HomeMy WebLinkAbout0103511-Plumbing (water heater)OSHKOSH
ON THE WATER
.lob Address 1871 STILLMAN DR
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 CHARLES H DYSON/G GRD C TRUST
Category 441 - Industrial-Water Heaters
No 103511
Create Date 08/13/2003
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 IND/Install electric water heater. *EIV form from Precision Electric.
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
0
0
Valuation $1,370.00 Plan Approval $0.00 Permit Fees $20.00 ~ Permit Voided
Issued By
Date 08/13/2003
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the
easement holder(s) and to secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address 1303 MIDWAY RD, PO BOX 118 MENASHA WI 54952 - 1129 Telephone Number
800-801-8125,733-81
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
08/12/2009 19:16 P.O02
City of Oshkosh
In.spoetion Services Division
P O Box 1
Oshkosh, ~ S4~3-1130
Pho~: (920) 2~6-5050
~nx: (920) 236-5094
· Plumbing Permit Application
I hereby apply for a permit to do and inatall tho following plumbing on hhc pr~rnises h~r~inafier d~cribed, th~ work to conform to the
Wisconsin ~lat¢ Plumbing Code, in +.he performance of which all parties h~rcto agree to and are.bound by aaicl ~amtc$,
· Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to hsP¢~tion Services, PO Box 1125,
Oshkosh WI $4903-,112g. Commen¢ing work without permit(s) will resultin fees being doubled or $I00.00 plusthe
normal p~.,it icc, which ever is ~reater. · ,
OR
If vou,~tre a contractor oartlcioati~ in the Permit F.~e dcequq$ Sys'.em and hav~ adeat~atg funds, check here
lf ¥ou want this nroce~ed through your account/[~
Job Address /~f'~/J~.'~'.~.~/o,.~. Value (~.ai.s~,~r~.a ~.~,) /~, ~ Date~
Owner ~~ ~ 'ConWa~or ~~~
~Single Fa~ly ~Dupl~ ~Mu~-Family ~Ren~l ~Commerei~ ~Industrial
Number of FiXtures:
Bathtub Lndry $~m~dp , , Deal, Op~r, ~hamp ~ink
Electric Contractor
Use / Nature of Work
/~lectric InS~li~tion VerificatiOn form attnebed
(if Reph~gnr)
Size Material Typg. # Coan. Type
Sani~ry Sew~
Storm Sewer
Water Service
From:
: Pr~ct~lo~ ~]ectrl~ Inc , ~ NO. :
08/12/2003 13:16 ~990 P.O03
li:lectric Installation Verification
~ Name of Officer)