HomeMy WebLinkAbout0108656-Plumbing (water heater)OSHKOSH
ON THE WATER
Job Address 613 W NEW YORK AVE
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 GRACE M LAVOY
Category 411 - Residential-Water Heaters
0 Ejector/Grind 0 Dip Well 0 F Prep Sink
0 WaterSoftner 0 Drink Ftn 0 ServSink
0 LocaIWaste 0 Wait. St. 0 Shamp Sink
0 Clothes Wshr 0 Ice Chest 0 FIr/Wst Sink
0 Bidet 0 Exam Sink 0 Catch Basin
0 Beer Tap 0 SculrySink 0 Wash Ftn
0 Dent. Oper. 0 Hand Sink 0 Urinal
0 Lab Sink 0 Plaster Sink 0 Standp Rec
0 Sterilizer 0 Surgeons Sink 0 Ice Maker
No
Create Date
Plan
108656
06/03/2004
0 Gar Drain
0 Soda Disp
0 Coffee Maker
0 Int Grease Trap __
0 F. xt Grease Trap __
0 RPZ Valve
0 Eye Wash Statn
0
0
0
0
0
0
0
0
0
Use/Nature
of Work
INSTALL NG WTR HTR
Sanitary Sewer
Storm Sewer
Water Service
Size
Valuation $450.00 Plan Approval $0.00 Permit Fees
Issued By
Material Type #
Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
$20.00 [] Permit Voided J
Parcelld #
0501850000
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
AgentJOwner
Address 522 W. MURDOCKAVE OSHKOSH WI 54901 - 2298 Telephone Number 231-9880
To schedule inspections please call the Inspection Request line at 236-5'128 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.