HomeMy WebLinkAbout0099764 POSHKOSH
ON THE WATER
.lob Address 2312 WISCONSIN 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 PAULA S HINTZE
Category 411 - Residential-Water Heaters
Ejector/Grind 0 DipWell 0 F Prep Sink 0
Water Softner 0 Drink Ftn 0 Serv Sink 0
LocaIWaste 0 Wait. St. 0 Shamp Sink 0
CIothesWshr 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 99764
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 #
$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
F~OM : SAMMONS PLUMBING
FAX NO. :g~0~31848S
Feb. 04 2083 0~:15PM P3
Electric lnmhtiom Verification
t(~e) SLIM'S ELECTRIC INC.
(s~ c~ Nm)
26_0...8.._ Oakwood.Circ_le.~ Oshkosh
(,~a,,m)
............. have.bem~-~ eleelric {amllalim work
WI 54904
-(s~e) .... (z~c=~)
...sammon's Elu_m.__....,
(Nsn~ of ~ ~mm~d
=a.~a~.~=a~=.. 2312__WjJsconsin St.
'file nauru ofdJo work consim of. (Cb~c~: Ot~ a. Ducn'be the Nmur~ of Wolk)
I hereby verify this work will be performed by mt mnpto~ oftl~ eompmy and funl~r vwtfy