HomeMy WebLinkAbout0098355-Plumbing (water heater)OSHKOSH
ON THE WATER
Job Address 2327 WHITE SWAN DR
Contractor M P KELLY
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 L/SARAH HOUSE
Category 411 - Residential-Water Heatem
0 Ejector/Grind 0 DipWell 0 F Prep Sink 0
0 WaterSoftner 0 Drink Ftn 0 Serv Sink 0
0 LocaIWaste 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 Standp Rec 0
0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0
No 98355
Create Date 11/04/2002
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap __
Use/Nature [SFPJ Replace gas water heater.
of Work
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 $964.00 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 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
Plumbing
-CEIVED
NOV O Z:."):'"'),.~,._ O/HKO/H
ON THF W^TI~R
DEPARTMENT OF
i~~fl ~tt~liiLOPJVIE~T
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 Account System and have adequate funds, check here,
if you want this processed through your account
Owner ~4~ ~ ContractOr
[..JRental I ICommercial [-'~Industrial
~S~~amily r']Duplex r]MUlti-Family -- ' '~'--' /'
Number of Fixtures:
Bathtub Lndry Standp Dent. Opel Shal~p Sink
Whirlpool Disposal Dip Well Flrt~Vst Sink
Lavatory Dishwasher Drink Fm catch Basin
Toilet Sump Pump Wait. St. Wash Fm
Res. Sink Ejector/Grind Ice Chest Urinal
Bar Sink Water Softner Exam Sink Gar Drain
Water Heater / Local Waste Sculry Sink Soda Disp
t~ Oas ~ E,~t ~ ~'nt Oothe~ Wsh~ ~a.d Sink Co.~ Maker
Shower Bidet F Prep Sink lee Maker .
Floor Drain Beer Tap Serv Sink Site Drain
Lndry Tray Classrm Sink Iht Grease Trap Roof Drain
Lab Sink Surgeons Sink Ext Grease Trap Standp Rec
Plaster Sink Breakrm Sink
Sterilizer
Electric Contractor
Use / Nature of Work ~ ~Tg'~i ~'~
Sanitary Sewer
Storm Sewer
Water Service
O'R.~_~r']Electric Installation Verificati6n form attached
r b ~lS.R.~'placement) ~/
Size Material TYPe # Conh. TYPe
3/02