HomeMy WebLinkAbout0102798-Plumbing (water heater)OSHKOSH
ON THE WATER
Job Address 1106 FILLMORE AVE
Contractor SOPER PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner LAWRENCE LLOYD/SHERRY LLOYD
Category 411 - Residential-Water Heaters
Bathtub 0 Shower 0 Ejector/Grind 0 Dip Well 0 F Prep Sink 0
Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 ServSink 0
Lavatory 0 Lndry Tray 0 Local Waste 0 Wait. St. 0 Shamp Sink 0
Toilet 0 Lndry Stndp 0 Clothes Wshr 0 Ice Chest 0 FIrNVst Sink 0
Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0
Bar Sink 0 Dishwasher 0 Beer Tap 0 Sculry Sink 0 Wash Ftn 0
Water Heater I Sump Pump 0 Dent. Oper. 0 Hand Sink 0 Urinal 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
No 102798
Create Date 07/14/2003
Plan
Gar Drain 0
Soda Disp 0
Coffee Maker 0
Int Grease Trap 0
Ext Grease Trap 0
Use/Nature SFR/Replace gas water heater.
of Work
Sani~rySewer
Storm Sewer
Water Service
Valuation $425.00 Plan Approval $0.00
Issued By ~/~v~
[] Permit Voided~
Size Material Type
# Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Permit Fees $20.00
Date 07/14/2003
In the performance of thi%,~ork, I agre~,,t<Cperform all work pursuant to rules governing the described construction.
Signature ~..,.~,~ Date
,,~'t -//'~ - ~ 0-"'~- Agent/Owner
Address 2225 BURNWOOD DR Oshkosh WI 54902 - 0000 Telephone Number
426-2151
City of Oshkosh
Inspection Services Division
POBox 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
O/HKO/H
Plumbing Permit Application
I hereby apply for a permit to do and install the following plumbing on the premises hereinafter described, the work to conform to the
Wisconsin State Plumbing Code, in the performance of which all parties hereto agree to and are bound by said statutes.
· 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
If you are a contractor participating in the Permit Fee Account System and have adequate funds, check here
if you want this processed through your account [~
Job Address //~O~ .~ ~ ~'~,~ Value (Including l~bor and n~t~als)
Owner /t,,f,~ ~ /~,~.v'_.,O Contractor
[~Single Family [-1Duplex E~Multi-Family [~Rental [--1Commercial
Date
[-']Industrial
Number of Fixtures:
Bathtub Lndry Standp Dent. Oper.
Whirlpool Disposal Dip Well
Lavatory Dishwasher Drink Ftn
Toilet Sump Pump Wait. St.
Res. Sink Ejector/Grind Ice Chest
Bar Sink Water Softuer Exam Sink
Water Heater ~ Local Waste Sculry Sink
J~Gas 13 Elect I2 pwrVnt Clothes Wshr Hand Sink
Shower Bidet F Prep Sink
Floor Drain Beer Tap Serv Sink
Lndry Tray Classrm Sink Iht Grease Trap
]Lab Sink Surgeons Sink Ext Grease Trap
Plaster Sink Breakrm Sink
Sterilizer
Shamp Sink
Flr/Wst Sink ·
Catch Basin
Wash Ftn
Urinal
Gar Drain
Soda Disp
Coffee Maker
Ice Maker
Site Drain
Roof Drain
Standp Rec
Electric Contractor
OR
[-1Electric Installation Verification form attached
(If Replaccwaent)
Use / Nature of Work
Sanitary Sewer
Size Mater/al Type
# Conn. Type
Storm Sewer
Water Service
3/02