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Home My WebLink About0099805-Plumbing (water heater)OSHKOSH ON THE WATER .lob Address 414 W IRVING AVE Contractor LARRY HANSEN PLBG CITY OF OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD Owner FRED P/BETTY J LITJENS Category 411 - Residential-Water Heaters Bathtub 0 Shower 0 Ejector/Grind 0 DipWell 0 F Prep Sink 0 Whirlpool 0 Floor Drain 0 Water Soffner 0 Drink Ftn 0 Serv Sink 0 Lavatory 0 Lndry Tray 0 LocalWaste 0 Wait. St. 0 Shamp Sink 0 Toilet 0 Lndry Stndp 0 ClothesWshr 0 Ice Chest 0 FIr/Wst Sink 0 Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0 Bar Sink 0 Dishwasher 0 Beer Tap 0 SculrySink 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 No 99805 Create Date 02/12/2003 Plan Gar Drain Soda Disp Coffee Maker Int Grease Trap Ext Grease Trap Use/Nature RENTAL/Replace gas water heater. of Work 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 - 8683 Telephone Number (C)851-6863 City of Oshkosh Inspection Services Division P O Box 1130 Oshkosh, WI 54903-1130 Phone: (920) 236-5050 Fax: (920) 236-5084 Plumbing i ECEIVED FEB 1 2 DEP T/ ENT OF Permit Appli E tion O/HKOfH 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. q} Job Address.. nqValue (~audi. g,ahorand m~tem,s)q.3 O a Owner '~. Q ~ b A.5' Contractor l--]Single Family dD-uplex [-]Multi-Family [~Rental r-]Commercial Datec2~--] 0---'- ~35-~ [--]Industrial Number of Fixtures: Bathtub Sterilizer Breakrm Sink Whirlpool Lndry Standp Dent. {)per. Lavatory Disposal Dip Well Toilet Dishwasher Drink Ftn Res. Sink Sump Pump Wait. St. Bar Sink Ejector/Grind Ice Chest Water Heater ~ Water Softner Exam Sink )rGas [] Electric [3 Power Vent Local Waste Sculry Sink Shower Clothes Wshr Hand Sink Floor Drain Bidet F Prep Sink I_ndry Tray Beer Tap Serv Sink Lab Sink Classrm Sink Int 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 a tached (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 []