HomeMy WebLinkAbout0098868-Plumbing (water heater)OSHKOSH
ON THE WATER
CITY OF OSHKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
Job Address 325OXFORD AVE Owner BRIAN/JENNIFER BOESE
Contractor HOMEOWNER Category 411 - Residential-Water Heaters
Bathtub 0 Shower 0 Ejector/Grind 0 DipWell 0 F Prep Sink 0
Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 ServSink 0
Lavatory 0 Lndry Tray 0 Local Waste 0 Wait. St. 0 Shamp Sink 0
Toilet 0 LndryStndp 0 Clothes Wshr 0 Ice Chest 0 FIr/Wst Sink 0
Res. Sink 0 Disposal 0 Bidet" 0 Exam Sink 0 Catch Basin 0
Bar Sink 0 Dishwasher 0 BeerTap 0 SculrySink 0 Wash Ftn 0
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 Drain 0 Breakrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0
No 98868
Create Date 12/02/2002
Plan
Gar Drain 0
Soda Disp 0
Coffee Maker 0
Iht GreaseTrap 0
Ext Grease Trap 0
Use/Nature
of Work
REPLACE NAT GAS WATER HEATER
Valuation
Issued By
Storm Water
Size
$450.00 Plan Approval
Material Type
Permit Fees
$0.00
# Conn. Type
$20.00
Date 12/02/2002
[] Permit Voided
The undersigned, in applying for a plumbing permit to install plumbing in a single family home owned and occupied as the
principle residence of the undersigned, hereby acknowledges, per Wisconsin State Statutes, ss 145.06, that other individuals
will not be employed to assist with the work described by this permit. If an individual will be employed to install plumbing
the work involved must be covered by a permit issued to a properly/licensed Master Plumber.
In the perforrpan~ of this work, I agree to perfor~m all work pursuant to rules governing the described construction.
Signature ~ \~. Q pc. ~'~~~ ~ q) · Date
~ ' ~ -*--~ge'~nt/Ow--ner-- -
Address 325 OXFORDAVE OSHKOSH WI 54901 4535 Telephone Number