HomeMy WebLinkAbout0098550-Plumbing (water heater)OSHKOSH
ON THE WATER
Job Address 1670 COVINGTON DR
Contractor M P KELLY
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner JOHN T/DEBRA J CUTHBERT
Category 411 - Residential-Water Heaters
No 98550
Create Date 11/11/2002
Plan
Bathtub 0 Shower 0 Ejector/Grind 0 DipWell 0 F Prep Sink 0 Gar Drain
Whirlpool 0 Floor Drain 0 WaterSoftner 0 Drink Ftn 0 ServSink 0 Soda Disp
Lavatory 0 Lndry Tray 0 Local Waste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker
Toilet 0 LndryStndp 0 ClothesWshr 0 IceChest 0 FIr/Wst Sink 0 Int Grease Trap
Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap
Bar Sink 0 Dishwasher 0 Beer Tap 0 Sculry Sink 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
Use/Nature
of Work
SFPJ Replace electric water heater with gas.
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
Corm. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Valuation $699.00 Plan Approval $0.00 PermitFees $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 governing the described construction.
Signature Date
Agent/Owner
Address 665 N MAIN ST OSHKOSH WI 54901 - 4431 Telephone Number
231-1750
Inspection Services Division
P O Box 1130 '
Oshkosh, WI 54903-1130
Phone: (920) 236-5050 NOV
(920) 236-5084 O/HKQ/H
Fax:
Plumbing Perm,t Appl,cat,on
] hereby apply for a permit to do and instal! the £ollowi.ng plumbing on the premises hereina£ter described, the work to conform to the
Wisconsin State Plumbing Code, in the performance o£ which all parties hereto agree to and are bound by said statutes.
· ^pp]ication(s) and tee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box ] ]28,
Oshkosh W! :54903-] 128. Commencing work without permit(s) wi!! result in fees being doubled or $100.00 plus the
normal permit tee, which ever is greater.
OR
If you are a contractor parti.citT, ati'4g.in'the Permit Fee .4cc~unt $~,$tem a~d h.~e adequate,runEs ch¢c~ here
~f you ~va~! tiffs processed tt~rough your account
Job Address /bTl~//~/,//1/~"y~,~ &/'~.~alue (including ,aborand materials,
Date
Number of Fixtures: ~ ,,. ~ ~:
............................ ::'.:5 .................... : ......................... '~:'_;!.~i ........................ '""
Bathtub. Lndry Smnd. p. .~l?t .07~: Sh?mp Sink
WhirlPOOl ':' .... ( Disposal Dip Well Flr/Wst Sink
Lavatory Dishwasher Drink Fm Catch Basin
Toilet Sump Pump Wait. St. Wash Fm
Res. Sink Ejector/Grind Ice Chest Urinal
Bar Sink Water Softner Exam Sink Gar Drain
Water_ Heater ~/,'~" Local Waste Sculry Sink Soda Disp
-~13as D Elect ~ PwrVnt Clothes Wshr Hand Sink Coffee Maker
Shower
Bidet F Prep Sink lee Maker
Floor Drain
Beer Tap Serv Sink Site De, in
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 [-]Electric Installation Verificati6n form attach ed
~ ) ~ ' (If R~lacement) '
Sanitary Sewer
Storm Sewer
Water Service
Material Type #
Conn. Type
3/02