HomeMy WebLinkAbout0098354-Plumbing (water heater)OSHKOSH
ON THE WATER
Job Address 1548 W 5TH AVE
Contractor M P KELLY'
CITY OF OSHKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
Owner CROWE FAMILY TRUST
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 LndryTray 0 LocaIWaste 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 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 98354
Create Date 11/04/2002
Plan
Gar Drain 0
Soda Disp 0
Coffee Maker 0
Int Grease Trap 0
Ext Grease Trap 0
Use/Nature
of Work
IFPJ Replace gas water heater.
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 $534.00 Plan Approval $0.00 PermitFees $20.00
Issued By
Date 11/04/2002
[] Permit Voided
In the performance of this work, I agree to perform all work pursuant to rules goveming the described construction.
Signature Date
Agent/Owner
Address 665 N MAIN ST OSHKOSH WI 54901 -4431 Telephone Number
231-1750
City of Oshkosh
Inspection Services Division
P O Box 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
O/HKO/H
ON T~E
I hereby apply for a permit to do and install the followi.ng 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.
· 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
I£¥ou are a contractor participating, in the Permit Fee Account System and have adequate funds, check here
if you want this processed through your account [~]
JobAddress ~.~.'Y ;J~*(~~~(Includinglaborandmaterials,_~~'---
O~0_.,w~ x,._~~~ ~/~g~4OL-~ Contractor~--,'
[&a~ingle Family [--]Duplex [-']Multi-Family I IRental I ICommercial [-Ilndustrial
Number of Fixtures:
Bathtub ............... Lndr~ Standp i,t.>C Dent. Ope~. ~ ]',-:; Shamp Sink
Whirlpool ..- , % 'Disposal ..... Dip Well ..... FIr/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 Sofmer Exam Sink Gar Drain
Water Heater I Local Waste Sculry Sink Soda Disp
k:~as [] Elect [] PwrVnt Clothes Wshr Hand Sink Coffee Maker
Shower Bidet F Prep Sink Ice Maker
Floor Drain Beer Tap Serv Sink Site Drain
Lndry Tray Classrm Sink Int Grease Trap Roof Drain
Lab Sink Surgeons Sink Ext Grease Trap Standp Rec
Plaster Sink Breakrm Sink
Sterilizer
Electric Contractor
Use / Nature of Work-~ .... .
,,: ~:...,.: , . ...... ~,. ~., Size Material
Sanitary SeWer
Storm Sewer
Water Service
[-']Electric Installation Verificatidn form attached
~ ~ (lf Replacement)
Type ~ ~: ":~ Coriii~'rType
3/02