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HomeMy WebLinkAbout0098610-Plumbing (water heater)OSHKOSH ON THE WATER Job Address 318 S SAWYER ST Contractor DRUCKS 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 MiCHAEL/DIANA DESHASIER Category 411 - Residential-Water Heaters 0 Ejector/Grind 0 DipWell 0 F Prep Sink 0 0 WaterSoftner 0 Drink Ftn 0 ServSink 0 0 Local Waste 0 Wait. St. 0 ShampSink 0 0 Clothes Wshr 0 Ice Chest 0 FIr/Wst Sink 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 StandpRec 0 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0 No 98610 Create Date 11/13/2002 Plan Gar Drain 0 Soda Dis~p 0 Coffee Maker 0 Int Grease Trap 0 Ext Grease Trap 0 Use/Nature of Work ~FR/ Install new 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 $600.00 Plan Approval $0.00 Permit Fees $20.00 Issued By Date 11/13/2002 [] Permit Voided J In the performance of this work, I agree to perform all work pursuant to rules governing the described construction. Signature Date Agent/Owner Address PO BOX355 MENASHA WI 54952 - 0000 Telephone Number 426-2654 City of Oshkosh Inspection Services Division 'P O Box 1130 Oshkosh, WI 54903-1130 Phone: (920) 236-5050 Fax: (920) 236-5084 RECE VE'D NOV 1 O./HKOJH [; PARTMENT OF Plumbing Permit Application 5Y I 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 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 Job Address ~/? ,~- ~...~2~/~'f i¢/~f Value (Including labor and materials) Owner /~/'t~C, &4~ ,~.¢/¢./," Contractor .[)¥~[(S [~Single Family [--]Duplex [--]Multi-Family [-]Rental / (~aD Date I--]Commercial ['-]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 Gar Drain W~at/er Heater Local Waste Sculry Sink Soda Disp J~Gas [] Elect © PwrVnt Clothes Wshr Hand Sink Coffee Maker Shower Bidet F Prep Sink Ice 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 Sink Sterilizer Electric Contractor Use / Nature of WOrk SanitarY Sewer Size Material O~R [-]Electric Installation Verificatidn form attached (If Replacement) TYPe # connl TYPe Storm Sewer Water Service 3/02