HomeMy WebLinkAbout0111479-Plumbing (water heater)OSHKOSH
ON THE WATER
Job Address 2390 GOLDEN AVE
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner DAVI D/BARBARA KERSZTYN
Contractor SAMMONS PLUMBING
Category 411 - Residential-Water Heaters
Bathtub 0 Shower 0 Ejector/Grind 0 DipWell 0 F PrepSink
Whirlpool 0 FloorDrain 0 Water Softner 0 Drink Ftn 0 Serv Sink
Lavatory 0 LndryTray 0 Local Waste 0 Wait. St. 0 Shamp Sink
Toilet 0 LndryStr~dp 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 Breakrm Sink 0 Sterilizer 0 Surgeons Sink 0 [ce Maker
No 111479
Create Date 11/03/2004
Plan
0 Gar Drain
0 Soda Disp
0 Coffee Maker
0 Iht Grease Trap
0 Ext 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 $600.00 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
Parcel Id #
0617890000
Date 11/03/2004
In the performance of this work, I agree to perform all work pumuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a pady, 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 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.