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HomeMy WebLinkAbout0099488-Plumbing (water heater)OSHKOSH ON THE WATER .lob Address 2332 HICKORY LN Contractor WATTERS PLUMBING CITY OF OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD Owner PAUL W/JANET K CARSTENS 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 Serv Sink 0 Lavatory 0 Lndry Tray 0 LocaIWaste 0 Wait. St. 0 Shamp Sink 0 Toilet 0 Lndry Stndp 0 CIothesWshr 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 Beer Tap 0 SculrySink 0 Wash Ftn 0 Water Heater 0 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 99488 Create Date 01/16/2003 Plan Gar Drain Soda Disp Coffee Maker Int Grease Trap Ext Grease Trap Use/Nature SFR/Install gas water heater. of Work Valuation Issued By Sanitary Sewer Storm Sewer Water Service Size Material Type # $499.00 Plan Approval $0.00 Permit Fees Conn. Type 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 $20.00 Date 01/16/2003 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 1303 MIDWAY RD, PO BOX 118 MENASHA WI 54952 - 1129 Telephone Number 800-801-8125,733-81 FFom: City of Osl~osh Inspection S~rviccs Division P 0 Box 1130 O~hkosh, WI $4~03.1130 Phone: (920) 236J0~0 Fax: (920) 236-f084 01/16/2003 09:42 Iq158 P,O02 O/HKO/H ON TH~. WATER Plumbing Permit Application I hereby apply for a permit to do and install ~e following plumbing on r~e premises hereinafter described, the work to conform Wisconsin Slate Plumt~ing Code. in the performance of which all parries.hereto agree to and arc bound by said statutes. · Application(s) and fee(s) can be brought to City Halt, Room 205 or mailed to Inspection Services, PO Box t I28, Oshkosh WI $4903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the normal p~rmit fee, which over is ~cater. OR ]f vou al'e a contr~l.ctor ~artfctDatin~ iq t/1¢ Permit Fee Accoun~ ~vstem and have adequate fun~ ch, ec~: here ~f_vott wan~ tJti~ processed through your accottnt ~ Owner ~ ~ ~ Contractor ingle amily D.plex Mulo-ramily Rental Commercim Industrial Number of Fixtures: Bathtub Lndry Standp Dent. Oper. , ,, Shamp Sink Whirlpool DispoSal Dip Well Fir/War Sink Lavatory Dishwasher Drink l:tn Catch Basin Toil¢~ SUF~, Pump Wait, St. Wash Ftn Ecs, Sink , Ejector/Grind Ice Chc~t Urinal B~r Sink Water Sofm~ Exam Sink Gar Drain Water H~t~ ~ L~I Waste Scul~ Sink S~a Di~p ~Oa~ ~ Elect D P~Vn~ Clothc~ Wshr ........ Hand Sink ~ Coff~ Mak~ Show~ Bid~ F Prcp Sink 1~ Maker Flo~ ~aln , , ~r Tap ~ S~ Sink , Site ~in Ln4~ T~y O~s~ $~k [n~ Grease Trap Roof ~in ~b Sink S~geons Sink Ext G~e Tap S~ndp Rfc Plast~ Sink B~a~ Sink S~erilizer ~ Electric Contractor [-]Electric Installation Vertficati6n form attache¢ (if Replacem~t) Use / Nature of Work Sardmry Sewe~ Size Material Type # Corm. Type Storm Sewer Wa~er Service