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HomeMy WebLinkAbout0099842-Plumbing (water heater) � CITY OF OSHKOSH No 99842 5��ti�z ;: OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD ��9`�� ` � ON THE WATER O,q�� Job Address 1709 OAK ST Owner JOHN E STROUS Create Date 02/17/2003 y 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 Flr/Wst 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 FR/Replace 50 gallon gas water heater. of Work Size Material Type # Conn.Type Sanitary Sewer 0 0 0 0 0 Storm Sewer 0 0 0 0 0 Water Service 0 0 0 0 0 Valuation $535.00 Plan Approval $0.00 Permit Fees $20.00 Issued By Date 02/17/2003 � Permit Voided I In the perFormance of this work,I agree to perform all work pursuant to rules goveming the described construction. Signature Date AgenUOwner Address 1865 JAMES RD OSHKOSH WI 54904 -6873 Telephone Number 589-4014 C/ty of Os~osh / ' . . Plumbing Permit Applicat oH [ h~by apply for a Wh~ns~ S~e Pl~b~g C~, ~ ~ ~rf~ce of w~ch all p~es hereto a~e~ m and ~.~d~'id s~m~s. to ~e Application(s) and fee(s) can be brought to Cily 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 $100.00 plus the normM permit fee, which ever i~ greater. OR If you_.are_a c_o'ntractar ~ritticLvati~it in the_ Per_mit~ee~lcc~unLS.vstenLandd~a~e aff~a~atef~ndi, c.h~ckdiere if yoU .Wa~! thist praee.~ed through you-r account r~ Job Address _ Owner ~W~'~t4 amflr [-lvu ex . _ Value (Including labor and materials) _ [-]Multi-Family ~ntal ~Commereial [~]iadustrlal Number of Fixtures: Ba~n~b -- Lndv/S~an~ Dem. 01~. Shamp ~ ~iflp~l ........ Di~al ........... Dip Well Fir~$~ Sink ]~il~ Su~ 9u~ w~t, St. Wash Fm ~. Sink Ej~t~lGfind 1~ Ch~t ....... ~1 g~ Sink . Wa~ ~ ~ E~m SMk ~ ~n WaCom ~ L~ W~ ~ Scul~ Sink ~ ~ ~ ~ El~t a ~VR~ Ctoth~ Wshr Ha~ Sink C~ Mak~ S~ Bid~ F Pr~ Sink , l~ M~~ F~r ~in ~ Tap Se~ Sink Site ~m ~ Troy ~ Clas~ S~k ~ I~ ~e Trap ..... P~t ~ ~b Sink gu~ Sink . . ~t G~a~ T~p . ~ Smn~ ~ Pl~ $i~ ~ g~ Sink Electric Contractor ~ ['"~Electric Installfitlon Veriflcati5n form attached Use/Nature ofWork '~.~ /~:.,© (-/WC ~/~ x,~ .,l,~ a~ ~_~ Mat~ T~ ~ ~m T~e S~ Sew~ Storm S~w~ Water Sca'vice