HomeMy WebLinkAbout0111483-Plumbing (water heater)OSHKOSH
ON THE WATER
Job Address 123 N LARK ST
Coetractor SAMMONS PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner HELEN F PAULIK
Category 411 - Residential-Water Heaters
No 111483
Create Date 11/03/2004
Plan
Bathtub 0 Shower 0 Ejector/Grind 0 DipWell 0 F Prep Sink
Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 ServSink
Lavatory 0 LndryTray 0 Local Waste 0 Wait. St. 0 Shamp Sink
Toilet 0 LndryStndp 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 1 Sump Pump 0 Dent. Oper. 0 Hand Sink 0 Urinal
Site Drain 0 Classrm Sink 0 Lab Sink 0 Plaster Sink 0 Standp Rec
Roof Drain 0 Breakrrn Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker
Use/Nature
of Work
0 Gar Drain 0
0 Soda Disp 0
0 Coffee Maker 0
0 Int Grease Trap 0
0 Ext Grease Trap 0
0 RPZ Valve 0
0 Eye Wash Statn 0
0
0
INSTALL NG WTR HTR
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 $550.00 Plan Approval $0.00 Permit Fees $20.00 [] Permit Voided
Issued By
Parcelld #
0609100000
Date 11/03/2004
rn 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 strengly 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.