HomeMy WebLinkAbout0106338-Plumbing (water heater) � CITY OF OSHKOSH wo 106338
OSHK��H PLUMBING PERMIT -APPLICATION AND RECORD
ON TNE WATER f`'�� �
Job Address 1712 GRABER ST Owner ROBERT A BREHM Cr te"�Date�0 05/2004
�(�c�-'
Contractor RANSOM,JOHN D Category 411 -Residential-Water Heaters Plan -
Bathtub 0 Shower 0 Ejector/Grind 0 Dip Weli 0 F Prep Sink 0 Gar Drain 0
Whiripooi 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 Serv Sink 0 Soda Disp 0
Lavatory 0 Lndry Tray 0 Local Waste 0 Wait.St. 0 Shamp Sink 0 Coffee Maker 0
Toilet 0 Lndry Stndp 0 Clothes Wshr 0 Ice Chest 0 Flr/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 Sculry Sink 0 Wash Ftn 0 RPZ Valve 0
Water Heater 1 Sump Pump 0 Dent.Oper. 0 Hand Sink 0 Urinal 0 Eye Wash Statn 0
Site Drain 0 Classrm Sink 0 Lab Sink 0 Plaster Sink 0 Standp Rec 0
Roof Drein 0 Breakrm Sink
Use/Nature FR/GAS WATER HEATER
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
� Parcel Id#
� 1524650000
Valuation $369.00 Plan Approval $0.00 Permit Fees $20.00 ❑ Permit Voided I
Issued By /j�L.`/) Date 02/05/2004
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 activiry.
Signature Date
AgenUOwner
Address W5056 PARADISE LN FOND DU LAC WI 54935 -0000 Telephone Number 920-922-1987
To schedule inspections please call the Inspection Request line at 236-5728 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.