HomeMy WebLinkAbout0098945-Plumbing (water heater)OSHKOSH
ON THE WATER
Job Address 52 MYRNA JANE DR
Contractor MERTEN PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
Owner FREDERICK OTTO
Category 411 - Residential-Water Heaters
Bathtub 0 Shower 0 Ejector/Grind 0 DipWell 0 F Prep Sink 0
Whirlpool 0 Floor Drain 0 WaterSoftner 0 Drink Ftn 0 Serv Sink 0
Lavatory 0 Lndry Tray 0 Local Waste 0 Wait. St. 0 Shamp Sink 0
Toilet 0 Lndry Stndp 0 Clothes Wshr 0 Ice Chest 0 FIr/Wst Sink 0
Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0
BarSink 0 Dishwasher 0 BeerTap 0 SculrySink 0 Wash Ftn 0
Water Heater I 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 98945
Create Date 12/05/2002
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap __
0
0
0
0
0
Use/Nature
of Work
~FR/
Replace gas water heater.
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 $940.05 Plan Approval $0.00 Permit Fees $20.00
Issued By
Date
12/05/2002
[] Permit Voided J
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature Date
Agent/Owner
Address 1087 COZY LANE OSHKOSH WI 54901 - 0000 Telephone Number
231-6795
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 0fwhich 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 in the Perntit Fee AccOunt System and have adequate funds, check here
if you want this processed through your account ~
Job Address ~ 2 ~ ~ [~t/'b. Value (,ncluding labor and materials) q L/0o 05
Owner ~x~_. ~ ~___~ Contractor .~~ ~~
[--]Single Family [-]Duplex [-]Multi-Family [--]Rental ['-]Commercia' 1 v
Date ll [oa
[-"]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 I Local Waste Sculry Sink
~oGas [] Elect [] PwrVnt
Clothes Wshr Hand Sink
Shower Bidet F Prep Sink
Floor Drain Beer Tap Sere Sink
Lndry Tray Classrm Sink Int Grease Trap
Lab Sink Surgeons Sink Ext Grease Trap
Plaster Sink Breakrm Sink
Sterilizer
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 Contractor
Use / Nature of Work
['-]Electric Installation Verificati6n form attached
(If Replacement)
Sanitary Sewer
Storm Sewer
Water Service
Size
Material
Type
# Conn. Type
3/02