HomeMy WebLinkAbout2002-Plumbing (water heater)OSHKOSH
ON THE WATER
Job Address 432 434 N MAIN ST
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 I Sump Pump 0
Site Drain 0 Classrm Sink 0
Roof Drain 0 Breakrm Sink 0
CITY OF OSHKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
Owner TOD MAP, PROPERTY MANAGEMENT
Category 411 - Residential-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
Clothes Wshr 0 Ice Chest 0 FIr/Wst Sink 0
Bidet 0 Exam Sink 0 Catch Basin 0
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
No 99081
Create Date 12/13/2002
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
0
0
0
0
0
Use/Nature ~ENTAL/ 434/ Replace 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 $1,166.00 Plan Approval $0.00 Permit Fees $20.00
Issued By
Date
12/13/2002
[] 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 of Oshkosh
Inspection Services Division
P O Box 1130
,Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
BEC
g0E ! m' g it Application
OA-KO/H
I hereby apply for a permit to do and install the foliowi .ng plumbing on the prenUses 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, iht. he Permit Fee AccoUn.t Si, stem and have adequate funds,, check here
if you want this processed through your account [-]
,lob Address V~z/ /V/. m ~q,~/ Value U.c,,,din.'aborand mat a'sL._//d
Owner O ~ J ;t")~ 5ontractor .~,/~O/~//
['-[Single Family [-']Duplex [-']MulO-Family [~ental [--[Commercial
[-]Industrial
Number of Fixtures: .....
Bathtub Lndry Standp Dent. Ol~r. Shamp Sink
Whirlpool Disposal Dip Well FIr/Wst Sink.
Lavatory Dishwasher Drink Fm Catch Basin
Toilet Sump Pump Wait. St. Wash Ftn
Res. Sink Ejector/Grind Ice Chest Lb'ina!
Bar Sink Water Softner Exam Sink Oat Drain
Water Heater J Local Waste Sculry Sink
~.msD Clothes Wshr Hand Sink Coffee Maker
Elect
D
PwWnt
Shower Bidet F Prep Sink lee Maker
Floor Drain Beer Tap Serv Sink Site Drain
L~dry Tray Classrm Sink Int Grease Trap Root Dra~
Lab Sink Surgeons Sink Ext Grease Trap Stawdp Rec
Plaster Sink Breakrm Sink
Sterilizer
Electric Contractor O'R [--]Eiectric Installation Veriflcati6n form attached
Use/Nature ofWork~'~j~)-OLe--J~ %~ (_l)O~'r~{~~
Size Material Type # Conn. Type
Sanitary Sewer