HomeMy WebLinkAbout0099236-Plumbing (water heater)OSHKOSH
ON THE WATER
Job Address 126 W 12TH AVE
Contractor GLAZE PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
Owner DANIEL J/MYRA M KRHIN
Category 411 - Residential-Water Heaters
Bathtub 0 Shower 0 Ejector/Grind 0 DipWell 0 F Prep Sink 0
Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 Serv Sink 0
Lavatory 0 Lndry Tray 0 Local Waste 0 Wait. St. 0 Shamp Sink 0
Toilet 0 Lndry Stndp 0 Clothes Wshr 0 Ice Chest 0 FIr/Wst Sink 0
Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0
Bar Sink 0 Dishwasher 0 Beer Tap 0 SculrySink 0 Wash Ftn 0
Water Heater 1 Sump Pump 0 Dent. Oper. 0 Hand Sink 0 Urinal 0
Site Drain 0 Classrm Sink 0 Lab Sink 0 Plaster Sink 0 Standp Rec 0
Roof Drain 0 Breakrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0
No 99236
Create Date 12/30/2002
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap __
Use/Nature
of Work
IDUPLEX/
Install 40 gallon gas water heater.
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 $500.00 Plan Approval $0.00 Permit Fees $20.00
Issued By
Date
12/30/2002
[] Permit Voided
In the performance of this work, I agree to perform ail work pursuant to rules governing the described construction.
Signature Date
Agent/Owner
Address 1865 JAMES RD OSHKOSH WI 54904 - 6873 Telephone Number
589-4014
City of Oshkosh
~ion Services Division
P 0 Box 1130
Oskkosh, WI 54903-I
Phone: (920) 236-5050
Fax: (920) 236-5094
~~ DEPART~ENT~ ~"~ ~ ~"
r~?x~u~ ~v~'v DEVELOPMENT
Plumbing Permit ApPi[E~J~'
I hexeby apply for a perm/t to cio and Lqstall the following plumbing on the premises hereinafter described, the work ro conform to the
Wisconsin State Plumbing Code, in the performance of which all parties hereto agree to and are. bound by said statues.
Application(s) and fee(s) can bc brought to City Hall, Room 205 or mailed to Inspection Services, PO Box ] 128,
Oshkosh WI 54903-1128. Commencing work without permit(s) will result m fees being doubled or $100.00 plus the
nonnaal pcrm/t fcc, which ever/~ grcatcr.
OR
lf_vou_ar¢_a c~'ntracto~ ~attici~atil~'~ i~ the_Per_mit Fe~tccounit Svster~and have ad~a~tateLf~nd~ cl~ck~erc
if you xe,ant, th ir pr,oe,e~rt'd,,,tbro~4gh your aet~aunt []
Job Address_ :i.~.&,,_ ~ i_.~-~--
Owner %c~, KcV<,,--~
~Single Fa~y ~uplex
Value (~,ol,a~la~r ar~ ~,~at~)...~,~ _'~,¢ Date~
Contractor
[~]Muitt-Family E~gental r'~commereial [~industrlal
Number of Fixtures:
Bathtub ,, L~d~ S~artdp
Whirlpool _ ,, D[~I
~ ~sh~
Toi]~ Su~ Pu~
~. Sink Ej~f~fld
~r Sink Wa~ So~
Wa~ ~t~ ~ ~ W~m
Clotb~
W~hr
S~ ......... Bidet
F~r ~in ~ ~ Tap
~ Troy --- ~ Claa~
~b Sink , Sur~ Sink
Dent. o~:~-m
Drtng Fm
Wail St W~h Fm
E~m SMk
saul~ Sink
~a~ Sink Coff~ Mak~
F ~ Si~ lee Mak~
~t ~e Trap .... ~f~
~t Ore~ T~p
Electric Contractor
Use / Nature of Work ~,
size
Material
Sanitary Sewer
Storm ~w~r
Water Service
['"]Electric Installation Veriflcati6n form attached
(If Replacement)
Type # Conn. Type
3/02