HomeMy WebLinkAbout0096678-Plumbing (water heater/laundry tray)
G
OSHKOSH
ON THE WATER
Job Address 901 HARNEY AVE
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner VICKI M MOEN
Contractor GLAZE PLUMBING
Category 410 - Residential-I nterior
No 96678
Create Date 08/16/2002
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 1 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 GreaseTrap 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 ~FRI Replace L.T. and water heater with power exhaust unit & code corrections.
of Work
Size
Type
Material
Sanitary Sewer
Storm Sewer
Water Service
Valuation $3,700.00
Issued By \( VV'
$0.00
Permit Fees
Plan Approval
o Permit Voided I
#
Conn. Type
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
$20.00
Signature
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Address 1865 JAMES RD
Agent/Owner
OSHKOSH
WI 54904 - 6873 Telephone Number 589-4014
Date
Date 08/16/2002
, ,!,
e
~
CItJ vi 0tIlIl0IIt
lupeetloa SInleII Di'riIIoa
POButt-
o.hkodt., Wl5oIM3-UJI
,1IoIIe: (920) 23U0SO
Fas: (920) nwt84
Plumbilll Permit AuUcatlo},J
Job Addnu ~p I HA~NfY A V€""
OWaer VIe: /5' ~'I\J
~ Family C]Da,IB
I hereby apply for a permit to do and iDliaU b fOllOwing pIuJdriq on the ......~ dncrlbod.1ho work to coafoml to the
WiscoaIia State PbDbiDc Code.. die performIDco of'wbieb 111 pII1ieII hereto apoe to .. .... bom1d by IIi4 rtaII&teI.
'f
V.... (IIIe1uditlaWlorMld1lllM'iata\ ~;'7DD
CeRtraef8I' b :g. 'V,OZiS" PUJp
[]MaJd..fad)y (]Reatal [JeGllUllel'dal Oadalt11ll
Date g/)~ (6)
N.mber of Jb.tul'el:
BdItub
WWdpaoI
~
Tot..
11M. Siftk
Bit Sink
w.. HeI_
Sbower
PlMr Ilnln
tJutry ""y
lAittSiIlk
PIullIlr 8mlr
s.iIiw
_..
-1-
l..IIdry SlIIlllp
DiIPllUl
PilIIWMIIlIr
SuInp PuIqI
~
WItW SO...
l.cl:Il w_
CIo1tla WIbr
Bidel
BoerT.,
~SilIlc
51lf11lOft11 ai111I:
BroatmI Sink
DIm. ...
Dip Welt
0.11. JItft
Wilt. "-
lee ClIeIt
EllIftI SInk
SMyS4at
Hatld Sit*:
P '"" 11M
s.v SInk
1M 0NuI1\1Ip
f!ll.tCJrwe TNII
st.qI SWt
FIrIWtt Sialt
CaldlBuiJI
WUllI'In
Uri1Ial
o.r DrIm
Sada a.
C<<6t ......
.. MIIlIf
Sile DrIin
RaofOrli:a
bIcIp be
--L.
Storm Sewer
Watl:t Service
SiR
MateriI1
1)'pe
t#
CoaD. Type
rl /#'>~
i1 /;:).~
gf \'\ t o-z,
Eledrie Coatraetor ~-;S~
Use I Natare of Wor
~So__
. Applicatioa(a) and. fee(.) can be llraught to City Ban. Room 205 or mailed to iMpeoti<m ~ PO Box 1128, Oabkosh WI
54903-1128. Commencm, wort without pcrmit(s) will remit in fees boina doub1od or 5100.00 plus tho aumJ&1 pcrm8 foo.
which ever is peer.
OIl
c:beok hlU'. 4~ you WlI&nt' this ,p,t"0CIe... thnJUO'n your .COOUftf: 0