HomeMy WebLinkAbout0098547-Plumbing (water heater)OSHKOSH
ON THE WATER
Job Address 1199
Contractor GLAZE
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
FARMINGTON AVE
PLUMBING
Owner MR/MRS RICHARD MUECKLER
Category 411 - Residential-Water Heaters
0 Shower 0 Ejector/Grind 0 Dip Well 0 F Prep Sink 0
0 Floor Drain 0 WaterSoftner 0 Drink Ftn 0 ServSink 0
0 Lndry Tray 0 Local Waste 0 Wait. St. 0 Shamp Sink 0
0 Lndry Stndp 0 Clothes Wshr 0 Ice Chest 0 FIr/Wst Sink 0
0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0
0 Dishwasher 0 Beer Tap 0 SculrySink 0 Wash Ftn 0
1 Sump Pump 0 Dent. Oper. 0 Hand Sink 0 Urinal 0
0 Classrm Sink 0 Lab Sink 0 Plaster Sink 0 Standp Rec 0
0 Breakrm Sink 0 Sterilizer 0 Surgeons Sink_ 0 Ice Maker 0
No 98547
Create Date
Plan
11/11/2002
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
0
0
0
0
0
Use/Nature SFR/Replace 40 gallon 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 $500.00 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 governing the described construction.
Signature Date
Agent/Owner
Address 1865 JAMES RD OSHKOSH WI 54904 - 6873 Telephone Number
589-4014
City of Oshkosh
Inspection Servi~ Division
P O Box 1130
Oshkosh, WI 54903-I 130
Phone: (920) 236-5050
Fax: (920) 236-50t]4
ECE VE
NOV 1i
I hereby apply for a permit to do and install the following plumbing on the premises herehtat~r described, the work ~o conform to the
Wisconsin State Plumbing Code, in the perfortmnce of which all parties hereto agree to and are. hound by said statutes.
Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection SerOces, 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 fcc, which ever ia grcatcr,
OR
If_you_ are_a ca'ntracto~ vartic_ivatine in the Permit Fee_Acc_ound_ Sys_terr~tnd hay~ O~deOttate .funda check, ere
~ner ¢ c~.~ ~[,~ ~ q~ Contractor _~,. ¢. ~c~ CLu~¢~
~ingle Fa~y ~Duplex ~Multi-Famfly ~ntal ~Commereial ~dus~lal
Number of Fixtures:
WMrtpaol Disp~al ~ . Dip Well FIr/W~! Sink
12vamry Dl~h~ ~nK ~ ~ Ca~h ~
Toil~ So~ Pu~ Wait, St ~ Wash F~
~ Si~ Wa~ Sofm~ E~m $~k ~ ~ ~n
~ Bidet F Pr~ Si~ Ice Mak~
-- ~ Tap Sa~ Sink Sit~ ~m
~ Troy ~ Clasm S~k ~ lm ~se Trap ..... R~f ~h
~ Sink ~ns Sink ~t Graa~ Trap . Smn~ ~
~ Br~ Sink
Electric Contractor
Use / Nature of Work,
Sanitary Sewer
Storm Scw~
Water Service
Size
Material ....
Type
[-~Electric Installation Veriflcati6n form attached
(If P-~lac~raant)
Conn. Type
3/02