HomeMy WebLinkAbout0098552-Plumbing (water heater)OSHKOSH
ON THE WATER
Job Address 1026 BONG CT
Contractor M P KELLY
CITY OF OSHKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
Owner MARION G STURM
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 ServSink 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 98552
Create Date 11/11/2002
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap __
Use/Nature SFR/Replace 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 $408.00 Plan Approval $0.00 Permit Fees $20.00
Issued By
Date
11/11/2002
[] 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
'hone: (920) 236-5050
Fax: (920) 236-5084
NOV 11
,,,. O/HKQ/H
DEPARTMENT ur oN
CONI~UNIT¥ DEVELOPMENT
Date//
Plumbing Permit AppliCation
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
If you are a contractor participating in the Permit Fee Account System and have adequate funds, check here
(f you want this processed through your account ['~
Job Address /~t 6bL/Walue (including labor and materialsJ.
~Single Family [-lDuplex F-]Multi-Family ]-']Rental ["-]Commercial i-]Industrial
f-~,Number of Fixtures:
. Bathtub Lndry Standp Dent. Oper. Shamp Sink
Whirlpool Disposal Dip Well Flr/Wst Sink
Lavatory Dishwasher Drink Ftn catch Basin
Toilet Sump Pump Wait. St. Wash Ftn
Res. Sink Ejector/Grind lee Chest Urinal
Bar Sink Water Softncr Exam Sink Gar Drain
Wat.~e~Heater / Local waste Sculry Sink Soda Disp
.~as [] Elect D PwrVnt
Clothes Wshr Hand Sink Coflbe Maker
Shower Bidet F Prep Sink lee Maker
FI°or Drain
Beer Tap Se.'w 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
O]q ~-]Electric Installation Verificatidn form attached
Storm Sewer
I Water Service
~ ~ ~ (If Replacement)
Type # Conn. Type
3/02