HomeMy WebLinkAbout0098537-Plumbing (water heater)OSHKOSH
ON THE WATER
,lob Address 704 JOSSLYN ST
Contractor JNL PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
Owner CYNTHIA R BARANOWSKI
Category 411 - Residential-Water Heaters
Bathtub 0 Shower 0 Ejector/Grind 0 DipWell 0 F PrepSink
Whirlpool 0 Floor Drain 0 WaterSoftner 0 Drink Ftn 0 Serv Sink
Lavatory 0 Lndry Tray 0 Local Waste 0 Wait. St. 0 Shamp Sink __
Toilet 0 Lndry Stndp 0 Clothes Wshr 0 Ice Chest 0 FIr/Wst Sink __
Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin __
BarSink 0 Dishwasher 0 BeerTap 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 98537
Create Date 11/11/2002
Plan
0 Gar Drain
0 Soda Disp
0 Coffee Maker
0 Int Grease Trap
0 Ext Grease Trap
0
0
0
0
Use/Nature SFR/Install gas water heater.
of Work
Valuation $450.00
~ssued ay }/,-V~ G
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
Plan Approval $0.00 Permit Fees $20.00
[] Permit Voided
Date
11/11/2002
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature ~L_~ 1 .~_,,i C~t"~ Date
~., v - I Agent/Owner
Address 1570 N OAKWOOD RD Oshkosh WI 54904 - 0000 Telephone Number
233-2661
City of Oshkosh
Inspection Services Division
P O Box 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
O/HKO/H
ON THE WATER
Plumbing Permit Application
I hereby apply for a permit to do and install the following 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
if you want this processed through your account
Job Address -/O
Owner ~'7 r.t O
ngle Family
,-~5~ L.r~ bO Value (Including labor and materials).
~qO/3 ¢k ~,tq ~ _q t4t~ Contractor
IDDuplex I--i ulti-Family l-q .ental I-lCommer,,ial
Date
[-']Industrial
Number of Fixtures:
Bathtub Lndry Standp Dent. Oper. Shamp Sink
Whirlpool Disposal Dip Well FlrAVst Sink
Lavatory Dishwasher Drink Ftn Catch Basin
Toilet Sump Pump Wait. St. Wash Ftn
Res. Sink Ejector/Grind lee Chest Urinal
Bar Sink Water Softner Exam Sink Gar Drain
/
Heater Sculry Sink Soda Disp
Local
Waste
D Elect E PwrVnt Clothes Wshr Hand Sink Coffee Maker
Bidet F Prep Sink Ice Maker
Floor Drain
Beer Tap Sen, Sink Site Drain
Lndry Tray Classrm Sink lnt Grease Trap Roof Drain
Lab Sink
Surgeons Sink Ext Grease Trap Standp Rec
Plaster Sink
Breakrm Sink
Sterilizer
Electric Contractor
Use / Nature of Work
[--]Electric Installation Verificatidn form attached
(lf Replacement)
Sanitary Sewer
Storm Sewer
Water Service
Size
Material
Type
# Conn. Type
3/02