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HomeMy WebLinkAbout0099191-Plumbing (water heater)OSHKOSH ON THE WATER Job Address 641 FRANKLIN ST Contractor SOPER PLUMBING CITY OF OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD Owner HORST G WARNKE 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 LndryTray 0 LocaIWaste 0 Wait. St. 0 Shamp Sink 0 Toilet 0 LndryStndp 0 CIothesWshr 0 Ice Chest 0 FIr/Wst Sink 0 Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0 BarSink 0 Dishwasher 0 BeerTap 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 99191 Create Date 12/26/2002 Plan Gar Drain 0 Soda Disp 0 Coffee Maker 0 Int Grease Trap 0 Ext Grease Trap 0 Use/Nature of Work iDuplex / replace gas water heater Valuation $850.00 Issued By~''~ 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 Plan Approval $0.00 Permit Fees $20.00 Date 12/26/2002 [] Permit Voided In the performance of this work, I agree to perform all work pursuant to rules governing the described construction. Signature ..... ~ Date ~ w -- - Agent/Owner Address 2225 BURNWOOD DR Oshkosh WI 54902 - 0000 Telephone Number 426-2151 City of Oshkosh Inspection Services Division P O Box 1130 Oshkosh, WI 54903-1130 Phone: (920) 236-5050 Fax: (920) 236-5084 O/HKO/H ON THE WATER Plumbing Permit Application I hereby apply for a permit to do and install 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. · 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 ¥ou want this processed through your account Job Address d'.O? . _.~----_.~,~o.~'-!.O Value (Including labor and materials) e~,~l~O Date./../-.J& Owner /~L~?'- ~~'~-" Contractor .~.,~_~.~ _~'~,~t _~/,~.,'~ [--]Single Family ~rDuplex I--]Multi-Family [--]Rental [-]Commercial [--]Industrial Number of Fixtures: Bathtub Lndry Standp Dent. Oper. Shamp Sink Whirlpool Disposal Dip Well Flr/Wst Sink Lavatory Dishwasher Drink Ftn Catch Basin Toilet Sump Pump Wait. St. Wash Ftn Res. Sink Ejector/Grind Ice Chest Urinal Bar Sink Water Softner Exam Sink Gar Drain Water Heater .t~ Local Waste Sculry Sink Soda Disp ,~.Gas ~ Elect E PwrVnt Clothes Wshr Hand Sink Coffee Maker Shower Bidet F Prep Sink Ice Maker Floor Drain Beer Tap Serv Sink Site Drain Lndry Tray Ctassrm Sink [nt Grease Trap Roof Drain Lab Sink Surgeons Sink Ext Grease Trap Standp Rec Plaster Sink Breakrm Sink Sterilizer Electric Contractor Use / Nature of Work Sanitary Sewer Storm Sewer Water Service Size [~]Electric Installation Verificatidn form attached (If Replacement) Material Type # Conn. Type 3/02