HomeMy WebLinkAbout2003-Plumbing (water heater)OSHKOSH
ON THE WATER
.lob Address 1920 ROOSEVELT AVE
Contractor SAMMONS PLUMBING
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 MILDRED LANE
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 99373
Create Date 01/03/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature SFR/Install electric water heater. *EIV form from Slim's Electric.
of Work
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
$500.00 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 522W. MURDOCKAVE OSHKOSH WI 54901 - 2298 Telephone Number
231-9880
~FROM ~SAMMOHS PLUMBING FAX NO. :9202318485 Jan. 03 2(~)3 09:43AM P6
FJectrlc Imtailmflom Verification
z CYme)
SLIM'S ELECTRIC INC.
(~Jec~c~ ~ ~m~)
260.8.. Oakwood Circle
(aucidmm)
Oshkosh WI 54904
{c~y) (stme) (ZipCode)
Plum.
1920 Roosevelt
(~ddreu i wod~ wiU t~ ~)
&z tha following Iddrel
Thc nature ofth~ wo~k I of:, (Check One or DIribe the Natu~ of Work)
RcconMetton of'the Service hUance C. sbtc, Meier Bax, dtemiom to receptacles
and llfhtins fixtures due to sidin~ / ~offit iwd~hiion- lqo~e: New Service
~ Csblu ~ll ~ 8 ~te ~t
New circuit foe ~e ~t~Mon of A/C to m, ~f~,~/~ef~ am~' (hou~ or tbe
Other
The vise oflhif work is S. ~).00
I haeby ved~ tt~ work wi~ be performed by m employ~ oftlm compm~ md hrtber verify
tl~ recenoGIbn I iIlfllalio~ will be 6one in ctnplimce ~/~ ~ ~ ~
,~~~ ~_ / Dflvid A. You, ngwi~,,h,12/06/02
(s~.,~ ~~~oa~) (h~ ]~=~ ~ oe~) (~)