HomeMy WebLinkAbout0097203-Plumbing (water heater)
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o CITY OF OSHKOSH No 97203
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 915 HUNTINGTON PL Owner MARK G/JETTA M SALZER Create Date 09/11/2002
Contractor GLAZE PLUMBING Category 411 - Residential-Water Heaters Plan
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 pFRI Replace gas water heater.
of Work
Size
Material
Type
#
Conn. Type
Sanitary Sewer
o
o
o
o
o
o
o
o
o
o
Storm Sewer
Water Service
o
o
o
o
o
Valuation $500.00
Issued By _~
Plan Approval
$0.00
Permit Fees
$20.00
Date 09/11/2002
D Permit Voided I
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Address 1865 JAMES RD
Agent/Owner
OSHKOSH
WI 54904 - 6873 Telephone Number 589-4014
City of Oshkosh
Inspection Services Division
POBox 1130
Oshkosh, VVI54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
~
OfHKOfH
ON THE WATER
Plumbing Permit Application
I hereby apply for a permit to do and install the following plumbing on the premises hereinafter described, the work to conform to the
VVisconsin 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 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
If vou are a contractur particiiJating in the Permit Fee Account Svstem and have adequate funds. check here
if vou want this processed throuf!h vour account n
Job Address q~ H..j-,~~ ~
r.r
Value (Including labor and ~terials) ~
Date q{rlo1
Owne.. M4Rf( J.-.::r~ -0tL~ Contractor
~Ie Family DDupIex DMulti-Family
~~1" - G 14t"2e PLiJ6
DRentaI DCommerciaI
Dlndustrial
Number of Fixtures:
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater ---1-
01ias 0 Elect 0 PwrVnt
Lndry Standp
Disposal
Dishwasher
Dent. Oper. Shamp Sink
Dip Well FlrlWst Sink
DrinkFtn Catch Basin
Wait.St. Wash Ftn
Ice Chest Urinal
Exam Sink Gar Drain
Sculry Sink Soda Disp
Hand Sink Coffee Maker
F Prep Sink Ice Maker
Serv Sink Site Dia~n
Jnt Grease Trap Roof Drain
Ext Grease Trap Standp Rec
Shower
Sump Pump
Ejector/Grind
Water Softner
Local Waste
Clothes Wshr
Bidet
Floor Drain
BeeT Tap
Classrm Sink
Surgeons Sink
Breakrm Sink
Lndry Tray .
Lab Sink
Plaster Sink
S teri Iizer
Electric Contractor
OR
DEIectric InstaIhition Verification form attached
(If Replacement)
Use / Nature of Work
J2J..~ Lf () cO ({ D ftr7(
Size
Material
Type
#
Conn. Type
~i It- ?6/"]~
(;f X;i!3-
Q{CCjr:r2.
Sanitary Sewer
Storm Sewer
VV ater Service
3/02