HomeMy WebLinkAbout0105735-Plumbing (water heater)CITY OF OSHKOSH
105735
No
OSHKOSHPLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address1423 POWERS STOwnerJOHN R HASKAMPCreate Date12/12/2003
ContractorRANSOM, JOHN DCategoryPlan
411 - Residential-Water Heaters
Bathtub0Shower0Ejector/Grind0Dip Well0F Prep Sink0Gar Drain0
Whirlpool0Floor Drain0Water Softner0Drink Ftn0Serv Sink00
Soda Disp
Lavatory00Local Waste0Wait. St.0Shamp Sink00
Lndry TrayCoffee Maker
Toilet00Clothes Wshr0Ice Chest0Flr/Wst Sink0
0
Lndry Stndp
Int Grease Trap
Res. Sink00Bidet0Exam Sink0Catch Basin0
Disposal0
Ext Grease Trap
Bar Sink000Wash Ftn0
Beer Tap0Sculry Sink
Dishwasher
RPZ Valve0
Water Heater100Urinal0
Sump PumpDent. Oper.0Hand Sink
0
Eye Wash Statn
Site Drain000Standp Rec0
Classrm SinkLab Sink0Plaster Sink
Roof Drain000Ice Maker0
Breakrm SinkSterilizer0Surgeons Sink
Use/Nature SFR/ Install gas water heater for Kitz & Pfeil.
of Work
SizeMaterialType#Conn. Type
Sanitary Sewer0
0
0
0
0
Storm Sewer0
0
0
0
0
Water Service0
0
0
0
0
$0.00Permit Voided
Valuation$375.00Plan ApprovalPermit Fees$20.00
Issued ByDate12/12/2003
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.
Date
Signature
Agent/Owner
AddressW5056 PARADISE LNFOND DU LACWI54935-0000Telephone Number920-922-1987
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.
DEC -11 -2003 THU 10 58 AM KITZ & PFEIL FAX NO, 19202363348 P. 01
My of Oshkosh
0.1.16 '
ospection Services Division / fl \� J
( (�
' O Box 1130
)ehkosb, WI 54903 -1130 (-��/ 1
'bone: (920) 236-5050 ON THE WA ER
WE: (920) 236 -5084
Plumbing P lication
A
I hereby apply 1 Y for a permit to do and install the following plumbing on the premises hereinafter described, the work to conform to the
e Plumbing State Plumbing Code, in the performance of which all patties hereto agree to and ace bound by said statutes.
Job Address WV_ Value (Including labor and orris) a
7S. Ante //` 1 /`
Owner to Contractor
9 iSingle Family []Duplex IMulti- Family Oftental OCommercial []Industrial
Number of Fixtures: ghq Sink
Lndry Sr■ndp ' Dent Open.
Bathtub tlr/Wat Sink
Clisposal Dip Well
Whirlpool Drink Ft<r Catch Basin
Lavatory Dishwasher �� Wash Fm
Sump Pump Wait. Si
Tara Ice Char Urinal
Res. Sink Ejector/Grind Uri Drain
Bar Sink Water Softer Exam Sink _ Gar
X Sculry Sink Soda a:p
Water Heater Local Waste
Hand Sink Coffee Maker
Shower Clothes Water Coffee
Bidet F Prep Sink
Floor Drain Site grain
Bear Tap Sery Sink
Wry TnY Roof thin
Lab Sink Gleason Sink Ina Grease Trap
Plaster Sink s Sink
Fxt Grace Trap Sttardp Rose .
Ststitiaer Brun Sink
Electric Contractor 0R 0 EIV form attached (If Replacement)
r
Use / Nature of Work _p... - .i.. .
•
Size Material Type N Conn. Type
Sanitary Sewer KITZ et PFEIL WO.
427 N. E��1 MAIN ST.
Storm sewer OSHKOSH, WI 54901
Water Service
• Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128, Oshkosh WI
54903 -1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the normal permit fee,
which ever is greater.
OR
Check here if you want Chis p th r0u h ur ac22UnC n/�
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