HomeMy WebLinkAbout0099589-Plumbing (water heater)OSHKOSH
ON THE WATER
.lob Address 2202 2204 BOWEN ST
Contractor RANSOM, JOHN D
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 JAMES C/VICKYA GOLLNICK
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 99589
Create Date 01/27/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature DUPLEX/2202/Replace gas water heater.
of Work
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size
$280.00 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
01/27/2003
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 W5056 PARADISE LN FOND DU LAC WI 54935 - 9662 Telephone Number
922-1987
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
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.
[--]Single Family
Number of Fixtures:
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater ~
Shower
Floor Drain
Lndry Tray
Lab Sink
Plaster Sink
Sterilizer
[~Duplex
Lndry Standp
Disposal
Dishwasher
Sump PumP
Ejector/Grind
Water s~'
Local Waste
Clothes Wshr
Bidet
Beer Tap
Classrm Sink
[--]Multi-Family [--]Rental [--]Commercial
R ? " EIVED
._t N 2 7 0,?fnt. o er.
Dip Well
Exam Sink
Sculry Sink
Hand Sink
F P~p' Sink
Se~ Sink
~t Gre~ Trap
Ext G~ase Trap
Br~akrm Sink
Electric Contractor
Use / Nature of Work
OR []
Date
[-"]Industrial
ShamP Sink
FkAVst Sink
Catch Basin
Wash Fm
Urinal
' Coffee M-Lera~
site Drain
Roof'Drain
EIV form attached ,lacement)
Sanitary Sewer
Storm Sewer
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
Check here if you want ~his processed through your account []