HomeMy WebLinkAbout0095241-Plumbing (water heater)
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OSHKOSH
ON THE WATER
Job Address 1531 HARRISON ST
CITY OF OSHKOSH No 95241
PLUMBING PERMIT - APPLICATION AND RECORD
Owner ROBIN ULlNDA J BOEGH Create Date 06/19/2002
HOMEOWNER
Category 411 - Residential-Water Heaters
Plan
Contractor
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 Orink 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 GreaseTrap 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
UsefNature
of Work
REPLACE WATER HEATER===PURCHASED FROM HOME DEPOT, INSTALLED BY OGDEN PLBG
Size
Material
Type
#
Conn. Type
o
o
o
o
o
Storm Water
Valuation
$400.00
Plan Approval
$0.00
Permit Fees
$20.00
Date 06/19/2002
Issued By
o Permit Voided 1
The undersigned, in applying for a plumbing permit to install plumbing in a single family home owned and occupied as the
principle residence of the undersigned, hereby acknowledges, per Wisconsin State Statutes, ss 145.06, that other individuals
will not be employed to assist with the work described by this permit. If an individual will be employed to install plumbing
the work involved must be covered by a permit issued to a properly licensed Master Plumber.
'" 'he ,.no"",,"'" o~~ wmk, , .,... to pertmm .11 wmk p,""."' to ,"'os govem''''' the dos""bed ","","cIJO".
Signature ~;;C ~~ Date
AgenUOwner
~I/~t).,l-
Address 1531 HARRISON ST
OSHKOSH
~ 54901 3007 Telephone Number 233-6846
.