HomeMy WebLinkAbout0099353-Plumbing (water heater)OSHKOSH
ON THE WATER
.lob Address 1629 MICHIGAN ST
Contractor WATTERS 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 PAUL MNVENDY M MONFILS
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 99353
Create Date 01/08/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature SFR/Install gas water heater.
of Work
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
$499.00 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 01/08/2003
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 1303 MIDWAY RD, PO BOX 118 MENASHA WI 54952 - 1129 Telephone Number
800-801-8125,733-81
Brom: 0]/07/2003 08:]1 543 P.O02
City of Oshkosh
Inspection Services Division
P 0 Box 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
O/'HKOZ, '_H._
Ol~ TN~ WATF. R'
Plumbing Permit Application
I hereby apply for a permit to do and install the following plumbing on the premises hcrcinafler described, the work to conform to the
Wisconsin State Plumbing Code, in the performance of which al! parries.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 54903-112g. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
If vo.u ar,~. a contractor participatfne in the Permit~ee Account System and have adequate funds, check, here
i£ you want this processed the_ouch your account
[~$i. gle Family E]Duplex [~]Multi-Family E]Rental DCommerci.l E]I.d.stri{l
Number of Fixtures:
Bathtub Ladw S~ndp Dent. Oper. Sherr~ Sink
girl~ol Disposal Dip Welt FIr/WU Sink
Cash Basin
~vato~ Dishwasher Drink Fm
Toilet Sump Pu~ Wait St. Wash Ftn
Udnni
Res. Sink ~tlOfind icc Chest
8~ Sink Wnt~ Sa~er Exam Sink Gar
Water Heat~ / ~ca] Waste Sculw Si~k Soda ~sp
' ~Gas U Elect ~ ~Vm ClotMs Wshr Hand Sink Coffee Maker
Shower Bidet F ~ep Si~K lee
~r ~in B~r Tap 5e~ Sink Site
Md~ Tray Ctass~ Sink ,,, Iht Grease T~p R~[ ~aln
~b Sink Surgc~s Sink Ext G~ase Trap S~andp Rec
Plaster Sink Break~ Sink
St~}izer
Electric Contractor
["]Electric Installation VerificatiOn form attached
(If Replacer~nt)
Use / Nature of Work
Sanitary Sewer
Stoma Sewer
Size
Material Type # Conn. Type
Water Service