HomeMy WebLinkAbout0099747-Plumbing (water heater)OSHKOSH
ON THE WATER
.lob Address 1220 ALGOMA BLVD
Contractor RASMUSSEN PLUMBING
Bathtub 0 Shower
Whirlpool 0 Floor Drain
Lavatory 0 Lndry Tray
Toilet 0 Lndry Stndp
Res. Sink 0 Disposal
Bar Sink 0 Dishwasher
Water Heater 1 Sump Pump
Site Drain 0 Classrm Sink
Roof Drain 0 Breakrm Sink
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner BYRON/RENE D MALSIN
Category 411 - Residential-Water Heaters
0 Ejector/Grind 0 Dip Well 0 F Prep Sink 0
0 WaterSoftner 0 Drink Ftn 0 ServSink 0
0 Local Waste 0 Wait. St. 0 ShampSink 0
0 ClothesWshr 0 Ice Chest 0 FIr/Wst Sink 0
0 Bidet 0 Exam Sink 0 Catch Basin 0
0 Beer Tap 0 SculrySink 0 Wash Ftn 0
0 Dent. Oper. 0 Hand Sink 0 Urinal 0
0 Lab Sink 0 Plaster Sink 0 Standp Rec 0
0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0
No 99747
Create Date 02/10/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature SFR/Replace gas water heater.
of Work
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
$500.00 Plan Approval $0.00 Permit Fees
Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
$20.00
Date
02/10/2003
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 1914 GREENBRIAR TRL OSHKOSH WI 54904 - 8887 Telephone Number
920-233-6747
02/10/2003 19:53 2336747 J RASMUSSEN PAGE 81/01
Box 1130
O~hkosh, WI ~'~['~-J 130
Fa~; ~920) 236-5084
O~lqR O..~h
! n~pect,,~ ohs
B_?.O-228 -~5084
Plumbing Permit Applioatlon
t. hereby apply for a permi.t to do and i~ttrrall thc to l ~ p)>~mb~g on the pm~ses Wisco~ ~ ~nte Pim~b~"~g Code. ~n the pe~o~nce of which all p~=~
~ Appli~qtiO~(s) ~d fk~) c~mm bc ~ought to City ~a.ll, Ro~ 205 or ~si]ed to h~ection 3~vices, ~) Box 11.28,
Oshkoah ~ 54903-1 t28. Commencing work wlthom peril(s) ~lt result in :fees being doubled or S100.~ pi'us the
no~al pe~it fee, whtc~ ever is
~,~j~u ~ZR.n/ th~ DrOC~&,fgd tAF~ueh 'uo~.~c~.~
in gle Family ~'Supl~ ~ulti-F2~ly [~Renial ~Co~metclnl ~lndu~trinl
Nu~o. ber of ~Sxtnres:
Whirlp~l
Shower Bidet _ _. 1: ~r~ Sink ......
Fl~r DrMn ..... Bc=v Tap ,
~i~{z~ ........
Electric Cont~Lnctor
;: xe .Mar~ria!
[-~Eleetric llusta]l~t~oa Veriflcatldkt form att~u:hed
fly R.epiacn.~.cnO
Type
3/03