HomeMy WebLinkAbout0099507-Plumbing (water heater)OSHKOSH
ON THE WATER
.lob Address 1235 WESTERN ST
Contractor GLAZE PLUMBING
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 WILFRED A SALZIEDER
Category 411 - Residential-Water Heaters
Ejector/Grind 0 DipWell 0 F Prep Sink 0
Water Softner 0 Drink Ftn 0 Serv Sink 0
LocalWaste 0 Wait. St. 0 Shamp Sink 0
ClothesWshr 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 99507
Create Date 01/20/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature SFR/Replace 40 gallon gas water heater.
of Work
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size
$500.00 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
01/20/2003
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 1865 JAMES RD OSHKOSH WI 54904 - 6873 Telephone Number
589-4014
City of Oshkosh
Inspection Services Division
P O Box 1130
Osl~osh, WI 54903-1130
Phone: (920) 236-$050
Fax: (920) 236-$094
coma u ,lTy a£v£Loem£Nr
Plumbing Permit Application
' OA-qKO/R
I hereby apply for a permit to do and install the following plumbing on ~e premises hereinafter described, the work to conform to the
Wisconsin State Plumbing Code, ia the perfomance of which all parties hereto agree to and are. hound by said statutes.
Application(s) and fee(s) can bc brought to City I~ll, Room 205 or mailed to Insp~tion Services, PO Box 1128,
Oshkosh WI 54903-t 128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which cve~ i~ grcatcr.
OR
l[you_ areLa co'ntr~ctar vatticLoatine iv the_Permit_Fee__Accoun/L Svstem~nd have a~o~te £und~. cl~ckd~er¢.
if you want ,th,ir proe~r~d,,thr.,o.~gl~ your account F~
Number of
Whirlpool
Lavatory .
Toilet
Res. Sink
Bat Sink
Water Heater
,t~ Oas ~ ~ect _~ Pwr~t
FI~r Enain
L/~ry Tray
Lab Sink
P~as~r Sink
.L~dry Smndp Dent. Oper. · Shamp Sink
Su~ Pu~ Wai~, St. Wash Fm
Ej~IOfin~ Ice ~t
Wa~ ~of~ ~ E~m
~ W~m S~ul~ Sink
Bid~ -. P Prep Si~ Ice Mak~
~ T~ ~ Sc~ Sink Si~
Clas~ S~k ~ l~t ~e Trap
Surg~ Sink .. ~t Or~ T~
Br~ Sink
Electric Contractor 0.~
Use/~atureofWork ~,e~, 'x._.~..~ '-l'3 S~/L~
S~ M~ T~
Sanitary Sewer
Sma-m Sewer
Water Sc~eice
[-']Electric Installation Verificati6n form attached
(If lt~placem~t)
Co~n. Type
3/02