HomeMy WebLinkAbout2003-Plumbing (water heater)CITY OF OSHKOSH
No99815
OSHKOSHPLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address2220 PLYMOUTH STOwnerCreate Date02/12/2003
WALTER W BUSH JR
ContractorHOMEOWNERCategory411 - Residential-Water HeatersPlan
Bathtub0Shower0Ejector/Grind0Dip Well0F Prep Sink0Gar Drain0
Soda Disp0
Whirlpool0Floor Drain0Water Softner0Drink Ftn0Serv Sink0
Coffee Maker0
Lavatory0Lndry Tray0Local Waste0Wait. St.0Shamp Sink0
Int GreaseTrap0
Toilet0Lndry Stndp0Clothes Wshr0Ice Chest0Flr/Wst Sink0
Ext Grease Trap0
Res. Sink0Disposal0Bidet0Exam Sink0Catch Basin0
Bar Sink0Dishwasher00Wash Ftn0
Beer Tap0Sculry Sink
Water Heater1Sump Pump00Urinal0
Dent. Oper.0Hand Sink
Site Drain0Classrm Sink00Standp Rec0
Lab Sink0Plaster Sink
Roof Drain0Breakrm Sink00Ice Maker0
Sterilizer0Surgeons Sink
Use/Nature
of Work
REPLACE WTR HTR
SizeMaterialType#Conn. Type
Storm Water0
0
0
0
0
Valuation$400.00Plan Approval$0.00Permit Fees$20.00
Issued ByDate02/13/2003
Permit Voided
The undersigned, in applying for a plumbing permit to install plumbing in a single family home owned and occupied as the
principle residence of the undersigned, hereby acknowledges, per Wisconsin State Statutes, ss 145.06, that other individuals
will not be employed to assist with the work described by this permit. If an individual will be employed to install plumbing
the work involved must be covered by a permit issued to a properly licensed Master Plumber.
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
SignatureDate
Agent/Owner
Address2220 PLYMOUTH STOSHKOSHWI-1727Telephone Number
54901