HomeMy WebLinkAbout0099749-Plumbing (water heater)OSHKOSH
ON THE WATER
,Job Address 1717 CLIFFVlEW DR
Contractor M P KELLY
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 SHELDON J LASKY
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 CIothesWshr 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 99749
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 #
$423.00 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 665 N MAIN ST OSHKOSH WI 54901 - 4431 Telephone Number
231-1750
City of Oshkosh
Inspection Services Division
P O Box 1 i 30.
Oshkosh, >~I 54903-1130
Phone: (920) 2t6-5050
Fax: (920) 236-5054
Plumbing
RECEIVED
FEB 1 0 2005
DEPARTMENT
p e E IT'
I hereby apply for a permit to do and install the following plumbing on the premises hereinafter described, the work to conform to thc
Wisconsin State Plumbing Code, in the performance of which all parties hereto agree to and are bound by said statutes. ·
Application(s) and fee(s) can be brought to City Hall. Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 5a903-1128. Corms.. encing work without permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
lf ¥ou are,,a contractor participating in the Permit Fee Account System and have adequate [unds, check here
if you want this processed throul~h your account ['"{
Job Address
~t~gle Family [-'[Duplex r'-lMult,-Family [--[Rental I ICommerclal '["]Industrial
NUmber of Fixtures:
Bathtub Lndry Sts~dp 1~1. ~. ~ Sink
Whirlpool Di~l Dip Well F1rtWet Sink
Lavatory Dishwasher Drink Fm (~slch ~
Toilet Sump Pump Wait. St. Wash Fin
R~s. Sink Eject~'/Orind lee Chest ~!
Bm' Sink ,, Water Sof~ner Exam Sink (}~r [k~in
Watt? H~ter / , Local Waste Sculry Sink ~ Di~
~ts D Elect rj PwrVnt Clothes Wshr Hand Sink Cof~e Mak~
Sho~n' Bidet F Prep Sink ~ Mlkez
Floor Drain , Bee' Tap Serv Sink She ~
Ladry Tray C'qasstm Sink Iht Ott'ase Trap Reef Orain
Lab Sink Sut~.o~s Sink Ext Grease Trap $~ Ree
pla~er Sh~k ,, Beeakrm Sink
Sm, tltz~.
EleCtric Contractor
[~]Electric Installation Verifleatl~n form attached
(If Replacement)
Use / Nature of Work
Storm Sewer
Size Material
Type
Water Service
3/02