HomeMy WebLinkAbout0099159-Plumbing (water heater)OSHKOSH
ON THE WATER
Job Address 224 E LINCOLN AVE
Contractor FARMERS SUPPLY CO
CITY OF OSHKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
Owner STEVEN L/GUDRUN HEMMINGHAUS
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 LndryStndp 0 ClothesWshr 0 IceChest 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 99159
Create Date 12/20/2002
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap __
Use/Nature ;FR/ RENTAL/ Install gas water heater.
of Work
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 $400.00 Plan Approval $0.00 Permit Fees $20.00
Issued By ~
[] Permit Voided
Date 12/20/2002
In the pe~ort'nance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature~J~ '~~_....~~~ Date
J ~- AgentJOwner
Address 34W 7TH AVE OSHKOSH WI 54902 - 0000 Telephone Number
235-6970
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 5;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
(f you want this processed through your account ~
Job Address ~.2 t~ ,A ,~..~f,~ Value (Including labor and materials) ~/'O~:
Owner .(Z',,~ Z/f,~ ~, ,,~. s Contractor /~ ~,~/.,.~ ~f,,.. ~ ~- ~
,~Single Family [--]Duplex I--]Multi-Family [~-~Rental [-1Commercial
Date/zz-.?~-,,
['-]Industrial
Number of Fixtures:
Bathtub Lndry Standp Dent. Oper.
Whirlpool Disposal Dip Well
Lavatory Dishwasher Drink Ftn
Toile! Sump Pump Wait. St.
Res. Sink Ejector/Grind Ice Chest
Bar Sink Water Softner Exam Sink
Water Heater // Local Waste Sculry Sink
~ Gas E Elect 2 PwrVnt Clothes Wshr Hand Sink
Shower Bidet F Prep Sink
Floor Drain Beer Tap Serv Sink
Lndry Tray Classrrn Sink [nt Grease Trap
Lab Sink Surgeons Sink Ext Grease Trap
Plaster Sink Breakrm Sink
Sterilizer
Electric Contractor
Use / Nature of Work
Shamp Sink
FlrAVst Sink
Catch Basin
Wash Ftn
Urinal
Gar Drain
Soda Disp
Coffee Maker
Ice Maker
Site Dram
Roof Drain
Standp Rec
[--]Electric Installation Verificatirn form attached
(i'f Replacement)
Sanitary Sewer
Storm Sewer
Water Service
Size
Material
Type
# Conn. Type
3/02