HomeMy WebLinkAbout0099466-Plumbing (water heater)OSHKOSH
ON THE WATER
.lob Address 1335 CANDLELIGHT CT
Contractor LARRY HANSEN PLBG
Bathtub 0 Shower 0
Whirlpool 0 Floor Drain 0
Lavatory 0 Lndry Tray 0
Toilet 0 Lndry Stndp 0
Res. Sink 0 Disposal 0
Bar Sink 0 Dishwasher 0
Water Heater 1 Sump Pump 0
Site Drain 0 Classrm Sink 0
Roof Drain 0 Breakrm Sink 0
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner GERALD A/JULIE THIELE JR
Category 411 - Residential-Water Heaters
Ejector/Grind 0 DipWell 0 F Prep Sink 0
Water Softner 0 Drink Ftn 0 Serv Sink 0
LocaIWaste 0 Wait. St. 0 Shamp Sink 0
CIothesWshr 0 Ice Chest 0 FIr/Wst Sink 0
Bidet 0 Exam Sink 0 Catch Basin 0
Beer Tap 0 Sculry Sink 0 Wash Ftn 0
Dent. Oper. 0 Hand Sink 0 Urinal 0
Lab Sink 0 Plaster Sink 0 Standp Rec 0
Sterilizer 0 Surgeons Sink 0 Ice Maker 0
No 99466
Create Date 01/16/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature SFR/Replace gas, power vented, water heater.
of Work
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size
$170.00 Plan Approval $0.00 Permit Fees
Material Type #
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 N-1044TOWER VIEW DR GREENVILLE WI 54942 - 8683 Telephone Number
(C)851-6863
City of O~hkosh
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
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 Plumbing Code, in the performance of which all parties hereto agree to and are bound by said statutes.
Job Address
Owner' .._~3 1~
~Single Family [-]Duplex
Value (Including labor and materials>
Contractor
Date
I-q-o:}
I--IMulti-Family ["']Rental I--ICommercial ["]Industrial
Number of Fixtures:
Bathtub Sterilizer Breakrm Sink
Whirlpool Lndry Standp Dent. Oper. Shamp Sink
Lavatory Disposal Dip Well Flr/Wst Sink
Toilet Dishwasher Drink Fm Catch Basin
Res. Sink Sump Pump Wait. St. Wash Ftn
Bar Sink Ejector/Grind Ice Chest Urinal
Ws~,Gater Heater , ~ Water Softner
Exam
Sink
Gar
Drain
as [3 Electric XPower Vent
Local Waste Sculry Sink Soda Disp
Shower Clothes Wshr Hand Sink Coffee Maker
Floor Drain Bidet F Prep Sink Ice Maker
Lndry Tray Beer Tap Serv Sink Site Drain
Lab Sink Classrm Sink Int Grease Trap Roof Drain
Plaster Sink Surgeons Sink Ext Grease Trap Standp Rec
Electric Contractor
USe / NatUre of Work
OR []
Sanitary Sewer
Storm Sewer
EIV form attached (If Replacement)
Water Service
Size Material Type # Conn. Type
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
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