HomeMy WebLinkAbout0099762-Plumbing (water heater)OSHKOSH
ON THE WATER
.lob Address 2008 MITCHELL ST
Contractor SAMMONS 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 BRYAN P/CARA M LARSON
Category 411 - Residential-Water Heaters
Ejector/Grind 0 DipWell 0 F Prep Sink 0
Water Softner 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 99762
Create Date 02/10/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature SFR/Install electric water heater. *EIV form from Slim's Electric.
of Work
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
$900.00 Plan Approval $0.00 Permit Fees
Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
$20.00
Date
02/10/2003
Permit Voided
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address 522W. MURDOCKAVE OSHKOSH WI 54901 - 2298 Telephone Number
231-9880
FROM :SA~MMONS PLUMBING FAX ND. :9202318485 F~b. 04 2003 03:l?PM P6
YOBiE il30
Electric Imtalll#o~ Veriflcttio~
SLIM'S_ _. . ELECTRIC INC.
' ~.j ~mae) .........
2608 Oa. kwopd Circle Oshkosh WI
(Aa~) (city) ($~,~)
Sammon's Plum.
~ ~ _m~.~Jectric iustallai~ work for ~amo ofpafly'~at to)
~tollow~smtdreu: 2008. IV~__'¢l'lefl~St~_.,.~ ~:t ~oh.z~ s~-e~
(Address wlm~ work Mil bo perfemmS)
't'h~ nature ofthe work conslm o~ (Check One or Dvm:n'be tho N/ure of Work)
-X- Reootmecfiou ernew circuit for r~plaoenma Electric Water Heater m power vented
W Cables will ~ m We Ix~mit
R~ ot rww circait for tho Foplmmt of ~ pmnanmlly wtml
New oircuJt for dx ~ ofA/C m an mdMMl M/~g ~ Owu~ ortM
54904
.......
100.00 .=..
I hereby verify tbis work will be pcdormed by an ernpioY~ of tbb comPmY and fuflb~ verify
David A. Youn.qwirth.
(Print Nsme of Officer)
01/14/03