HomeMy WebLinkAbout0098433-Plumbing (water heater)OSHKOSH
ON THE WATER
· lob Address 1970 ARLINGTON DR
Contractor SAMMONS PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
Owner RALPH J KINDERMAN
Category 411 - Residential-Water Heaters
Bathtub 0 Shower 0 Ejector/Grind 0 DipWell 0 F Prep Sink 0
Whirlpool 0 Floor Drain 0 WaterSoftner 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 Beer Tap 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 98433
Create Date 11/05/2002
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap __
Use/Nature
of Work
IFP,/
Install electric water heater.
*EIV form from Slim's Electric.
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 $500.00 Plan Approval $0.00 Permit Fees $20.00
Issued By
Date
11/05/2002
[] Permit Voided
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature Date
Agent/Owner
Address 522 W. MURDOCKAVE OSHKOSH WI 54901 - 2298 Telephone Number
231-9880
FROM :SAMMONS PLUMBING
FAX NO.
:9202318485
Nov. 04 2(3132 04:3E, PM P3
Electric Inmlhflom Yeflficaflon
SLIM°S ELECTRIC INC.
.,.,.2.608 Oakwo. od Circle
.Oshkosh... WI 54904
(c~) .... (sm,~' tapco)
Samson:s..Plum.
bye been ~ ~o perbm elearic ~ wodc ~br
1970 Arlington Dr.
! ha'eby ,e~ this work will be performed by an employ~ of this ~mlmJy md futtber verify
th~,reconnec6on I irduhtion will be 6eec in ~mpamcs with ~ md lbetrlc eode
David A. Younowirth
(Print Nfm~ of~)
10,/!o/o2