HomeMy WebLinkAbout0109520-Plumbing (water heater)OSHKOSH
ON THE WATER
Job Address 1055 ALPINE CT
Contractor SAMMONS PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner GERALD F HENDRICKSON
Category 411 - Residential-Water Heaters
No 109520
Create Date 07/22/2004
Plan
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 I Sump Pump
Site Drain 0 Classrm Sink
Roof Drain 0 Breakrm Sink
Use/Nature
of Work
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 Shamp Sink 0 Coffee Maker 0
0 Clothes Wshr 0 Ice Chest 0 FIr/Wst Sink 0 Iht Grease Trap 0
0 Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0
0 Beer Tap 0 Sculry Sink 0 Wash Ftn 0 RPZ Valve 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
INSTALL NG WTR HTR
Sanitary Sewer
Storm Sewer
Water Service
Valuation $600.00 Plan Approval
Issued By
Size Material Type #
$0.00 Permit Fees
Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
$20.00 [] PermitVoidedI
Parcelld #
1525310000
Date 07/23/2004
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 522W. 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.