HomeMy WebLinkAbout0099748-Plumbing (water heater)Ciiy of Oshkosh
Inspection Servic~es Division
P 0 Box 1130-
Oshkosh, ?~ $4903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
RECEIVED
FEB 1 0
DEP .RT £NT OF
Plumbing Permit ApplicaUon
OJt-KO/H
I hereby apply for a permit to do and install the following plumbing on the prenuses heremafter described, the work to conform to the
Wisconsin State Plumbing Code, in the performance of which all parties hereto agree to and are bound by said s~atutes.
· Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to lnspecuon Services, PO Box 1128,
Oshkosh WI 54903-1128. Corru~n~ eating work without permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
!f ¥ou are a contractor participating in the Permit Fee ,4ccount St, stem and have adequate.funds, check here
if you want this processed through your account F']
'F'lSlngle Family [-']Duplex [-']Multi-Family [~Rental [-']Commercial ' [.'.']Industrial
Number of Fixture: ........ '
Bathtub ,., L.qdry St~ndp Dent. Ol~r.
Dip Well
T~I~ Su~ ~ Wait. St.
R~. S~k Ej~l~/~nd lee Chest
WIt~ $o~ Exam Sink
B~ $~k , ,,
W~t~ ~ ~1 W~ste $cul~ Sink
E~ U ~V~I CI~ Wshr ,, H~nd Sink
S~ Bid~ F P~ Sink
~ ~in B~ Tip S~ Sink
~ Troy ~ Sink Int G~ase T~p
~b Si~k S~s Sink Ext ~se T~p
~ S~k B~ Sink
S~Ii~
Electric Contractor
Use I Natu[e. of,Work
F-lElectric Installation Verlflcml~ form attached
Storm Sewer
Material Type
.:,-~: (If Repllcemen0 .........
Conn. Type
Water Service
Size
3/02