HomeMy WebLinkAbout2002-Plumbing (water heater)OSHKOSH
ON THE WATER
Job Address 657 W 4TH AVE
CITY OF OSHKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
Owner TIMOTHY J/KARl RUSCH
Contractor GLAZE PLUMBING 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 ServSink 0
Lavatory 0 Lndry Tray 0 Local Waste 0 Wait. St. 0 Shamp Sink 0
Toilet 0 LndryStndp 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 I 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 98406
Create Date 11/04/2002
Plan
Gar Drain 0
Soda Disp 0
Coffee Maker 0
Int Grease Trap 0
Ext G tease Trap 0
Use/Nature SFR/Install gas water heater.
of Work
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
Valuation $505.00 Plan Approval $0.00 Permit Fees $20.00
Issued By
Date 11/04/2002
[] Permit VoidedI
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature Date
Agent/Owner
Address 1865 JAMES RD OSHKOSH WI 54904 - 6873 Telephone Number
589-4014
City .o f ():;ttkosh
'Inspect/on Services Division
P O Box i 130
Oshkosh, WI 54903-1130
Phone: (9:.>0) 236-5050
Fax: (920)236-5084
~le Family [~Duplex ~'-'lMulti-Family ["'}Rental []Commercial
Plumbing permit Application
hereby apply for a permit to do and t~tall .the fotlowim, plumbing on the prernises hereinafter described, the work to cord%rm to the
:~sconsm State Plumbing Code,. m the peribrmance of which all parties hereto agree to and are. bound by said statutes.
Application(s) and fee(s) can be broaght to Cig.' Hall, Room 205 or marled to Inspect/on Services, PO Box 1128,
Oshkosh WI 54903-1 I28. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
nomml permit fee, wtfich ever is greater, '
OR
l~ou a.r_,~ a contrac~ ti~e Permit Fee ,tccount Svstem..and
~ant th~s pro~ h_qve a.d~qu~te funds, ~hb~k ~
Job Address ~g~"7. V L~,,~_
,,/ ,C'5'e2L~
[~jlndustrial
Number of Fixtures: . ~ t~
RECeiVED
Bathtub ~ Lndry Smndp Dent. Opm-. Shamp Sink
Whirlpoal Disposal
Lavat°D' -- Dishwasher N~ 4 2[J04 --'--'-- Fir/dst Sink
~~ Dr/nk Ftn '---'--
Toilet ~ Sump P'-'m D£PtR £NT OF _ _
Ilar Sink Water Softnet .... Urinal
~ Gar Drain _
~,¥aJer Heatur j IL.OCai Waste Sculry Si~k -'
E-~as £ t:lect £ P~wVnt Clmhcs Wshr - Soda Disp
Shower Hand Sink
~ Bidet ---- Coffee Maker
i:16oF~in .. F Prep Sink lee Make
Lhdry Tray Be'~ Tap Sem' Sink :'~ ....... ~ ~':~ '~' '" -------'
..... Classm] Sink ..... ~ Site
Lab Si'~k Iht Grease Trap ~ Roof Drain
~* ..... ~ Surgeons Sink E×t Grease Trap ------- Standp
Piaster Sink ~ Breaksm Sink
SteriliZer
Electric Contractor O~ [--]Electric Installation Verificatidn form attached
(If Replacement)'
She Material
Sanitary Sewer
J Storm Sewer
W~ter Service
Type #
c°=, T-'%i
J
3/02