HomeMy WebLinkAbout0098551-Plumbing (water heater)OSHKOSH
ON THE WATER
Job Address 246 W 7TH AVE
Contractor M P KELLY
Bathtub 0 Shower
Whirlpool 0 Floor Drain
Lavatory 0 Lndry Tray
Toilet 0 Lndry Stndp
Res. Sink 0 Disposal
Bar Sink 0 Dishwasher
Water Heater 1 Sump Pump
Site Drain 0 Classrm Sink
Roof Drain 0 Breakrm Sink
CITY OF OSHKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
No 98551
Owner JOSEPH W SCHNEIDER Create Date 11/11/2002
Category 411 - Residential-Water Heaters Plan
0 Ejector/Grind 0 DipWell 0 F Prep Sink 0 Gar Drain
0 WaterSoftner 0 Drink Ftn 0 ServSink 0 Soda Disp
0 Local Waste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker
0 ClothesWshr 0 Ice Chest 0 FIr/Wst Sink 0 Int GreaseTrap
0 Bidet 0 Exam Sink 0 Catch Basin 0 ;Ext Grease Trap __
0 Beer Tap 0 SculrySink 0 Wash Ftn 0
0 Dent. Oper. 0 Hand Sink 0 Urinal 0
0 Lab Sink 0 Plaster Sink 0 Standp Rec 0
0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0
Use/Nature
of Work
ISFR/
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 $451.00 Plan Approval $0.00 Permit Fees $20.00
Issued By
[] Permit Voided J
Date
11/11/2002
In the performance of this work, I agree to perform all work pursuant to rules governing 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 0 Box 1130
/.~-Oshkosh, WI 54903-1130
")hone: (920) 236-5050
'Fax: (920) 236-5084
Plumbing
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
!f_vou are a contractor participating in the Permit Fee Account Spstem and have adequate funds, check here
if pou want this processed through pour account r~
Job Addres,o%/ff~' lc} zT(~,,'~ .,~~ Value Onaudin, abo, ana mat.aisL_._ dS/' ~(/'
ily ["']Duplex I-"]Muiti-Famil¥ [--]Rental ["-ICommercial [-'llnaustrial
~Number of Fixtures:
Bathtub Lndry Standp Dent. Oper. Sharn~ Sink
Whirlpool Disposal Dip Well FlrtWst Sink
Lavatory Dishwasher Drink Fm Catch Basin
Toilet Surr~ Pump Wait. St. Wash Fm
Res. Sink Ejector/Grind Ice Chest ' Urinal
Bar Sink Water Softner Exam Sink Gar Drain
W_aa~ass eater / Local Waste Sculry Sink Soda Disp
[] Elect [] PwrVnt CIoth~s Wshr Hand Sink Coff~ Maker
Shower Bidet F Prep Sink lee Maker .
Floor Drain Bc~ Tap Serv Sink Site Drain
Lndry Tray Classrm Sink Iht Grease Trap Roof Drain
Lab Sink Surgeons Sink Ext Grease Trap Standp Rec
Plaster Sink Breakrm Sink
Sterilizer / --
Electric Contractor O-R
Use/Nature ofWork/~t~(~ '~(? ,
['"]Electric Installation Verificati6n form attached
(If Replacement)
I Sanitary Sewer
Storm Sewer
I Water Service
Size Material Type # Conn. Type
3/02