HomeMy WebLinkAbout0099035-Plumbing (water heater)OSHKOSH
ON THE WATER
Job Address 1990 S OAKWOOD RD
Contractor GLAZE PLUMBING
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 HERBERT E DOEMEL
Category 411 - Residential-Water Heaters
Ejector/Grind 0 DipWell 0 F Prep Sink
Water Softner 0 Drink Ftn 0 ServSink
LocaIWaste 0 Wait. St. 0 ShampSink
Clothes Wshr 0 Ice Chest 0 FIr/Wst Sink
Bidet 0 Exam Sink 0 Catch Basin
Beer Tap 0 Sculry Sink 0 Wash Ftn
Dent. Oper. 0 Hand Sink 0 Urinal
Lab Sink 0 Plaster Sink 0 Standp Rec
Sterilizer 0 Surgeons Sink 0 Ice Maker
0
0
0
0
0
0
0
0
0
No 99035
Create Date 12/11/2002
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap __
0
0
0
0
0
Use/Nature
of Work
FFR/
Replace 40 gallon 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 $490.00 Plan Approval $0.00 Permit Fees $20.00 :
Issued By
Date
12/11/2002
[] 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 1865 JAMES RD OSHKOSH WI 54904 - 6873 Telephone Number
589-4014
City of Oshkosh
Inspection Services Division
P O Box 1130
Oshkosh, WI ~4905-1130
Phon~: (920) 236-5050
Fax: (920) 236-5084
I hereby apply for a permit to do and ~stall the fo/lowing plumbing on rbe premises hereiaaf~r described, the wo~k to ¢o~form to the
Wisconsin Siat~ Plumbing Code, in the performance of which all parties hereto agree to and are.bound by said statutes.
Application(s) ~d fee(s) can be brought to City IIall, Room 205 or mailed m Insp~tion Ser~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 pcrmi~ fcc, which ever is greater.
OR
l£ vou~ areLa ~co'ntractar pa_rticipat~'~ i~! th~ Perm~t_Fee_JtC¢oun~t Swtem and~tav¢~ ad~auate f~nds~ ch¢ckJlerc
Family [-]Duplex [~]Multt-Family [~Rental ['-]Commercial
['"]~dus~i~
Number of Fixtures:
Bathtub ~dry S~ Dem. op~. Shar~ Sink
~iflp~l ....... Di~l ........ Dip Wcll .... Flr~at Sink
Toi]~ ~ Su~ Pu~ Wai~, St W~h Fm
~. Sink Ej~t~/~nd 1~ Cfl~t U~I
~ar Si~k Wa~ go~ E~m S~k ~ ~r ~n
~ ~ E{~ ~ ~Vn~ Clo~ Wshr Hand S/~k , Coff~ Mak~
g~r ..... Bid~ F ~ Si~ , lee Ma~
F~F ~in ~ Tap Sc~ Sink Sitc ~m
~ Troy Clas~ S~k ~ ~ ~ Trap ..... R~f~
~ Sink $urgmm Sink _ _ ~t G~a~ T~p ~ Smn~ ~
Phs~ $i~ ~ ~ S~nk
Electric Contractor 0_~ [-]EleCtric Installation VeriflcatiSn form attached
(If Replacemem)
Use/Nature of Work ~~ ,.?~ ~.~_['f~7'~ ~o S~.
Size Material Typ~ # Conn. Typ~
Slmimry Sewer