HomeMy WebLinkAbout0102585-Plumbing (water heater)OSHKOSH
ON THE WATER
,Job Address 312-322 BROAD ST
Contractor D.R. HANSEN PLBG.
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner JEFFREY J/SUE A WICINSKY
Category 411 - Residential-Water Heaters
No 102585
Bathtub 0 Shower 0 Ejector/Grind 0 Dip Well 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 Clothes Wshr g 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 SculrySink 0 Wash Ftn
Water Heater 1 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
Use/Nature [
of Work Replace water heater in 322 Broad St.
Create Date 07/02/2003
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
Sani~rySewer
Storm Sewer
Water Service
Size Material Type #
Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Valuation $350.00 Plan Approval $0.00 Permit Fees $20.00
Issued By
Date 07/02/2003
[] Permit Voided
in the performance of this work, I agree to perform all work pursuant to rules goveming the described construction.
Signature Date
Address 55 KNAPP ST OSHKOSH WI 54902 - 0000 Telephone Number 233-1595