HomeMy WebLinkAbout0118684-Plumbing (water heater)
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OSHKOSH
ON THE WATER
Job Address 1105 JEFFERSON ST
CITY OF OSHKOSH
No
118684
PLUMBING PERMIT - APPLICATION AND RECORD
Owner LYNN M ROLLMANN
Create Date 03/2812006
Contractor THOMAS PLUMBING
Category 411 - Residential-Water Heaters
Plan
Bathtub 0 Shower 0 Water Softner 0 Wail.SI. 0 Shamp Sink 0
Whirlpool 0 Floor Drain 0 Local Waste 0 Ice Chest 0 Flr/Wst Sink 0
Lavatory 0 Lndry Tray 0 Clothes Wshr 0 Exam Sink 0 Catch Basin 0
Toilet 0 Disposal 0 Bidet 0 Sculry Sink 0 Wash Ftn 0
Res. Sink 0 Dishwasher 0 BeerTap 0 Hand Sink 0 Urinal 0
Bar Sink 0 Sump Pump 0 Lab Sink 0 Plaster Sink 0 Standp Rec 0
Water Heater 1 Classrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0
Site Drain 0 Breakrm Sink 0 Dip Well 0 F Prep Sink 0 Gar Drain 0
Roof Drain 0 Ejector/Grind 0 Drink Ftn 0 Serv Sink 0 Soda Disp 0
Misc. 0
Fixtures
Use/Nature r~~w^m"~~'
of Work
Coffee Maker ------.2
Int Grease Trap ------.2
Ext Grease Trap ------.2
RPZValve 0
Eye Wash Statn 0
Wtr Sewer Mtrs 0
Deduct Meters 0
Wtr Usage Mtrs 0
Size
Material
Type
#
0
0
0
0
0
Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
1001500000
Valuation
$250.00
Plan Approval
$0.00
Permit Fees
$20.00 D Permit Voided I
Issued By
Date 03/28/2006
in the performance of this work. I agree to perform ail work pursuant to ruies governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the
easement holde~nd to secure anYJ'efessary ap, pro,vals before starting such activity.
Signature )6:!¿t.W.A...- '~7'11 a9-
Agent/Owner
Oshkosh
Date 3 -J¡f-ClÓ
Address 849 VINE ST
WI 54901 - 0000
Telephone Number 232-0094
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.