HomeMy WebLinkAbout0099173 POSHKOSH
CITY OF OSHKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1305 N MAIN ST Owner STEPHEN P HUFFMAN
Contractor D.R. HANSEN PLBG. Category 411 - Residential-Water Heaters
Bathtub 0 Shower 0 Ejector/Grind 0 DipWell 0 F Prep Sink
Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 Serv Sink
Lavatory 0 LndryTray 0 LocaIWaste 0 Wait. St. 0 ShampSink
Toilet 0 Lndry Stndp 0 CIothesWshr 0 Ice Chest 0 FIrANst Sink
Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin
BarSink 0 Dishwasher 0 Beer Tap 0 SculrySink 0 Wash Ftn
Water Heater 1 Sump Pump 0 Dent. Oper. 0 Hand Sink 0 Urinal
Site Drain 0 Classrm Sink 0 Lab Sink 0 Plaster Sink 0 Standp Rec
Roof Drain 0 Breakrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker
No 99173
Create Date 12/23/2002
Plan
Gar Drain 0
Soda Disp 0
Coffee Maker 0
Int Grease Trap 0
Ext Grease Trap 0
Use/Nature SFR/Replace 40 gallon gas water heater
of Work
Valuation ./ $500.00
Issued By ~
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
Corm, Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Plan Approval $0.00 Permit Fees $20.00
[] Permit Voided
Date 12/23/2002
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature Date
Agent/Owner
Address 55 KNAPP ST OSHKOSH WI 54902 - 0000 Telephone Number
233-1595
City of Oshkosh
Inspection Services Divisio~
P O Box 1130
Oshkosh~ WI ~4~03-1130
Phone: (920) 23&$050
Fax: (920) 23&5094
Plumbing Permit Application
I hereby apply for a perrdt to do and install the following plumbing on the premises hereinafter descrfoed, the wonk to conform to ~e
Wisconsin State Plumbing Code, in the pcffommnce of which all parties hereto agree to and are. bound by said statutes,
* Application(s) ~d fee(s) can be brought to City Bali, Room 205 or mailed to Inspection Sev~/ces, 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 fcc, wh/ch cvcr ia grcatcr.
I£ you are a eontrctcto~ varticivatin~ i~ the_Permit Fee/lcc_ounlSv_sterrl~nclhav~ adea~ateLf~ndl, check)~ere
Job Address._ ?'.~_O_~ /~.._fi/.,4 td ..YT~ Value 0.c~o~i~tab~and ~t~a.~)._~-~-L'~
Family [-']Duplex [~]Multi-Family ["]Rental [~]Commercial
Date~
J-~lndus~Fial
Number of Fixtures:
Bathtub . Lndry Standp Dent. Oper. S~ ~
~ir~l ...... Di~I . Dip Weft FIr~s~ S~k
~I~ Dishw~ ~nK Fm ~h ~
Toi~ ~ Su~ ~ Wa~, St. Wash Fm
~, Sink Ej~lOfind i~ Ch~t , , U~I
~ Sink Wa~ So~ ~ E~m S~k ~r ~n
Wa~ H~t~ ~ ~ W~ ~ Scul~ Sink ~ ~ ~
~ fi Ei~{ C ~Vm CIo~ Ws~ Ha~ Sink Coff~ Ma~
S~r Bid~ F Pr~ Si~ Ice Mak~
~r ~in ~ Tap Se~ Sink Site ~m
L~ T~y ~ Clas~ S~ ~ ~t ~ Trap .... ~f ~
~ S~k ~ Su~ns Sink _ .. ~t Or~ T~ . Smn~ ~
~ ~ Sink
Electric Contractor
Use / Nature of Work
Sanitary Sewer
Water Service
Size
[~]Electric Installation Veriflcatlt~n form attached
(If P~lacement)
Material .... Type # Cram. Type
3/02