HomeMy WebLinkAbout0098385-Plumbing (water heater)OSHKOSH
ON THE WATER
,Job Address 1008 MERRITT AVE
Contractor ADAMS PLUMBING
Bathtub 0 Shower
Whirlpool 0 Floor Drain
Lavatory 0 Lndry Tray
Toilet 0 Lndry Stndp
Res. Sink 0 Disposal
Bar Sink 0 Dishwasher
Water Heater 1 Sump Pump
Site Drain 0 Classrm Sink
Roof Drain 0 Breakrm Sink
CITY OF OSHKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
Owner STEVEN KWIEGMANN
Category 411 - Residential-Water Heaters
0 Ejector/Grind 0 DipWell 0 F Prep Sink 0
0 Water Softner 0 Drink Ftn 0 Serv Sink 0
0 Local Waste 0 Wait. St. 0 ShampSink 0
0 CIothesWshr 0 Ice Chest 0 FIr/WstSink 0
0 Bidet 0 Exam Sink 0 Catch Basin 0
0 Beer Tap 0 SculrySink 0 Wash Ftn 0
0 Dent. Oper. 0 Hand Sink 0 Urinal 0
0 Lab Sink 0 Plaster Sink 0 Standp Rec 0
0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0
No 98385
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 SFR/Gas water heater
of Work
Valuation/
Issued By(.
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
$350.00 Plan Approval $0,00 Permit Fees $20.00
Date 11/04/2002
[] Permit Voided
In the perform/~ce of this work, I ag~.~o perform all work pursuant to rules governing the described construction.
Signature ~ <="'r"r"--, ~ ~'(N~ Date /~. 0 V.OC~
~ -- ~ ! Agent/Owner
Address 1570 N OAKWOOD OSHKOSH WI 54g04 - 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
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
you are a contractor participating in the Permit Fee Account System and have adequate funds, check here
you want this processed through your account [~
Job Address /~--~ /Y~/::'xO.. O.l'-F}- Value 0ncl-di. glabora.amaterials)
Owner 5' _{--tL-)~ ~]~tq~/4t,.l Contractor ~l~3~v~,.~ }~L~/
15 Sin le Family [Z]Dnplex l--l ulti-Family l--laental DCommercial
Date
[--]Industrial
Number of Fixtures:
Bathtub Lndry Standp Dent. Oper.
Whirlpool Disposal Dip Well
Lavatory Dishwasher Drink Fin
Toilet Sump Pump Wait. St.
Res, Sink Ejector/Grind Ice Chest
Bar Sink Water Softner Exam Sink
Water Heater ] Local Waste Sculry Sink
~;as ,D Elect r- PwrVnt Clothes Wshr Hand Sink
Shower Bidet F Prep Sink
Floor Drain Beer Tap Serv Sink
Lndry Tray Classrm Sink Int Grease Trap
Lab Sink Surgeons Sink Ext Grease Trap
Plaster Sink Breakrm Sink
Sterilizer
Shamp Sink
Flr/Wst Sink
Catch Basin
Wash Fm
Urinal
Gar Drain
Soda Disp
Coffee Maker
Ice Maker
Site Drain
Roof Drain
Standp Rec
Electric Contractor
Use / Nature of Work
San/tau Sewer
Size
Material Type
[-']Electric Installation Verificatidn form attached
(If Replacement)
# Conn. Type
Storm Sewer
Water Service
3/02