HomeMy WebLinkAbout0099787-Plumbing (water heater)OSHKOSH
ON THE WATER
.lob Address 1356 WAUGOO AVE
Contractor MERTEN PLUMBING
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 GARY L/SHARON JESCHKE
Category 411 - Residential-Water Heaters
0 Ejector/Grind 0 Dip Well 0 F Prep Sink 0
0 WaterSoffner 0 Drink Ftn 0 ServSink 0
0 Local Waste 0 Wait. St. 0 ShampSink 0
0 ClothesWshr 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 99787
Create Date 02/11/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature SFR/Install gas water heater.
of Work
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
$587.69 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
02/11/2003
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 1087 COZY LANE OSHKOSH WI 54901 - 0000 Telephone Number
231-6795
City of Oshkosh
Inspe~ion Services Division
P O Bo~ 1130
Oshk~h, W1 54903-1130
Phone: {920) 236-5050
Fax: (920) 236-5084
OJ'HKO/H
ON THE WATER
Plumbing Permit Application
I hereby apply for a permit to do and install tl~ following t~txunbing on the premises hereinafter described, the work to conform to the
Wisconsin State Plumbing Code, ia tl~ gerfo~all par~es her te.~gree to and are bound by said statutes.
JobAddress I~o~Lo D0~~. ~rag labor and materials) ~' ~7~~ate //Z~/
Owner dJZ~ ~-T-~&. ~o. ,., ' ContraCtor ~~)~. 4 ~' ',,
i~7~Single Family I-']Duplex ['-]Multi-Family [-IReatal [-]Commercial F]Industrial
Number of Fixtures:
Bafl~ Lndry Smadp Dent. Oper. Shamp Sink
Whifli~o[ Disposal Dip Well Flr/Wst Sink
La~ Dishwasher Drink Fm Catch Basin
Toilet Sump Pump Wait. St Wash Fm
R~. S~k · Ej6ct0r/Gr~ Ice Chest Urinal
Bar Sink Water $oflmr Exam Sink Gar Drain
Water lteater I Local Wa.~ Sculry Sink Soda Disp
Slmv~r Clothes Wshr Hand Sink Coffee Maker
Floo~ Drain Bidet F Prep Sink lc¢ Maker
Lndry Tray Beer Tap Serv Sink Site Drain
Lab Sink Cla.ssrm Sink Int Grease Trap Roof Drain
Plas~ Sink Surgeons Sink Ext Grease Trap Standp Rec
St~'lizcr Breaktrn Sink
Electric Contractor
Use / Nature of Work
OR
[] EIV form attached (If Replacement)
Size Material
Sanilary Sewer
Storm Sewer
Wat~a' Service
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-I 128. Commencing work without permit(s) ~ill result in fees being doubled or $100.00 plus the normal permit fee,
which ever is greater.
OR
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