HomeMy WebLinkAbout0098358-Plumbing (water heater)OSHKOSH
ON THE WATER
Job Address 536 PYLE AVE
Contractor M P KELLY
CITY OF OSHKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
Owner GILBERT A/G D WUETHRICH
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 Local Waste 0 Wait. St. 0 Shamp Sink 0
Toilet 0 LndryStndp 0 CIotheSWshr 0 Ice Chest 0 FIr/WstSink 0
Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0
Bar Sink 0 Dishwasher 0 BeerTap 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 98358
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
of Work
IS FP,/
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 $485.00 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
City of Oshkosh
Inspection Services Division
P O Box 1130
Oshkosh, WI $4903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
Plumbing Permit Applmation
O/HKO/H
ON THF WATER
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.
OR
If you are a contractor participating in the Permit Fee ~qccoUnt S~stem and have adequate _funds, check here
i£ Fou want this processed through Four account ~
J°bAddress~C ~ ~(,'fC Value (Including lab°r and materials' ~~'~ -~
o[~Sinsle Family ~ I~Dnplex [--]Multi-Family I-]Rental E~]Commercial r-]Industrial
Number of Fixtures:
Bathtub Lndry Standp Dent. Oper.
Whirlpool Disposal Dip Well
Lavatory Dishwasher Drink Fm
Toilet Sump Pump Wait. St.
Res. Sink Ejector/Grind Ice Chest
Bar Sink Water Softner Exam Sink
Wn~t~ '-~' / Local Waste Sculry Sink
~Gas [] Elect D Pw~nt
Clothes Wshr Hand Sink
Shower Bidet F Prep Sink
F1°or Drain
Beer Tap Serv Sink
Lndry Tray Classrm Sink iht Grease Trap
Lab Sink Surgeons Sink Ext Grease Trap
Plaster Sink Breakrm Sink
Sterilizer
Shamp Sink
Fb-/Wst Sink
catCh Basin
Wash Fm
Urinal
Gar Drain
Soda Disp
Coffee Maker
lee Maker
Site Drain
Roof Drain
Smndp Rec
Electric Contractor
Sanitary Sewer
Storm Sewer
Water Service
[--]Eiectric Installation Verificati6n form attached
Size Material Type #
Corm. Type
3/02