HomeMy WebLinkAbout2003-Plumbing (water heater)OSHKOSH
ON THE WATER
,Job Address 831 WOODLAND AVE
Contractor M P KELLY
Bathtub 0 Shower
Whirlpool 0 Floor Drain
Lavatory 0 Lndry Tray
Toilet 0 Lndry Stndp
Res. Sink 0 Disposal
Bar Sink 0 Dishwasher
Water Heater 1 Sump Pump
Site Drain 0 Classrm Sink
Roof Drain 0 Breakrm Sink
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner AGNES C LALOND
Category 411 - Residential-Water Heaters
No 102972
Create Date 07/21/2003
Plan
0 Ejector/Grind 0 Dip Well 0 F Prep Sink 0 Gar Drain 0
0 WaterSoftner 0 Drink Ftn 0 ServSink 0 Soda Disp 0
0 Local Waste 0 Wait. St. 0 ShampSink 0 Coffee Maker 0
0 CIothesWshr 0 Ice Chest 0 FIr/Wst Sink 0 Int Grease Trap 0
0 Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0
0 Beer Tap 0 SculrySink 0 Wash Ftn 0 RPZValve 0
0 Dent. Oper. 0 Hand Sink 0 Urinal 0 Eye Wash Statn 0
0 Lab Sink 0 Plaster Sink 0 Standp Rec 0
0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0
Use/Nature SFR/Replace gas water heater.
of Work
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
$479.00 Plan Approval $0.00 Permit Fees
Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
$20.00
Date 07/21/2003
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 665 N MAIN ST OSHKOSH WI 54901 - 4431 Telephone Number
231-1750
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.
City of Oshkosh
Inspection Services Division
POBox 1130
Oshkosh, WI 54903-I 130
Phone: (920) 236-5050
Fax: (920) 236-5084
RECEIVED
JUL 2 1 2003
DEPARTMENT OF
CO UNIT¥ DEVELOPiV]ENT
Plumbing Permit Application
I hereby apply for a permit to do and install the followi.ng 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 ~eater.
OR
If you are a contractor participating in the Permit Fee Account System and have adequate funds, check here
if vou want this processed through your account [~
Job Address /7~ff//X~(:20~/~alue (Including laborand rr~terialsl.. ~ff ~'' ~O~ Date
Owner ~ ~7~ Contractor fffl,,~. ,~////, /e~.'Z.
ti~ingle Family [-]Duplex r-]Multi-Family [--]Rental [-]Commerelal [-]Indnstrial
Number of Fixtures:
Bathtub Lndry Standp Dent. Oper. Sl~amp Sink
Whirlpool Disposal Dip Well Flr/Wst Sink
lavatory Dishwasher Drink Fin Catch Basin
Toilet Sump Pump Wait. St. Wash Fm
Res. Sink Ejector/Grind Ice Chest Urinal
Bar Sink Water SoPoaer Exam Sink Gar Drain
Water Ueater "/ Local Waste Scutry Sink Soda Disp
~E Clothes Wshr Hand Sink Coffee Maker
Elect
Shower Bidet .... F Prep Sink lee Maker
Floor Drain Beer Tap Serv Sink Site Drain
Lndry Tray Classrm Sink Iht Grease Trap Roof Drain
lab Sink Surgeons Sink Ext Grease Trap St~dp Rec
Plaster Sink Breakrrn Sink
Sterilizer
Electric Contractor
~ (If Replacement)
S~e~ Material T~e ~ Co~. T~e '
S~ Sew~
Sto~ Sewer
Water Se~ice ~
O'R [-]Electric Installation Verifieatidn form attached
3/02