HomeMy WebLinkAbout0098356-Plumbing (water heater)OSHKOSH
ON THE WATER
,Job Address 934 N MAIN ST
Contractor M P KELLY
CITY OF OSHKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
Owner JOHN E LANDOLT JR
Category 411 - Residential-Water Heaters
Bathtub 0 Shower 0 Ejector/Grind 0 DipWell 0 F Prep Sink 0
Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 ServSink 0
Lavatory 0 LndryTray 0 LocaIWaste 0 Wait. St. 0 Shamp Sink 0
Toilet 0 LndryStndp 0 CIothesWshr 0 Ice Chest 0 FIr/Wst Sink 0
Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0
BarSink 0 Dishwasher 0 BeerTap 0 SculrySink 0 Wash Ftn 0
Water Heater I 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 98356
Create Date 11/04/2002
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature
of Work
3OMM/Replace gas water heater.
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 $498.00 Plan Approval $0.00 Permit Fees $20.00
Issued By
Date
11/04/2002
[] 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 665 N MAIN ST OSHKOSH WI 54901 - 4431 Telephone Number
231-1750
Ci~t of Oshkosh
Inspection Services Division
P O Box 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
RECEtVEJ
NOV 0 4 2002
O_fHKO/H
ON THE WATER
DEPART ENT OF
Plumbing Permit .qppllcauon
I hereby apply for a permit to do and install the followi.ng plumbing on the premises hereinafter described, the work to conform t° the
Wisconsin State Plumbing Code, in the performance of which ali 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 ,4ccount System and have adequate funds, check here
if you want this processed through your account ~
JobAddress ~-,,.~//~ ~&--,, Value(lncludin~mborandmateriais).~.~7/
Owner //O~{-~ ,~%~.d~[ ;_~ ~ o n t r a c t o r .~,~.~/~/ /~__, ,
r-lSingle Fagnily I-]Duplex r-]Multi-Family [-']Rental ~ml'mereial r-llndustri.!
Date
Number of Fixtures:
Bathtub Lndry Standp Dent. Oper. Sharr~ Sink
Whirlpool Disposal Dip Well FIr/Wst Sink
Lavatory Dishwasher Drink Fin Catch Basin
Toilet Sur~ Pump Wait. St. Wash Fin
Res. Sink Ejector/Grind lee Chest Urinal
Bar Sink Water Sofiner Exam Sink Gar Drain
Water Heater / Local Waste Sculry Sink So{in Disp
s(Gas Clothes Wshr Hand Sink Coffee Maker
D
Elect
D
PwrVnt
ower · Bidet F Prep Sink lee Maker
FI°°r Drain
Beer Tap Serv Sink Site Drain
Lndry Tray Classrm Sink Iht G~ease Trap Roof Drain
Lab Sink Surgeons Sink Ext Grease Trap Stnndp Rec
Plaster Sink Breakrm Sink
Sterilizer
Electric Contractor
Use / Nature of Work
Sanitary Sewer
Storm Sewer
Water Service
Size Material
O'R . [-']Electric Installation Verificatidn form attached
~ (~ement) ~
Type #
Conn. Type
3/02