HomeMy WebLinkAbout0099174-Plumbing (water heater)OSHKOSH
ON THE WATER
,Job Address 2720 HARRISON ST
Contractor M P KELLY
CITY OF OSHKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
Owner RONALD P ANDERSON
Category 411 - Residential-Water Heaters
Bathtub 0 Shower 0 Ejector/Grind 0 Dip Well 0 F Prep Sink 0
Whirlpool 0 Floor Drain 0 WaterSoftner 0 Drink Ftn 0 Serv Sink 0
Lavatory 0 LndryTray 0 Local Waste 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
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 99174
Create Date 12/23/2002
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature SFR/Repalce gas water heater under warranty
of Work
Valuation /.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
12/23/2002
In the performance of this work, I agree to perform all work pursuant to ruses governing the described construction.
Signature Date
Agent/Owner
Address 665 N MAIN ST OSHKOSH WI 54901 - 4431 Telephone Number
231-1750
City of Oshkosh
Inspection Services Division
P O Box 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
OZHKOTH
ON THF WATFR
Plumbing Permit Application
I hereby apply for a permit to do and install the foliowi.ng plumbing on thc 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 you want this processed through }/our account ~
Job Address ~?c~.~ ,3~, ~~ Value (lncluding labor and materialsl ....
Owner / ~g~/~/~ /~L~L~Z~/~'~- Contractor
/~n~m~le Fan~i~ ['"]Duplex [-'lMultn-Famdy ['-]Rental I ICommerclal ['-[Industrial
Number Of Fixtures:
Bathtub Lndry Standp Dent. Oper.
Whifll~ol Disposal Dip Well
Lavatory Dishwasher Drink Fm
Toilet , , . Sump Pump Wait. St.
Res. Sink Ejector/Grind Icc Chest
Bar Sink Water Softner Exam Sink
Water Heater 7 Local Waste Sculry Sink
L~U Elect U PwrVnt Clothes Wshr Hand Sink
Shower Bid~ F Prep Sink
Floor Drain Beet Tap Ser~ Sink
Ladry Tray Classrm Sink Int Grease Trap
Lab Sink Surgeons Sink Ext Grease Trap
Pla~ter Sink Breakrm Sink
Sterilizer
Shamp Sh~k
Fit/War Sink
CatCh I~sin
Wash Itu
Urinal
Oar Drain
Coffee Maker
lee Maker
Site Dm~
Roof Drain
Electric Contractor
Use / Nature of Work ~~~
' /
Sanitary Sewer
~,.
StOrm Sewer
Water Service
Size Material
O'R ['-IEiectric Installation VeriflCatiSn form attached
(If Replacement)