HomeMy WebLinkAbout0108659-Plumbing (water heater)OSHKOSH
ON THE WATER
.lob Address 628 FREDERICK ST
Contractor SAMMONS PLUMBING
Bathtub 0 Shower
Whirlpool 0 Floor Drain
Lavatory 0 Lndry Tray
Toilet 0 Lndry Stndp
Res. Sink 0 Disposal
Bar Sink 0 Dishwasher
Water Heater 1 Sump Pump
Site Drain 0 Classrm Sink
Roof Drain 0 Breakrm Sink
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner MICHAEL E/MARIA STOUT JR
Category 411 - Residential-Water Heaters
No 108659
Create Date 06/03/2004
Plan
0 Ejector/Grind 0 Dip Well 0 F Prep Sink 0 Gar Drain 0
0 WaterSoftner 0 Drink Ftn 0 ServSink 0 Soda Disp 0
0 Local Waste 0 Wait. St. 0 ShampSink 0 Coffee Maker 0
0 CIothesWshr 0 Ice Chest 0 FIr/Wst Sink 0 Int Grease Trap 0
0 Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0
0 Beer Tap 0 SculrySink 0 Wash Ftn 0 RPZValve 0
0 Dent. Oper. 0 Hand Sink 0 Urinal 0 Eye Wash Statn 0
0 Lab Sink 0 Plaster Sink 0 Standp Rec 0
0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0
Use/Nature
of Work
INSTALL ELEC WTR HTR *EIV SLIM'S ELEC
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 $900.00 Plan Approval $0.00 Permit Fees $20.00 ~ Permit Voided
Issued By
Parcel Id #
0703650000
Date 06/11/2004
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 522W. MURDOCKAVE OSHKOSH WI 54901 - 2298 Telephone Number
231-9880
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 .'SAMMONS PLUMBING FAX NO. :9~02318485 Jun, 0~ ~004 12:04PM P8
Electric Imtallali~ Verlficatio~
SLIM'S ELECTRIC INC.
......... (]~le~ri~d Coa~ N=,~e) '
2608 Oakwood Circle Oshkos~ .........WI ~
(~) (~) ~e) (~p c~)
~~.~..~~i~m~ Sammon's Plum, ,
~of~M~)
· ~~ 628 Fre~,ck St ...........
't'he mmm'e of the wodc e,~st~ e~ (Check One ~ De~fibe the Nalme of Wmk)
l'm vd~ot'this w~ i~ $ 60.00
I hereby verify ,bls wm~ wgl be perfoflned by m employee of thi~ compny and father v~fy
'(Sipatme ~~) (t~dm Nme of oma, f) (D~)