HomeMy WebLinkAbout0099918-Plumbing (water heater)OSHKOSH
ON THE WATER
.lob Address 1010 N WESTFIELD ST
Contractor WATTERS PLUMBING
Bathtub 0 Shower 0
Whirlpool 0 Floor Drain 0
Lavatory 0 Lndry Tray 0
Toilet 0 Lndry Stndp 0
Res. Sink 0 Disposal 0
Bar Sink 0 Dishwasher 0
Water Heater 1 Sump Pump 0
Site Drain 0 Classrm Sink 0
Roof Drain 0 Breakrm Sink 0
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner EVERGREEN RETIREMENT COMM INC
Category 411 - Residential-Water Heaters
Ejector/Grind 0 DipWell 0 F Prep Sink 0
Water Softner 0 Drink Ftn 0 Serv Sink 0
LocaIWaste 0 Wait. St. 0 Shamp Sink 0
CIothesWshr 0 Ice Chest 0 FIr/Wst Sink 0
Bidet 0 Exam Sink 0 Catch Basin 0
Beer Tap 0 Sculry Sink 0 Wash Ftn 0
Dent. Oper. 0 Hand Sink 0 Urinal 0
Lab Sink 0 Plaster Sink 0 Standp Rec 0
Sterilizer 0 Surgeons Sink 0 Ice Maker 0
No 99918
Create Date 02/24/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature Replace gas water heater for Ethel Plansky.
of Work
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size
$499.00 Plan Approval $0.00 Permit Fees
Material Type #
Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
$20.00
Date 02/24/2003
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 1303 MIDWAY RD, PO BOX 118 MENASHA WI 54952 - 1129 Telephone Number
800-801-8125,733-81
-. - 02/2!/2003 14:22 #!90 P.002
City of Oshkosh
Inspection Servfces Division
P O Box 1130
Oskkosh, WI 54903-I 130
Phone: (920) 236.$050
Fax: (920) 236-$08a
ON TN~
Plumbing Permit Application
I hereby apply for a pen'n/t 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.
· Application(s) and fee(s) can be brousht to City Hall, Room 205 or mailed to Inspection Services, PO Box 1 I28,
Oshkosh WI $4903-1128. 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 y. q. tt_are a contractor pa_rti~ipatin~ in the Permit Fee dcceun~. Svslem and ~ave..adeouare funds, checi }ere
[f'vott want this ~t'9.¢e$$~d throu.~h your account ~.~
,lob Address ,/~_~Z,:-_ ~ ~../~..~;~'~.,r"~,f'~. Value O.~.ai.~ ~.~o=,.~ ~,,a.~,) . ~~ Date
Owner ~V~/~~~ Contractor ~~~'~
~in~le ~iy ~Duple, ~Multi-Yamii~ ~Rent,l UCommerci,l V~Industri,!
Number of Fixtu res:
Bathtub Ladry Star, dp Dent. Oper. Shamp Sink
Whirlpool Disposal Dip Well Flr/Wst Sink
Drink gm Catch Basin
Lavato~ Dishwasher
Toilet Sump Pump wait, St, Wash Fm
ReS. Sink BjectortOri~d Ice Chest ,---.--- Urinal
Bar Sink Water So£mcr Exam Sink (}ar Drain
Water Heater ~"~'"'""' Local Waste Sculry/i~k ._ _ Sodi
.~as C. Elect '2 PwtVnl Clothes Wshr Hand Sink Coffee Maker
Shower Bidet , , F Prep Si~k Ice Maker
Floor Dnlin ~eer Tap Serv Sink Sitc Drain
l.nd~ Tray Ciassrm Sink Iht Grease Trap Roof Drain
Lab Sink Surgeons Sink ~ E. xt Gr~a$~ Trap . Standp Rec
Plasr~ Sink Breakrm Sink
Sterilizer
Electric Contractor
[--]Electric Installation Verifieatidn form attached
(If Replacement)
Use / Nature of Work
Sanitary Sewer
Size
Material Type ii Corm, Type
Storm Se.wet
Water Scrvicc
3/02