HomeMy WebLinkAbout0095957-Plumbing (water heater)
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OSHKOSH
ON THE WATER
Job Address 241 W 6TH AVE
CITY OF OSHKOSH
No 95957
PLUMBING PERMIT - APPLICATION AND RECORD
Owner KELLY J BURNETT
Create Date 07/17/2002
Contractor SOPER 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 ~FRI 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 $400.00
Issued By i(.JN\
Plan Approval
$0.00
Permit Fees
$20.00
Date 07/17/2002
o Permit Voided I
to perform all work pursuant to rules governing the described construction.
Signatur
Date ;:/ -/ ? --cP .2-
Address 2225 BURNWOOD DR
Agent/Owner
Oshkosh
WI 54902 - 0000 Telephone Number 426-2151
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City of Oshkosh
Inspection Services Division
POBox 1130
Oshkosh, VV154903-ll30
Phone: (920) 236-5050
Fax: (920) 236-5084
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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 YOU are a contractor DarticiDatinrz in the Permit Fee Account System and have adequate funds. check here
if YOU want this Drocessed through your account n
Job Address.d 7"/ IX.), 677/ Value (Including labor and materials) t;fPo, a?CY Date ;7-/7'<17 ::;
Owner flt;-LLf /3UA'?/tk-rT Contractor .::)"<D./~/'2 "//LL,,;/-U!3//v"C::
~ingle Family DDuplex DMulti-Family DRental DCommercial DIndustrial
Number of Fixtures:
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater I
}LGas !J Elect ::J PwrVnt
Shower
Floor Drain
Lndry Tray
Lab Sink
Plaster Sink
Sterilizer
Lndry Standp
Disposal
Dishwasher
Sump Pump
Ejector/Grind
Water Softner
Local Waste
Clothes Wshr
Bidet
Beer Tap
Classrm Sink
Surgeons Sink
Breakrm Sink
Dent. Oper. Shamp Sink
DipWeJl Flr/Wst 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 Drain
Int Grease Trap Roof Drain
Ext Grease Trap Standp Rec
Electric Contractor
OR
DElectric Instalhition Verification form attacbed
(If Replacement)
Use / Nature of Work R~~~~~~
Size
Material
Type
#
Conn. Type
Sanitary Sewer
Storm Sewer
VV ater Service
3/02