heater)OSHKOSH
ON THE WATER
,Job Address 1495 MARICOPA DR
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 MARY N GIFFIN
Category 411 - Residential-Water Heaters
Ejector/Grind 0 DipWell 0 F Prep Sink 0
Water Softner 0 Drink Ftn 0 Serv Sink 0
LocalWaste 0 Wait. St. 0 Shamp Sink 0
ClothesWshr 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 102752
Create Date 07/11/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature SFR/Install gas water heater for Kitz & Pfeil Inc.
of Work
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size
$375.00 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
07/11/2003
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
, :~UL-09-2003 NED 02:22 P~I
City of Oshkosh
Inspection Services Division
P O Boz ! 130
Oshkosh, WI
Phone: (920)
Fax: (920) 236-$084
KITZ&PFEIL
920 236 3348
P, O1
Q/HKO H
Plumbing Permit Application
I hereby apply for a permit to do and i~s~a]l the following plumbing on the premises hereiniffiet described, the work to com+'otm to the
Wisconsin Sate Plumbing Code, in the performance of which all pardes hereto agnee to and arc bound by said statutes.
:Owner 0'~..~.,,, ~'ff~%/,.~,./ 'Contractor U~J-~,~ ./f~.~_,~- '
' ~]$1agle Family ~Duplex DMaltl-Famdy [--]R&tai [-]Commerciai [~Industrial
Number of Fixtures:
Bathtub ~ Lndo/Slandp ~ Dent. Op~r. ghnmp Sink
~lg~l D~osal Dip Well .... F~st Sink
R~ ~nk : Ejector/GriM Icc Ch~t
~r Sink Wal~ S0~ ~a~ Sink G~r
.Electric Contractor
Use l Nature of Work
Size Material '=' TFi~ .ii Conn. Type
Smnn Sewer
Water Sea'vice
Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection S~rvices, PO Box 1128, Oshkosh WI
54903-1128. Commencing work wilhout permit(s) wil! result in fees being double, dot $100.00 plus the normal permit fee,
which ever is greater.
C~e¢~ ~¢re if you wane ~his pro~esaed ~hrouffh,.your account
427 N. MAIN ST,
OSHKOSH, W1 54901