HomeMy WebLinkAbout0098977-Plumbing (water heater)OSHKOSH
ON THE WATER
Job Address 225 E PARKWAY AVE
Contractor E C MERRILL INC
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner MILDRED P LAMERE
Category 411 - Residential-Water Heaters
Bathtub 0 Shower 0 Ejector/Grind 0 Dip Well 0 F Prep Sink
Whirlpool 0 Floor Drain 0 WaterSoftner 0 Drink Ftn 0 Serv Sink
Lavatory 0 Lndry Tray 0 Local Waste 0 Wait. St. 0 Shamp Sink __
Toilet 0 Lndry Stndp 0 Clothes Wshr 0 Ice Chest 0 FIr/Wst Sink __
Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin__
Bar Sink 0 Dishwasher 0 BeerTap 0 Sculry Sink 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 98977
Create Date 12/06/2002
Plan
0 Gar Drain 0
0 Soda Disp 0
0 Coffee Maker 0
0 Int Grease Trap 0
0 Ext Grease Trap 0
0
0
0
0
Use/Nature
of Work
RENTAL/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 $425.00 Plan Approval $0.00 Permit Fees $20.00
Issued By
Date
12/06/2002
[] Permit Voided
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature Date
Agent/Owner
Address 804 WITZEL AVE OSHKOSH WI 54902 - 0009 Telephone Number
235-3600
City of Oshkosh
Irmpection Services Division
P O Box 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
Plumbing Permit Application
O/HKO/H
ON THE WATER
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 Plun~bing Code, in the performance of which all parties hereto a~ee 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-I 128. 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 Permit Fee Account System and have adequate funds, check here
(f_vou want this processed through your account J-]
Job Address .~-'~-" 12~"~t'&'~4/~UJ~ Value (Including labor and materials)
Owner }"'(,Icr~F~.) (--'Bi-"( 1Zi'L.t~/ Contractor
[--]Single Family ~-~Duplex [-]Multi-Family ~t~eatal [-]Commercial
Date / Z-'j q/0 7..~-
['"]Industrial
Number of Fixtures:
Bathtub Lndry Standp Dent. Oper. Shamp Sink
~Vh'irlpool Disposal Dip Well FlrAVst Sink
Lavatory Dishwasher Drink Ftn Catci~ Basin
Toilet Sump Pump Wait. St. Wash Ftn
Res. Sink Ejector/Grind Ice Chest Urinal
Bar Sink Water Softner Exam Sink Gar Drain
aHeater Local Waste Scutry Sink Disp
Soda
s g Elect ~ PwrVnt Clothes Wshr Hand Sink Coffee Maker
Shower Bidet F Prep Sink Ice Maker
FEoor Drain Beer Tap Sent Sink Site Drain
Lndry Tray Classrm Sink lnt Grease Trap Roof Drain
Lab Sink Surgeons Sink Ext Grease Trap Standp Rec
Plaster Sink Breakrm Sink
Sterilizer
Electric Contractor
Use / Nature of Work
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type
[-]Electric Installation verificatidn form attached
(If Replacement)
# Conn. Type