HomeMy WebLinkAbout0098384-Plumbing (water heater)OSHKOSH
ON THE WATER
Job Address 133 BROCKWAY AVE
Contractor ADAMS PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT -APPL!CATION AND RECORD
Owner STEVEN K WIEGMANN
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 Local Waste 0 Wait. St. 0 Shamp Sink 0
Toilet 0 LndryStndp 0 ClothesWshr 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 98384
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 ;FR/Gas water heater
of Work
Valuation /
Issued By~/
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
$350.00 Plan Approval $0.00 Permit Fees $20.00
Date 11/04/2002
[] Permit Voided
In the perform/~e of this work, I a,~ee to perform all work pursuant to rules governing the described construction.
o Y-
Signature ~.'~') ~ L~_~ Agent/Owner Date
Address 1570 N OAKWOOD OSHKOSH WI 54904 - 0000 Telephone Number 233-2661
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 TH~ W.a,T~R
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.
· Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to InsPection Services, PO Box 1128,
Oshkosh Wl 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
If you are a contractor participating in the Permit Fee Account System and have adequate funds, check here
if you want this processed through your account ['~
Job Address!_~ ~hO~C~--, t2,3 ~M Value (Including labor and materials)
Owner ~.> ~2::'~'qb-- t,A.Je"~~! Contractor
[~ingle Family [-]Duplex [--]Multi-Family ['-]Rental [--]Commercial
Date/ z/mO
[-]Industrial
Number of Fixtures:
Bathtub Lndry Standp Dent. Oper.
Whirlpool Disposal Dip Well
Lavatory Dishwasher Drink Ftn
Toilet Sump Pump Wait. St.
Res. Sink Ejector/Grind Ice Chest
Bar Sink Water Sofmer Exam Sink
Water Heater [ Local Waste Sculry Sink
~-.~.~as £ Elect .E.' PwrVnt
~ Clothes Wshr Hand Sink
Shower Bidet F Prep Sink
Floor Drain Beer Tap Serv Sink
Lndry Tray Classrm Sink lnt Grease Trap
Lab Sink Surgeons Sink Ext Grease Trap
Plaster Sink Breakrm Sink
Sterilizer
Shamp Sink
Flr/Wst Sink
Catch Basin
Wash Ftn
Urinal
Gar Drain
Soda Disp
Coffee Maker
Ice Maker
Site Drain
Roof Drain
Standp Rec
Electric Contractor
Use / Nature of Work
I~Eiectric Installation Verificati6n form attached
(If Replacement)
Sanitary Sewer
Size
Material
Type
# Conn. Type
Storm Sewer
Water Service
3/02