HomeMy WebLinkAbout0099763-Plumbing (water heater)OSHKOSH
ON THE WATER
.lob Address 1545 #325 ARBORETUM DR
Contractor SAMMONS PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner RICHARD W/CATHY SCHMIT R TRUST
Category 411 - Residential-Water Heaters
Bathtub 0 Shower 0 Ejector/Grind 0
Whirlpool 0 Floor Drain 0 Water Soffner 0
Lavatory 0 Lndry Tray 0 LocalWaste 0
Toilet 0 Lndry Stndp 0 ClothesWshr 0
Res. Sink 0 Disposal 0 Bidet 0
Bar Sink 0 Dishwasher 0 Beer Tap 0
Water Heater 1 Sump Pump 0 Dent. Oper. 0
Site Drain 0 Classrm Sink 0 Lab Sink 0
Roof Drain 0 Breakrm Sink 0 Sterilizer 0
DipWell 0 F Prep Sink 0
Drink Ftn 0 Serv Sink 0
Wait. St. 0 Shamp Sink 0
Ice Chest 0 FIrNVst Sink 0
Exam Sink 0 Catch Basin 0
Sculry Sink 0 Wash Ftn 0
Hand Sink 0 Urinal 0
Plaster Sink 0 Standp Rec 0
Surgeons Sink 0 Ice Maker 0
No 99763
Create Date 02/10/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature CONDO/Install electric water heater. *EIV form from Slim's Electric.
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 522W. MURDOCKAVE OSHKOSH WI 54901 - 2298 Telephone Number
231-9880
NO.
:g282318485
Fe~. 84 2883 8~3:iF=PM P4
Electric Installation Yerineafl, on
SLIM'S ELECTRIC..!.N-C' ..........................
2608 Oa,kwood Circle oshkosh ~ WI 54904
~exmmd~ perbm.e~ i,,Udh~n work ~ _Sa~.~s..Plum ....
(Iq, no o['~y~~) '
= b ro~b,~ns add=~: 1.645 Arboretum Dr. Aot. 325
Tho nature oft~ work eonsJm of; (Cbo~ Onee~ ~be the Naure of Work)
nadlilbljng~qxlurcsdm~to~/sof~tins~on: lqo~: b~
lkmmce C, sbles will teqolm ~ ~e ~
R~ ~ n~ c~at ~ ~l~t of~ ~ay~
~p~ / ~
O~
work i, S 50.00
I hereby verify this work wOl be performed by an employ~ oftbis ~oxnl~ny and further verify
(S~astl~re ~0fflc~) (Print Name ofOffiee~) ' (Date)