HomeMy WebLinkAbout0103240-Plumbing (water heater)OSHKOSH
ON THE WATER
.lob Address 704 OTTER AVE
Contractor WATTERS PLUMBING
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 THOMAS N ZlEBELL ETAL
Category 411 - Residential-Water Heaters
No 103240
Create Date 07/31/2003
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
LocaIWaste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
CIothesWshr 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 DUPLEX/RENTAL/Replace gas water heater (warranty replacement).
of Work
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
$150.00 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 07/31/2003
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 1303 MIDWAY RD, PO BOX 118 MENASHA WI 54952 - 1129 Telephone Number
800-801-8125,733-81
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.
From:
07/3172008 10:15 ,g001 P.O02
City of Oskkod~
Inspection S~'vi¢cs Division
P 0 Box 1150
Oshkosh, WI ~4903-1130
Phone: (920) 236-50~0
Fax: (920) 236-5084
'Plumbing Permit Application
I hereby apply for a permit tO do and imtall the following plumbing on the prcmiscs hereinafter dcscribod, thc work to conform to the
Wisconsin .Stole Plumbing Code, ia the perforlmmce of which all partins hereto agree to and ara. bound by said ~lam~s.
· Application(s) and fee(s) can be brought to City Hall, Room 205 or rnail~ to Inspaotion $l~wices PO Box 1128,
Oshkosh W'I $4903-1128. Commencing work without I,~,,.it(s) will result in fees being doubl~ or $100.00 plus thc
normal permit fee, which ever is ~reater.
O~
~lrl~OU ar_e a contractor t~artlctoatiRg in the Permit l~ea /lqcount System t~nd have adequate fund~, check hare
if vou want this orocex$ed through poor accaont~
JobAddress ~'~z/~.~7'x_.e .~t/~ Valne(~du~i.s,~a~d,,.~.~,) ~/=~'Z~.c~ Date
Owner ~ ~/~',~Y~=c- 'ContraCtor ~.~-~"/'~'~.1 ~ff'..,~.~' '
[-'lSingle Family ['=]Duplex [=']Multi-Family ~Rental [=']Commercial f-[Industrial.
Number of FiXtures:
Electric Contractor
Use / Nature of Work
~anitary Sewer
Storm Sewer
Wawr Se~4ce
[~Klectric Instaflltion Veriflcati5n form attached
(If R~l~tlt-at)
l~terial Type. ii Com~. T~pe