HomeMy WebLinkAbout0098383 POSHKOSH
ON THE WATER
,Job Address 307 LIBBEY AVE
Oontractor JNL PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
Owner RONALD K HEFFERNON ETAL
Category 411 - Residential-Water Heaters
Bathtub 0 Shower 0 Ejector/Grind 0 DipWell 0 F PrepSink 0
Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 Serv Sink 0
Lavatory 0 LndryTray 0 Local Waste 0 Wait. St. 0 Shamp Sink 0
Toilet 0 LndryStndp 0 Clothes Wshr 0 Ice Chest 0 FIr/Wst Sink 0
Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0
Bar Sink 0 Dishwasher 0 Beer Tap 0 SculrySink 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
No 98383
Create Date 11/04/2002
Plan
Gar Drain 0
Soda Disp 0
Coffee Maker 0
Int Grease Trap 0
Ext Grease Trap 0
Use/Nature FPJGas water heater
of Work
Valuation
Issued By~t,,//
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type Ct
Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
$350.00 Plan Approval $0.00 Permit Fees $20.00
Date 11/04/2002
[] Permit Voided
In the perform//a~ce of this wor~y~ agree to perform all work pursuant to rules governing the described construction.
Signature ~. ~,,~ ~-~~ Agent/Owner
Date
Address 1570 N OAKWOOD RD Oshkosh WI 54904 - 0000 Telephone Number
/i. o
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 TIlE WATER
Plumbing Permit Application
I hereby apply for a permit to do and install the following plumbing on the prermses 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
I£¥ou are a contractor participating in the Permit Fee Account System and have adequate funds, check here
if you want this processed through Four account [-~
Job Address 3
Owner ~-,OC,~ }-4~'-~V~-N:t, lxl[5~-4 Contractor ..~ 1.., OLf/~
[~Single Family [~]Duplex F]Multi-Family [~]Rental [--]Commercial
Date
[--]Industrial
Number of Fixtures:
Bathtub Lndry Standp Dent. Opcr.
Whirlpool Disposal Dip Well
Lavatory Dishwasher Drink Ftn
Toilet Sump Pump Wait. St.
Res. Sink Ejector/Grind Ice Chest
Bar Sink Water Softner Exam Sink
Water Heater / Local Waste Sculry Sink
t~Gas 5 Elect E PwrVnt Clothes Wshr Hand Sink
Shower Bidet F Prep Sink '
Floor Drain Beer Tap Serv Sink
Lndry Tray Classrm Sink lnt Grease Trap
Lab Sink Surgeons Sink Ext Grease Trap
Plaster Sink Breakrm Sink
Sterilizer
Shamp Sink
FlrAVst Sink
Catch Basin
Wash Fca
Urinal
Gar Drain
Soda Disp
Coffee Maker
lce Maker
Site Drain
Roof Drain
Standp Rec
Electric Contractor
Use / Nature of Work
l--]Electric Installation Verificatidn form attached
(If Replacement)
Size
Material
Type
# Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
3/02