HomeMy WebLinkAbout0099435-Plumbing (water heater)OSHKOSH
ON THE WATER
,Job Address 19 E IRVING AVE
Contractor M P KELLY
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
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner RUTH L GERTH
Category 441 - Industrial-Water Heaters
Ejector/Grind 0 DipWell 0 F Prep Sink 0
Water Softner 0 Drink Ftn 0 Serv Sink 0
LocaIWaste 0 Wait. St. 0 Shamp Sink 0
CIothesWshr 0 Ice Chest 0 FIr/Wst Sink 0
Bidet 0 Exam Sink 0 Catch Basin 0
Beer Tap 0 Sculry Sink 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
No 99435
Create Date 01/13/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature COMM/Replace electric water heater.
of Work
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
$459.60 Plan Approval $0.00 Permit Fees
Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
$20.00
Date
01/13/2003
Permit Voided
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address 665 N MAIN ST OSHKOSH WI 54901 - 4431 Telephone Number
231-1750
City otOshkosh
Insp~tion Services Division
P O Box 1130.
~Oshkosh, WI $4903-1130
'phOne: (920) 236-5050
Fax: (920) 236-5084
RECEIVED
JAN 1
DEPARTI~ENT OF
,.,u~vlU,Nt l Y DEVELOPMENT
OJ O/H
ON ?l,,tl: WATFR
Plumbing Permit Application
I hereby apply for a permit to do and install the following plumbing on the prermses heremafter 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. Corms. encing work without permit(s) will result in fees being doubled or $100.00 plus the
normal permit tee, which ever is greater.
OR
If ¥ou are.a contr, actor participating in the Permit Fee Account S),stem and have adequate funds,, check here
if you want this processed.through your account
Job address Iq
o..,, - ....
[-ISingle Famil--~ [-"]Duplex [-'iMulti-Family [-']Rental ~ommerelal ' DIndnstrlal
r". Number of Fixtures:
Batl~b lmdry S~sndP t)em, O~er.
~1 ' ~1 Dip Well
~t~ ~S~S~ ~nk Fm
T~I~ ~u~ Pu~ Wait. St.
R~. S~k Ej~t~nd Ice Chest
B~ S~k Wat~ So~ Exam Sink
Ws~ H~ / ~1 W~te Scul~ Sink
~ ~ ~1~ ~ ~V~i CI~ Wshr Hand Sink
S~ B~ F Pr~ Sink
~ ~tn , B~ Tap ,, S~ Sink
~d~ T~y ~ Sink Iht Grease Tap
~b Sink S~s Sink Ext G~se T~p
Plu~ SMk B~ Sink
S~li~ .....
S~mp S~k
FI~W. Sh~k
LA'~al
Soda
(~o~,e Mtker
Electric Contractor O~
-
Use / Nature of W
/
S~ze Material Type
Sanitary Sewer.
Storm Sewer
Water Service
[--]Electric Installation VerificatiOn form attached
(If Replacement)
3/02