HomeMy WebLinkAbout0098360-Plumbing (water heater)OSHKOSH
ON THE WATER
Job Address 839 GREENWOOD CT
Contractor KOCH PLUMBING
Bathtub 0 Shower 0
Whirlpool 0 Floor Drain 0
Lavatory 0 Lndry Tray 0
Toilet 0 Lndry Stndp 0
Res. Sink 0 Disposal 0
Bar Sink 0 Dishwasher 0
Water Heater 1 Sump Pump 0
Site Drain 0 Classrm Sink 0
Roof Drain 0 Breakrm Sink 0
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner UNITED LAND LEASE CO I
Category 411 - Residential-Water Heaters
Ejector/Grind 0 DipWell 0 F Prep Sink 0
Water Softner 0 Drink Ftn 0 ServSink 0
LocaIWaste 0 Wait. St. 0 Shamp Sink 0
clothes Wshr 0 Ice Chest 0 FIr/Wst Sink 0
Bidet 0 Exam Sink 0 Catch Basin 0
Beer Tap 0 SculrySink 0 Wash Ftn 0
Dent. Oper. 0 Hand Sink 0 Urinal 0
Lab Sink 0 Plaster Sink 0 Standp Rec 0
Sterilizer 0 Surgeons Sink 0 Ice Maker 0
No 98360
Create Date 11/04/2002
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
0
0
0
0
0
Use/Nature MULTI-FAMILY/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 $450.00 Plan Approval $0.00 PermitFees $20.00
Issued By
Date 11/04/2002
[] Permit Voided J
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 DOTYST OSHKOSH WI 54901 - 0000 Telephone Number
BUTCH (C)379-8753
Inspection Services Division
Oshkosh, WE ~3-1
Phone: (920)
Fax~ (920) 236-~84
O/I-KO/H
DN THE WATER
.P..!umbing Permit Application
I hereby apply for a permit to do and install the following plumbing on the premises hegeina£ter describcd~ the work to congorm
Wisconsin Stale Plumbing Code, in ~h¢ performance of which all pa~ies hereto agree to attd arc bound by said statutes.
Owner
nlsingle Family I-]Duplex [~Multi-Family n-lRental nlCommercial ['"]Industrial
Date
Number of Fixtures:
Bath~b ........ Lndry Standp Dent. 0~. Shamp Sink
Whirlpool -.. Disposal ~ Dip Well Fk/Wlt S~nk
Olsh~nt~her l'lrink Fm .... C~lch Basin
Lavatory ............
Taller Sump Pump Wait, Se. . .~ Wa~ Fm
Res, Sink ......... IBjec~r/Odnd , Ice C~es~ Urinal
i~ar Sink Water Sol, net Eum Sink O~r
Wa~zr Hcat~ ~ Lacal W~te gculr~ Sink Sod~ Disp
CIo~h~ Wshr _.~ Hand Sink ~. Coff~ Mak~
Shower
Floor Drain , Bktct ~. F Prep Sink l~ Maker
Lndry Tray Beet Tap ~ Sink _..,_=_ Si~ Drain
Lab Sink _.
Pl~ster Sink
Ste~iizet .. B~knn Sink ....
Electric Contractor
Use /Nature of Work
.OR D EIV form attached (If Replacement)
Samtary Sewer
Storm Sewer
Water Service
Size Material Type # Conn. Type
Application(s) and fee(s) can b~ brought to City Hall, Room 205 or mailed to Inspection Services, PO Box i 128, Oshkosh WI
54903-I 128. Commencing work without permit(s) will re. suit in fees b~ing doubled or $100.00 plus the normal permit fee,
which ever is greater.
OR
Check here if you wanc chis processed through your accoqn~ ~
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