HomeMy WebLinkAbout2002-Plumbing (water heater) CITY OF OSHKOSH
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 957 PIERCE AVE Owner VIRGINIA RWENDLAND Create Date 12/23/2002
Contractor M P KELLY Category 411 - Residential-Water Heaters Plan
Bathtub 0 Shower 0 Ejector/Grind 0 DipWell 0 F Prep Sink 0 Gar Drain
Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 Serv Sink 0 Soda Disp
Lavatory 0 LndryTray 0 Local Waste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker
Toilet 0 LndryStndp 0 CIothesWshr 0 Ice Chest 0 FIr/Wst Sink 0 Iht Grease Trap
Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap __
Bar Sink 0 Dishwasher 0 Beer Tap 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 99175
Use/Nature SFR/Repalce gaswater heater
of Work
Valuation ~97.00
Issued By
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
Plan Approval $0.00 Permit Fees $20.00
Date
12/23/2002
[] 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 665 N MAIN ST OSHKOSH WI 54901 - 4431 Telephone Number
231-1750
'City of Oshkosh
Inspection Services Division
P O Box 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
O./kKO./H
ON T~[: W^TFR
Plumbing Permit Application
hereby apply for a permit to do and install the followi.ng plumbing on the premises hereinafter described, the work to conform to the
Wisconsin State Plumbing Code, in the performance of which ali 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. Corn?eating 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 .4ccount SI, stem and have adequate funds, check here
if you want this processed through Four account []
Owner ~/i g-~I t~ ,o~ WEt N ~ ~.~/.~. Contractor ./~'~' - "__ / 'J~//C/' .//v~-~'' '
~3ingle Family F"]Duplex F'-[Muiti-Family F"]Rental I ICommerclal ["']Industrial
Number of Fixtures:
Bathtub ..... Lndry Stnndp Dent. Oper. Sharp Sink
Whirlpool Disl~esl Dip Well FIr/~st Sink
Dishwasher Drink Fm CatCh Basin
Lavatory
Toilet Sum~ Pump Wait. St. Wmh Fm
Res. Sink ...... Ejector/Grind Ice Chest IJ~ml
Water Soffner Exam Sink Oar Drain
Bar Sink ......
Wat~ H~ster ~, ,, Local Waste Sculry Sink ~ Di~
~ O Elect 0 PwrVnt Clothes Wshr Hand Sink CoftL. e Maker
Shower l~idet F Pre~ Sink lee Maker
Fleet Drain B~r Tap Serv Sink Site Drain
lmdty Tray ...... Classrm Sink int Grease Trap Reel' Drain
Lab Sink Sutseons Sink ' Ext Grease Trap Stemlp Rec
Plaster Sink Breskrm Sink
Sterilizer , , · ·
Electric Contractor
[-'[Electric Installation Verlfleafl6n form attached
Use / Nature of Work
Sanitary Sewer.
Storm Sewer
Water Service
Size
Material Type # Conn. Type
3/02