HomeMy WebLinkAbout0099804-Plumbing (water heater)OSHKOSH
ON THE WATER
.lob Address 1305 W SOUTH PARKAVE
Contractor LARRY HANSEN PLBG
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 OAK FOREST INVESTMENTS INC
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 99804
Create Date 02/10/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature
of Work
UNIT F INSTALL NG WTR HTR
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
$300.00 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
02/12/2003
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 N-1044TOWER VIEW DR GREENVILLE WI 54942 - $653 Telephone Number
(C)851-6863
City of Oshkosh
Inspection Services Division
P @ Box 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
RECEIVED
FEB '1
DEPARTMENT OF
O0 M D
Plumbing Per ,
O/HKO/H
ON THE WATER
I hereby apply for a permit to do and install the following plumbing on the premises hereinafter 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 statutes.
Job Address ~Os.}C 4~2 ~II~(~ Value(Includinglaborandmaterials)3(~-. 00
Owner 3'~'~ (.~Fl~ PC)"{~t) Contractor
[--]Single Family I--]Duplex [--]Multi-Family ental [-']Commercial
Date ~-- I0-'0S
~]lndustrial
Number of Fixtures:
Bathtub Sterilizer Breakrm Sink
Whirlpool Lndry Standp Dent. Oper.
Lavatory Disposal Dip Well
Toilet Dishwasher Drink Fm
Res. Sink Sump Pump Wait. St.
Bar Sink Ejector/Grind Ice Chest
Water Heater ~ Water Softner Exam Sink
Gas E] Electric [] Power Vent
Local
Waste
Sculry
Sink
Shower Clothes Wshr - Hand Sink
Floor Drain Bidet F Prep Sink
Lndry Tray Beer Tap Serv Sink
Lab Sink Classrm Sink lnt Grease Trap
Plaster Sink Surgeons Sink Ext Grease Trap
Shamp Sink
Flr/Wst Sink
Catch Basin
Wash Ftn
Urinal
Gar Drain
Soda Disp
Coffee Maker
Ice Maker
Site Drain
Roof Drain
Standp Rec
Electric Contractor
Use / Nature of Work
OR [] EIV form afl_ached (If ReplaCement)
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type # Conn. Type
Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128, Oshkosh WI
54903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the normal permit fee,
which ever is greater.
OR
Check here if you want this processed throuqh your account []