HomeMy WebLinkAbout0099317-Plumbing (water heater)OSHKOSH
ON THE WATER
,Job Address 1918 GEORGIA ST
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 1 Sump Pump 0
Site Drain 0 Classrm Sink 0
Roof Drain 0 Breakrm Sink 0
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner ROBERT O WILDISH ETAL
Category 411 - Residential-Water Heaters
Ejector/Grind 0 DipWell 0 F Prep Sink 0
Water Softner 0 Drink Ftn 0 Serv Sink 0
LocaIWaste 0 Wait. St. 0 Shamp Sink 0
CIothesWshr 0 Ice Chest 0 FIr/Wst Sink 0
Bidet 0 Exam Sink 0 Catch Basin 0
Beer Tap 0 Sculry Sink 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 99317
Create Date 01/06/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature SFR/Replace gas WH under warranty.
of Work
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size
$177.00 Plan Approval $0.00 Permit Fees
Material Type #
Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
$20.00
Date
01/06/2003
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 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
QJt-KOSH
ON TI-IF WATFR
Plumbing Permit Application
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 slatmes.
· 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 a.dequ.o.t.e funds, check here
if you want this processed through your account []
Job Address
Owner /qd/~. //(t/~c~~/~ Contractor ~/~. ~/~/1 //~. '
~g,~ ~,~,ly [-'[Duplex F-[Multi-Family r-[Rental F~Comme~cl. al r-]Industrial
Lavatory Dishwasher
Toilet Sump Pump
Res. Sink ,, Ejector/Grind
Bar Sink Water Soft. er
Wat~: Heater / Local WaSte
.,,G'Gas O Elect ri PwrVnt Clothes Wshr
Shower Bidet
Floor Drain Beer Tap
Lndr~ Troy Classrm Sink
Lab Sink Surgeons Sink
PlaSter Sink Bre~krm Sink
Sterilizer ....
Electric Contractor
,Use i Nature o~ Work
Size
Saaita7 Sewer.
Storm Sewer
Water Service
Wail. St. ~
_
Hand Sink
F P~ Sink ~ Mak~
S~ Sink St~ ~
int G~ase T~p R~f ~
EXl ~se Trap S~ R~
O'R [-']Electric Installation Veriflesti6n form attached
..... (If Replacement) ~
Material Type
COnn. T~
3/02