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HomeMy WebLinkAbout0098809-Plumbing (water heater)OSHKOSH ON THE WATER Job Address 2002 EVANS ST Contractor KOCH PLUMBING CITY OF OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD Owner UNITED LAND LEASE CO I Category 411 - Residential-Water Heaters Bathtub 0 Shower 0 Ejector/Grind 0 DipWell 0 F PrepSink Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 Serv Sink Lavatory 0 Lndry Tray 0 Local Waste 0 Wait. St. 0 Shamp Sink __ Toilet 0 LndryStndp 0 ClothesWshr 0 Ice Chest 0 FIr/Wst Sink __ Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin __ Bar Sink 0 Dishwasher 0 Beer Tap 0 SculrySink 0 Wash Ftn Water Heater 1 Sump Pump 0 Dent. Oper. 0 Hand Sink 0 Urinal Site Drain 0 Classrm Sink 0 Lab Sink 0 Plaster Sink 0 Standp Rec __ Roof Drain 0 Breakrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker No 98809 Create Date 11/26/2002 Plan 0 Gar Drain 0 Soda Disp 0 Coffee Maker 0 Int Grease Trap 0 Ext Grease Trap __ 0 0 0 0 0 O, 0 0 0 Use/Nature MULTI-FAMILY/Apt #3/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 $400.00 Plan Approval $0.00 Permit Fees ~ $20.00 Issued By Date 11/26/2002 [] 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 2005 DOTY ST OSHKOSH WI 54901 - 0000 Telephone Number BUTCH (C)379-8753 City of Oshkosh Inspection Services Division I I~ B._ till1 Oshkosh~ WI ~4903-1130 Phone: (gZO) 236-5050 Fax: (920) 236-S084 OffHKOffH ON TH~ WATER plumbing Permit ApPlication i hereby apply for' a pcmgt to do and install the following plumbing on thc premises hereinafter described, the work to conform to the Wisconsin Slale Plumbing Codc, in Ibc pcr£ormanc© of which all partics hcrc~o agree lo and are bound by said statutes. r]singlc Family rlDuplcx [~Multi-Family ~-]Rentai I-]Commercial r']laduslrial Number of Fixtures: Lndry St~ndp D¢~. Op~. Sh~rnp Sink Balb~ub ~irl~l Dis~al .. Dip Well ~lr~st Sink Dish~s~r ........ ~nk Fm ~ ~h B~in ~va~ ....... Wait. Toil~ ~ Su~ Pu~ .... R~. Sink Wa~ ~a~ H~ Sink Coff~ Mak~ S~r C~ Wsbr ~T ~ia B~ct ~ F ~ Sink l~ Mak~ ~ Troy C~s~ Sink .. Iht ~ T~p ~f ~in ~ Sink ..~ B~ Sink Electric Contractor Use / Nature of Work Sanitary Sewer Storm Scwcr Water .qcrvicc 13 EIV form attached (If Replacement) Size Matcrial Type # Coral. Type Applicalion(s) and fcc(s) can bc brought to City Hall, Room 205 or mailcd to Inspection Services, PO Box ! 128, Oshkosh WI 54903-1 ! 28. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the normal permit fee, which ever is greater. OR Check here i£ you wane Chi~:__p~oce~aed Chz-ou~h you~ account: ~ ~O 39~d 9NI 9NIaWngd HI)ON