HomeMy WebLinkAbout2002-Plumbing (water heater)OSHKOSH
ON THE WATER
,;ob Address 668 W 4TH AVE
Contractor MEYER PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
Owner GEORGE F OAKS JR
Category 411 - Residential-Water Heaters
Bathtub 0 Shower 0 Ejector/Grind 0 DipWell 0 F prep Sink 0
Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 Serv Sink 0
Lavatory 0 Lndry Tray 0 Local Waste 0 Wait. St. 0 Shamp Sink 0
Toilet 0 Lndry Stndp 0 Clothes Wshr 0 Ice Chest 0 FIr/Wst Sink 0
Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0
Bar Sink 0 Dishwasher 0 BeerTap 0 SculrySink 0 Wash Ftn 0
Water Heater 1 Sump Pump 0 Dent. Oper. 0 Hand Sink 0 Urinal 0
Site Drain 0 Classrm Sink 0 Lab Sink 0 Plaster Sink 0 Standp Rec 0
Roof Drain 0 Breakrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0
No 98361
Create Date
Plan
10/31/2002
Gar Drain 0
Soda Disp 0
Coffee Maker 0
Int Grease Trap 0
Ext Grease Trap 0
Use/Nature SFPJ Replace gas water heater. * Late permit, work done one month ago per owner.
of Work
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
Valuation $430.00 Plan Approval $0.0(~ Permit Fees
Issued By
Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
$20.00
Date 11/04/2002
[] Permit Voided j
In the performance of this work, I agree to perform all work pursuant to rules goVerning the described construction.
Signature Date
Agent/Owner
Address PO BOX2783 OSHKOSH WI 54903 - 2783 TelePhone Number
City of Oshkosh
Inspection Services Division
P O Box 1130 ~
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
Plumbing Permit Application
I hereby apply for a permit to do and install the following plumbing on the premises hereinafter described, the work to conform to the
Wisconsin State Plumbing Code, in the performance of which all parties hereto agree to and are bound by said statutes.
Job Address ~a~g~'~c/ q7~Fd Value (Including labor and materials) ~,.~) OO Date /~)-~/-~2
Owner ~,~9~ t~% J~-Contractor ~-'J//gf ~ /~~ ~9
fSingleFamily [--]Duplex [--]Multi-Family [-]Rental [--]Commercial [-']Industrial
Number of Fixtures:
Bathtub Lndry Standp Dent. Oper. Shamp Sink
Whirlpool Disposal Dip Well Flr/Wst Sink
Lavatory Dishwasher Drink Ftn Catch Basin
Toilet Sump Pump Wait. St. Wash Ftn
Res. Sink Ejector/Grind Ice Chest Urinal
Bar Sink Water Softner Exam Sink Gar Drain
Water Heater I Local Waste Sculry Sink Soda Disp
Shower Clothes Wshr Hand Sink Coffee Maker
Floor Drain Bidet F Prep Sink Ice Maker
Lndry Tray Beer Tap Serv Sink Site Drain
Lab Sink Classrm Sink lnt Grease Trap Roof Drain
Plaster Sink Surgeons Sink Ext Grease Trap Standp Ree
Sterilizer Breakrm Sink
Electric Contractor
Use / Nature of Work
Sanitary Sewer
Storm Sewer
Water Service
OR
[] EIV form attached (If Replacement)
Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128, Oshkosh WI
54903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the normal permit fee,
which ever is greater.
OR
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