HomeMy WebLinkAbout0099320-Plumbing (water heater)OSHKOSH
ON THE WATER
,Job Address 1950 WHITE SWAN DR
Contractor MERTEN 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 W MCFARLANE TRUST
Category 411 - Residential-Water Heaters
0 Ejector/Grind 0 Dip Well 0 F Prep Sink 0
0 WaterSoftner 0 Drink Ftn 0 ServSink 0
0 Local Waste 0 Wait. St. 0 ShampSink 0
0 CIothesWshr 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 Standp Rec 0
0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0
No 99320
Create Date 01/06/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature SFR/Replace gas water heater.
of Work
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
$675.00 Plan Approval $0.00 Permit Fees
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 1087 COZY LANE OSHKOSH WI 54901 - 0000 Telephone Number
231-6795
City of Oshko~sh
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
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.
Job Address t ~ 5 D ~ ~ ~ ~ Value (Includinglaborand materials) 6 7 ~ , Date I ~
Owner ~4~, ~~ ' C°ntract°r ~~~~4~
[~Single Family [~uplex [-']Multi-Family [--]Rental ['-]Commercial ["-~Industrial
Number of Fixtures:
Bathtub Ladry Standp Dent. Oper. Shamp Sink
Whirlpool Disposal Dip Well Flr/Wst Sink
Lavatory I)islmrasher Drink Fm Catch Basin
Toilet Sump Pump Wait. St. Wash Fm
Ice Chest ' Urinal
Res. Sink Ejeclx~r/Grind
Bar Sink Water Softner Exam Sink Gar Drain
Water Heater } Local Waste Sculry Sink Soda Disp
Shower Clothes Wshr Hand Sink Coffee Maker
Floor Drain Bkle~ F Prep Sink Ice Maker
Lndry Tray Beer Tap Serv Sink Site Drain
Lab Sink ~ Sink Int Grease Trap Roof Drain
Plaster Sink Surgeons Sink Ext Grease Trap Standp Ree
Sterilizer Breakrm Sink
Electric Contractor
Use / Nature of Work
Size Material
Sanitary Sewer
Storm Sewer ~0 [A.) . ~"'~.
Water Service
Type #
OR
[] EIV form attached (If Replacement)
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
Check here if you want thls processed through your account []