HomeMy WebLinkAbout0096012-Plumbing (water heater)
e CITY OF OSHKOSH No 96012
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1656 HUNTERS GLEN DR Owner STUARTIDEBORAH CHALLONER Create Date 07/22/2002
HOMEOWNER
Category 411 - Residential-Water Heaters
Plan
Contractor
Bathtub 0 Shower 0 Ejector/Gri nd 0 Dip Well 0 F Prep Sink 0 Gar Drain 0
Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 Serv Sink 0 Soda Disp 0
Lavatory 0 Lndry Tray 0 Local Waste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
-
Toilet 0 Lndry Stndp 0 Clothes Wshr 0 Ice Chest 0 FlrlWst Sink 0 Int GreaseTrap 0
Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0
-
Bar Sink 0 Dishwasher 0 Beer Tap 0 Sculry Sink 0 Wash Ftn 0
-
Water Heater 1 Sump Pump 0 Dent.Oper. 0 Hand Sink 0 Urinal 0
-
Site Drain 0 Classrm Sink 0 Lab Sink 0 Plaster Sink 0 Standp Rec 0
-
Roof Drain 0 Breakrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0
Use/Nature
of Work
REPLACE 40 GAL NG WATER HEATER===DIRECT VENT
Size
Material
Type
#
Conn. Type
o
o
o
o
o
Storm Water
Valuation
$650.00
Plan Approval
$0.00
Permit Fees
$20.00
Issued By
Date 07/22/2002
o Permit Voided I
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.
Agent/Owner
OSHKOSH
o 7/<J.~o::J..
I
Signature
Address 1656 HUNTERS GLEN DR
WI 54904 8965 Telephone Number 231-3940
,
Plumbing Permit Work Card
Job Address 1656 HUNTERS GLEN DR Permit Number 96012 Create Date 07/22/2002
Owner STUART/DEBORAH CHALLONER Contractor HOMEOWNER
r-agory 411 - Residential-Water Heaters Plan Value $650.00
'bathtub 0 Shower 0 Ejector/Grind 0 Dip Well 0 F Prep Sink 0 Gar Drain 0
Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 Serv Sink 0 Soda Disp 0
Lavatory 0 Lndry Tray 0 Local Waste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
Toilet 0 Lndry Stndp 0 Clothes Wshr 0 Ice Chest 0 FlrlWst Sink 0 Int Grease Trap 0
-
Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0
-
Bar Sink 0 Dishwasher 0 Beer Tap 0 Sculry Sink 0 Wash Ftn 0
- -
Water Heater 1 Sump Pump 0 Dent. Oper. 0 Hand Sink 0 Urinal 0
Site Drain 0 Classrm Sink 0 Lab Sink 0 Plaster Sink 0 Standp Rec 0
Roof Drain 0 Breakrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0
- - - - -
Use/Nature
of Work
REPLACE 40 GAL NG WATER HEATER===DIRECT VENT
Size Material Type # Conn.Type
Sanitary Sewer 0
0
0
.~ 1jJ 0/0 0
?-.. 0
r
Storm Sewer 0
0
0
Jc 0
/1'\ 0 ;.
..
Water Service t 0
0
0
0
0
Date
Type
Inspector
Date/Time requested:
Notice Type:
Telephone Number:
Access:
---------------------------------------------------------------------------------------------------------
Ready DatelTime:
o Reinspect Fee 0 Fee Waived
Requested By:
o Reinspect Fee Paid
r