HomeMy WebLinkAbout0109768-Plumbing (water heater)OSHKOSH
ON THE WATER
Job Address 421 STANLEY 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 No 109768
PLUMBING PERMIT - APPLICATION AND RECORD
Owner MR/MRS JEFFREYTYRIVER Create Date 08/03/2004
Category 411 - Residential-Water Heaters Plan
Ejector/Grind 0 Dip Well 0 F Prep Sink 0 Gar Drain 0
Water Soffner 0 Drink Ftn 0 Serv Sink 0 Soda Disp 0
Local Waste 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 GreaseTrap 0
Beer Tap 0 Sculry Sink 0 Wash Ftn 0 RPZ Valve 0
Dent. Oper. 0 Hand Sink 0 Urinal 0 Eye Wash Statn 0
Lab Sink 0 Plaster Sink 0 Standp Res 0
Sterilizer 0 Surgeons Sink 0 Ice Maker 0
Use/Nature
of Work
INSTALL NG WTR HTR
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
$550.00 Plan Approval $0.00 Permit Fees $20.00 [] PermitVoided
Parcelld #
1209130000
Date 08/04/2004
In the performance of this work, I agree to perform all work pursuant to rules governing the described construc[ion.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you pe[form 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 522 W. 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.