HomeMy WebLinkAbout0098936-Plumbing (water heater) � � CITY OF OSHKOSH No 98936 S�ANti s
OSHKOSH� PLUMBING PERMIT -APPLICATION AND RECORD �41'�S�° �
ON THE WATER � ti
Job Address 1445 1447 MARICOPA DR Owner GERRITT J KLEINHUIZEN Create Date 12/05/20 TE �
;
Contractor SOPER PLUMBING Category 411 -Residential-Water Heaters Plan a
Bathtub 0 Shower 0 Ejector/Grind 0 Dip Well 0 F Prep Sink 0 Gar Drain 0
',
Whirlpool 0 Floor Drain 0 Water Softner _ 0 Drink Ftn 0 Serv Sink 0 Soda Disp 0
Lavatory 0 Lndry Tray 0 Local Waste 0 Wait.St. 0 Shamp Sink 0 Coffee Maker 0
Toilet 0 Lndry Stndp 0 Clothes Wshr 0 Ice Chest 0 Flr/Wst Sink 0 int Grease Trap 0
Res.Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0
Bar Sink 0 Dishwasher 0 Beer Tap 0 Sculry Sink 0 Wash Ftn 0 a
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 Drein 0 Breakrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0
Use/Nature Gas Water Heater replacement
, of Work z
€
Size Material Type # Conn.Type
Sanitary Sewer 0
0
0
F
Q
�
Storm Sewer 0
0
i
0 ;
0 '
0 }
Water Service 0
0
0
0
0
Valuation $425.00 Plan Approval _ $0.00 Permit Fees $20.00
Issued By�� Date 12/05/2002 `
.
n Permit Voided
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
�
Signature .Gx�6�`�`i'�`�1�"� Date ���=� Z
AgenUOwner �
r
Address 2225 BURNWOOD DR Oshkosh WI 54902 -0000 Telephone Number 426-2151
i
#
�
City of Oshkosh
Inspection Services Division
P OBox 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 $100.00 plus the
normal permit fee, which ever is greater.
OR
I£¥ou are a contractor participating in the Permit Fee Account System and have adequate funds, check here
if you want this processed through your account
Job Address ff.~_~-~ ~~ Value (Including labor and materials~ ~--
Owner ~..~,,~,- :r-/--_ ~"~'~' t/ Contractor
[--]Single Family [~']Duplex r--]Multi-Family [""[Rental [--[Commercial
Date/.~
[~]Industrial
Number of Fixtures:
Bathtub Lndry Standp Dent. Oper.
Whirlpool Disposal Dip Well
Lavatory Dishwasher Drink Ftn
Toilet Sump Pump Wait. St.
Res. Sink Ejector/Grind Ice Chest
Bar Sink Water Softner Exam Sink
Water Heater / Local Waste Sculry Sink
~g~Gas - Elect Z PwrVnt Clothes Wshr Hand Sink
Shower Bidet F Prep Sink
Floor Drain Beer Tap Serv Sink
Lndry Tray Classrm Sink Int Grease Trap
Lab Sink Surgeons Sink Ext Grease Trap
Plaster Sink Breaknn Sink
Sterilizer
Electric Contractor
Use / Nature of Work
Sanitary Sewer
Storm Sewer
Water Service
Shamp Sink
Flr/Wst Sink
Catch Basin
Wash Ftn
Urinal
Gar Drain
Soda Disp
Coffee Maker
Ice Maker
Site Drain
Roof Drain
Standp Rec
[--]Electric Installation Verificatidn form attached
(If Replacement)
Size Material Type
# Conn. Type
3/02