HomeMy WebLinkAbout0099671-Plumbing (water heater)OSHKOSH
ON THE WATER
.lob Address 533 W 5TH AVE
Contractor JNL 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 BRIAN KSCHUETZ
Category 411 - Residential-Water Heaters
Ejector/Grind 0 DipWell 0 F Prep Sink 0
Water Soffner 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 99671
Create Date 02/03/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature SFR/Install gas water heater for Ktz & Pfeil Inc.
of Work
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size
$300.00 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
02/03/2003
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 1570 N OAKWOOD RD Oshkosh WI 54904 - 0000 Telephone Number
233-2661
JRN-31-2003 FRI 04:53 Pti
Ci~ of Oshkosit
Inspection Services Division
P O Box 1130
Oshkosh. WI 54903-1130
Phone: (920) 236-5050
Fax: (910) 236-5084
KITZ&PFEIL
920 236 3348
P. 02
Plumbing Permit Application
hereby apply for a permit to do and instil lite following plumbing on the premises itercinafter described, the work to conform to ~¢
Wisconsin State Plumbing Code. in ~.t: performance of which ali parties hereto agree to and are. bound by said statutes.
Application(s) and fee(s) can be brought to City Hall, Room 205 o~ mailed to Inspection Services, PO Box 1128,
Oshkosh Wl 54903-1128. Commencing work without permit(s) will result in fees being doubted or $100.00 plu.~ the
normal permit fee, which ever is greater.
OR 4
~ cont~arri¢ipatine in t~e Permit Fe~ Acc~-and h,ave aderluar~, funds, check he_re
Value (Including labor and m~teriats)_ ,gOO ._.
Contractor ~ M L__.
[~]Multi-Fnmily ~Rentnl ~Commerciai
Date t'"~ 1-03
[~]lndustrial
Job Address~~1~ ~ ~r~_
Owner
~ngie Family [~]Duplex
Number of Fixtures:
t~athtub Lndry SLandp -
~ Dip Wdt
Whirlpool Disposal
Dishwasher Drink
Lavatory ~ W~. SL
R~. Si~k ~ Ejector/Grind ~ lee
~nm
Bar Sink Water Sot~cr -
W~aH~at~ ~ ~,1 Wasm ~ S~ul~ Sink
s ~ Elem ~ P~Vnt Cloth~s Wshr __ Hand $~k
F ~ Si~k
S~w~ ~ B~et
~ Sink
Fl~r ~in ~ B~er Tap
Iht Grea~ Trap
Lnd~ Tray .__ Clnss~ Sink
Ext G~
~b Si~k -- Sur~O~S Si~k _
Ptas~r Sink ~ B~ak~ Sink
Sle6!izer _
Electric Contractor _
Use 1 Nature of Work_.
lSanitary Sew~
Stoma Sewer
Water Service
Size
Maim iai
Type
Shamp Sink
Ftr/Ws~ Sink
Catch gasin ..
Urinal
Gar D~ain .--
S~a ~
Coffee Maker ........
loc Maker
Site Drain
R~f ~sin
Stnndp Rec
Kitz & Pfeil Inc.
427 N. Main St.
Oshkosh, WI 549C
Con~. Type
r~Electric Installation Verificatign form attached
(If Replacement)