HomeMy WebLinkAbout0099103-Plumbing (water heater)OSHKOSH
ON THE WATER
Job Address 1149 CHERRY ST
Contractor WATTERS PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
Owner MARK E/THERESE JOANIS
Category 411 - Residential-Water Heaters
No 99103
Create Date 12/16/2002
Plan
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
Use/Nature
of Work
Ejector/Grind 0 DipWell 0 F Prep Sink 0 Gar Drain
Water Softner 0 Drink Ftn 0 ServSink 0 Soda Disp
Local Waste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker
Clothes Wshr 0 Ice Chest 0 FIr/Wst Sink 0 Int Grease Trap
Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap
BeerTap 0 SculrySink 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
SFR/INSTALL 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 $499.00 Plan Approval $0.00 Permit Fees $20.00
Issued By
Date 12/16/2002
[] Permit Voided
In the performance of this work, I agree to perform all work pursuant to rules goveming the described construction.
Signature Date
Agent/Owner
MENASHA WI 54952 - 1129 TelePhone Number
Address 1303 MIDWAY RD, PO BOX 118 800-801-8125,733-81
From: ]2/]6/2002 09:45 P,O02
City, of Oshkosh
Inspection Services Division
P O Box 1 ! 30
Oshkosh, WI 54903-I 130
Phone: (920) 236-5050
Fax: (920) 236.5084
Plumbing Permit Application
I hereby apply for a perrm~ to do and i~-~mll 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.
e Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1 I28,
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
/f ]~gu area co_.n_ trac, tor~_~articll~atin~ in the Permit Fee Account System and have_.a~dcqua[e funds. Ci~¢~k here
if you want this processed through ~vour account .[~
Owner ~-'~e.-Z~r,~. C~,o',z' Contractor ~,.f,~',,~,~"-."/-,~' ,,'~.~,'~.,'~-~'"~
~ingle Fnmily [--]Duplex [=~Multi-Fnmily ['~Rentni ['-]Commercial F-'llndustrtnl
Number of Fixtures:
Bathtub Lndry Smndp Dent. Oper, Shamp Sink
Whirlpool Disposal Dip Well FIr/War Sink
Lavatory __ Dishwasher ,,. I~'ink Pm -- Catch Basin
Toilet SO~ Pu~ Wail SL Wash Fm
R~, Sink Ejector/G6nd lee Chest Ugnal
Bar Sink Wat~ So~cr Exam Sink
Wa~er Heat~ / Lo~l Waste _ . Seul~ Sink Sofia
~Gas ~ Elec[ O P~Vnl Clothes Wshr Hand Sink Coff~ Mak~
Show~ Bidet ~ , F Prep Si~k _ Ice Mak~
Floor ~ain Bc~ 'rn~ Sc~ Sink Site ~ain
~dN T~y , Cl~ss~ Sink lm Grease Trap R~fDmin
~b Sink ' Surgeons Sink Ext Orcasc Trap Smndp ~c
~laster Sink Brea~ Sink
St~illzer
Electric Contractor
F-]Electric Installation Verlfleati6n form attached
Replacement)
Use / Nature of Work
Samtary Sewer
Size
Material Type # Conn. Type
StormSewer
Water Service