HomeMy WebLinkAbout0110337 POSHKOSH
ON THE WATER
,lob Address 322 N WESTHAVEN DR
Contractor SAMMONS PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner JAY R/MARY L TACK
Category 4f 1 - Residential-Water Heaters
Bathtub 0 Shower 0 Ejector/Grind 0 DipWell 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 Lndry Stndp 0 Clothes Wshr 0 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 I Sump Pump 0 Dent. Oper. g 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
No 1'10337
Create Date 09/02/2004
Plan
0 Gar Drain 0
0 Soda Disp 0
0 Coffee Maker 0
0 Iht Grease Trap 0
0 Ext GreaseTrap 0
0 RPZ Valve 0
0 EyeWash Statn 0
0
0
Use/Nature
of Work
KEPLACE WATER HEATER
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
Valuation $500.00 Plan Approval $0.00 Permit Fees
Issued By
Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
$20.00 [] Permit Voided
Parcel Id #
0622230000
Date 09/02/2004
In the per[ormance 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 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 per[ormed within two business days from the time the project is ready.