HomeMy WebLinkAbout0102106-Plumbing (water heater)OSHKOSH
ON THE WATER
Job Address 217 BOWEN ST
Contractor M P KELLY
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner B J RENTALS LLC
Category 441 - industrial-Water Heaters
Bathtub 0 Shower 0 Ejector/Grind 0 DipWell 0 F Prep Sink
Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 Serv Sink
Lavatory 0 LndryTray 0 LocaIWaste 0 Wait. St. 0 Shamp Sink __
Toilet 0 LndryStndp 0 CIothesWshr 0 Ice Chest 0 FIr/Wst Sink __
Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin __
Bar Sink 0 Dishwasher 0 Beer Tap 0 Sculry Sink 0 Wash Ftn
Water Heater 0 Sump Pump __~0 Dent. Oper. 0 Hand Sink 0 Urinal
Site Drain 0 Classrm Sink 0 Lab Sink 0 Plaster Sink 0 Standp Rec
Roof Drain 0 Breakrm Sink ~0 Sterilizer 0 Surgeons Sink 0 Ice Maker
No 102106
Create Date 06/11/2003
Plan
0 Gar Drain 0
0 Soda Disp 0
0 Coffee Maker 0
0 Int Grease Trap 0
0 Ext Grease Trap 0
0
0
0
0
Use/Nature
of Work
3OMM/Replace gas water heater.
Sanitary Sewer
Storm Sewer
Water Service
Valuation $504.00 Plan Approval
Issued By
Size Material Type #
Corm. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
$0.00 Permit Fees $20.00
Date 06/11/2003
[~ Perm~it Voide~
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 MAtN ST OSHKOSH WI 54901 - 4431 Telephone Number 231-1750
City of Oshknsh
Inspection Serv/ces Division
POBox 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
RECEIVED
JUN 0 9 200,5
DEPARTMENT OF
Date
O..O__ZHKO.
'3Ot MUNITY DEVELOPMENT
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 ~eater.
OR
If Fou are a contractor participating in the Permit Fee Account SFstem and have adequate funds, check here
if vou want this processed through Four account [-~
Job Address ~/7 ~ Value (mc,udinglahorand matemlsL~-~~ -~ 0'6/
~lSingle Family [-]Duplex [-]Multi-Family ["-]Rental ~/ommercial [-Ilndustrial
Number of Fixtures: ....
Bathtub Lndry Standp
Whirlpool Disposal Dip Well . FIr/Wst Sink
Lavatory Dishwasher Drink Fm Catch Basin
Toilet Sump Pump Wait. St. Wash Fm
Res. Sink Ejector/Grind Ice Chest Urinal
Bar Sink Water Sofmer Exam Sink Gar Drain
Watert~e~ter ~ Local Waste Sculry Sink Soda Disp
[~s E Elect 72 pwrVnt Clothes Wshr Hand Sink Coffee Maker
Shower Bidet .... F Prep Sink Ice Maker ·
Floor Drain Beer Tap Serf Sink Site Drain
Lndry Tray Classrm Sink lnt Grease Trap Roof Drain
Lab Sink Surgeons Sink Ext Grease Trap Standp Rec
Plaster Sink Breakrm Sink
Sterilizer
Electric Contractor
'use / Nature of Work ~
(If Replacement)
dR [-]Electric Installation Verificati6n form attached
Sanitary Sewer
Storm Sewer
Size Material Type
# Conn. Type
Water Service
3/02