HomeMy WebLinkAbout2002-Plumbing (water heater)OSHKOSH
ON THE WATER
Job Address 1201 RUGBY ST
Contractor SOPER PLUMBING
Bathtub 0 Shower
Whirlpool 0 Floor Drain
Lavatory 0 Lndry Tray
Toilet 0 Lndry Stndp
Res. Sink 0 Disposal
Bar Sink 0 Dishwasher
Water Heater 1 Sump Pump
Site Drain 0 Classrm Sink
Roof Drain 0 Breakrm Sink
CITY C~'F OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
No 98938
Owner DENNIS K R MOE/CHRISTOPHER L MA Create Date
Category 411 - Residential-Water Heaters Plan
0 Ejector/Grind 0 Dip Well 0 F Prep Sink 0 Gar Drain
0 WaterSoftner 0 Drink Ftn 0 ServSink 0 Soda Disp
0 Local Waste 0 Wait. St. 0 ShampSink 0 Coffee Maker
0 CIothesWshr 0 Ice Chest 0 FIr/Wst Sink 0 Iht Grease Trap
0 Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap __
0 Beer Tap 0 SculrySink 0 Wash Ftn 0
0 Dent. Oper. 0 Hand Sink 0 Urinal 0
0 Lab Sink 0 Plaster Sink 0 Standp Rec 0
0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0
12/0512002
Use/Nature Gas Water Heater replacement
of Work
Valuation $425.00
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 12/05/2002
[] Permit Voided
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Signatur ~ Date
/~"' ~' ~ ~ ~ Agent/Owner
Address 2225 BURNWOOD DR Oshkosh WI 54902 - 0000 Telephone Number
426-2151
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
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 of which all parties hereto agree to and arebound 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 $100.00 plus the
normal permit fee, which ever is greater.
OR
If you are a contractor participating in the Permit Fee Account System and have adequate funds, check here
if you want this processed through your account ~
Job Address /~ / ..~P/.~,'?r3 ,? Value (Including labor and materials) ~'K~,~r-.~-
Owner ~'h~vx~/$ Contractor ~'~:~-~ -/~3-/.~r~
[-]Single Family 13 lDuplex [~]Multi-Family ['-~Rental [--]Commercial
['"]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 / Local Waste Sculry Sink
~fGas Clothes Wshr Hand Sink
Elect
PwrVnt
Shower Bidet F Prep Sink
Floor Drain Beer Tap Serv Sink
Lndry Tray Classrm Sink Int Grease Trap
Lab Sink Surgeons Sink Ext Grease Trap
Plaster Sink Breakrm Sink
Sterilizer
Shamp Sink
FlrAVst Sink
Catch Basin
Wash Fm
Urinal
Gar Drain
Soda Disp
Coffee Maker
Ice Maker
Site Drain
Roof Drain
Standp Rec
Electric Contractor
Use / Nature of Work
Sanitary Sewer
Size Material Type
Storm Sewer
[--]Electric Installation Verificatidn form attached
(If Replacement)
# Conn. Type
Water Service
3/02