HomeMy WebLinkAbout0099944-Plumbing (water heater)OSHKOSH
ON THE WATER
,Job Address 255 W 35TH AVE
Contractor M P KELLY
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 JACK GOODALE
Category 441 - Industrial-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 99944
Create Date 02/26/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature COMM/Basler Turbo/Replace electric water heater.
of Work
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
$885.00 Plan Approval $0.00 Permit Fees
Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
$20.00
Date
02/26/2003
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 665 N MAIN ST OSHKOSH WI 54901 - 4431 Telephone Number
231-1750
City of Oshkosh
Inspection Services Division
P O Box 1130.
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 2:36-5084
Plumbing
I hereby apply for a permit to do and install the following plumNng on the prenuses hereinafter described, the work to conform to the
Wisconsin State Plumbing Code, in the perfon'nance 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 lnspectton Services, PO Box i 128,
Oshkosh WI 54903-I 128. Corn~.~encing work without permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
l_f ¥ou are a contractor t~articipatin£ in the Permit Fee Account St,stem and have adequa,t,,e funds, check here
if you want this ~roce$$ed,throulzh your account ~
Owner ~~~ Contra et or- ~1//~,~~/~; /~:,, ....
~Single Family ~Duplex ~Muiti-Family ~Rental~~ommerelal .' ~Indu~al
Number of Fixtures:
Bathtub ,, Lndry Stendp Dem. 09er. ~ Sink
Whklpool ,,, DiSposa1 Dip Well lql~W~t Sink
Dishwasher Drink Fm C~ffch
Lavatory
Toilet Sump Pump Wait. St.
Ice Chest
Res. Sink EJector/Grind , ,
Bar Sink Water Softner Exam Sink Git
w-~ ~es.,m' . / t.ecal waste Sculry Sink Sod~
D Gu~n~'t O PwrVnt Clo~hes Wshr Hand Sink ~ Make~
Shm~w l~tdet .- F Pre9 Sink lee Melter
Fleer Drain , , Beer Tap Serv Sink Site
Lfld~ Tray Classrm Sink Im Grease Trap Roof l~ain
Lab Sink Sur~nms Sink Ext Grease Trap ~ Iaea
Plaster Sink Breskrm Sink
Water Service
,o0
3/02