HomeMy WebLinkAbout0098812-Plumbing (water heater)OSHKOSH
ON THE WATER
Job Address 205 E LINCOLN AVE
Contractor M P KELLY
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 I Sump Pump 0
Site Drain 0 Classrm Sink 0
Roof Drain 0 Breakrm Sink 0
CITY OF OSHKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
Owner DENNIS R KING/ROBERT SIMON
Category 411 - Residential-Water Heaters
Ejector/Grind 0 Dip Well 0 F Prep Sink 0
WaterSoftner 0 Drink Ftn 0 ServSink 0
Local Waste 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 98812
Create Date 11/26/2002
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
0
0
0
0
0
Use/Nature ~,ENTAL/Replace electric 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 $156.00 Plan Approval $0.00 Permit Fees $20.00
Issued By
[] Permit Voided
Date
11/26/2002
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature Date
Agent/Owner
Address 665 N MAIN ST OSHKOSH WI 54901 - 4431 Telephone Number
231-1750
City of Oshkosh
Inspection Services Division
POBox 1130
9shkosh, WI 54903-1130
x'hone: (920) 236-5050
Fax: (920) 236-5084
NOV 2 5 2002
D PARTA £NT OF
Plumbing Permit Application
O/H O/H
ON THF VTAT~:R
I hereby apply for a permit to do and install the followi.ng 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.
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
,ob gddFess ~~ Z//I//~-~'dff/ Value (,ncludinglaborandmaterialsJ~_.~/~'d*OO
Owner _ Otg A ) Contractor
['"]Single Family [~]Duplex [-"]Multi-Family [~"d'ntal l{--']~ommereial
[--]Industrial
,Number of Fixtures:
Bathtub Lndry Standp Dent. Oper. Shamp Sink
Whirlpool Disposal Dip Well Flr/Wst Sink
Lavatory Dishwasher Drink Ftn Catch Basin
Toilet Sump Pump Wait. St. Wash Ftn
Res. Sink Ejector/Grind Ice Chest Urinal
Bar Sink Water Softner Exam Sink ~ Drain
Water Heater / Local Waste Sculry Sink Soda Disp
~ Gas~tYAect ~ PwrVnt
Clothes Wshr Hand Sink Coffee Maker
Shower Bidet F Prep Sink- ___.. lee Maker
Floor Drain
Beer Tap Serv Sink Site Drain
Lndry Tray Classrm Sink Int Grease Trap Roof Drain
Lab Sink
Surgeons Sink Ext Grease Trap Standp Rec
Plaster Sink
Breakrm 5ink
Sterilizer
Eleetri~ on 'r ac'o r C//~/4f-~~ ~~~ F-]Electric Installation Verifleatirn form attached
' :~i~:" (If R~lacem~t)
Use/Nature of W orkf~Z_ _/Z;~' _/~~ ~/~~~
I s~e Material T~e ~ Co~.~[ ff~~
Sa~m~ Sewer
Sto~ Sewer ·
Water Semite
3/02