HomeMy WebLinkAbout0103135-Plumbing (water heater)OSHKOSH
ON THE WATER
,Job Address 2900 UNIVERSAL ST
Contractor M P KELLY
Bathtub 0 Shower 0
Whirlpool 0 Floor Drain 0
Lavatory 0 Lndry Tray 0
Toilet 0 Lndry Stndp 0
Res. Sink 0 Disposal 0
Bar Sink 0 Dishwasher 0
Water Heater 1 Sump Pump 0
Site Drain 0 Classrm Sink 0
Roof Drain 0 Breakrm Sink 0
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner CREDIT UNION CITIZENSFIRST
Category 411 - Residential-Water Heaters
No 103135
Create Date 07/28/2003
Plan
Ejector/Grind 0 DipWell 0 F Prep Sink 0 Gar Drain 0
Water Softner 0 Drink Ftn 0 Serv Sink 0 Soda Disp 0
LocalWaste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
ClothesWshr 0 Ice Chest 0 FIr/Wst Sink 0 Int Grease Trap 0
Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0
Beer Tap 0 Sculry Sink 0 Wash Ftn 0 RPZ Valve 0
Dent. Oper. 0 Hand Sink 0 Urinal 0 EyeWash Statn 0
Lab Sink 0 Plaster Sink 0 Standp Rec 0
Sterilizer 0 Surgeons Sink 0 Ice Maker 0
Use/Nature COMM/Replace electric water heater.
of Work
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size
$434.00 Plan Approval $0.00 Permit Fees
Material Type #
Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
$20.00
Date 07/28/2003
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.
Inspection Services Division
P O Box 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
JUL 2 8 200J om,
Plumbing Permit
.
I hereby apply fora pe~, 'O do and install the following plumbing on the pre~ses hereina~r~~work to co~o= 'o the
Wisconsin State Plumbing Code, in the perfo~nce of which all pa~es hereto a~ee to and are bo~d by said smites.
Application(s) and fee(s) can be brought to CiW Hall, Room 205 or mailed to ~spection S~ces, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without pemit(s) will result in fees being doubled or $100.00 plus the
nomal p~it fee, which ever is ~eater.
OR
![you are a contractor participating in the Permit Fee Account System and have adequate funds, check
if you want this processed through your account ~
Owner ~l~Contraetor ~ ~//M,
~Single Family ~Duplex ~Multi-Family ~Rental ~Commermal
["]Industrial
Number of FiXtures:
Bathtub Ladry Standp Dent. Oper. Shamp Sink
Whirlpool Disposal Dip Well F]r/Wst Sink
Lavatory DishWasher Drink Fm Catch Basin
Toilet Sump Pump Wait. St. Wash Fm
Res. Sink Eje~tur/Grind ice Chest Urinal
Bar Sink Water Sofmer Exam Sink Gat Drain
Water Heater ~ Local Waste Sculry Sink Soda Disp
~ Gas~f...Elect D PwrVnt Clothes Wshr Hand Sink Coffee Maker
Shower
Bidet F Prep Sink ice Maker
Floor Drain ....
Beer Tap Serv Sink Sile Drain
Lndry Tray Classrm Sink Iht Grease Trap Roof Drain
Lab Sink
Surgeons Sink Ext Grease Trap Standp Rec
Plaster Sink
Breaknn Sink
Sterilizer ' '
Electric Contractor O~R [--]Electric Installation VerificatiOn form attached
, (If Replacement)
'Use, Natareof Work ~1~O-C~' ~)"--0 {~{~--j re- _ _ ~_ _ · ~4
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
3/02