HomeMy WebLinkAbout0099945-Plumbing (water heater)OSHKOSH
ON THE WATER
.lob Address 1118 CEAPE AVE
Contractor M P KELLY
Bathtub 0 Shower
Whirlpool 0 Floor Drain
Lavatory 0 Lndry Tray
Toilet 0 Lndry Stndp
Res. Sink 0 Disposal
Bar Sink 0 Dishwasher
Water Heater 1 Sump Pump
Site Drain 0 Classrm Sink
Roof Drain 0 Breakrm Sink
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner KENNETH G MARTH
Category 411 - Residential-Water Heaters
0 Ejector/Grind 0 Dip Well 0 F Prep Sink 0
0 WaterSoftner 0 Drink Ftn 0 ServSink 0
0 Local Waste 0 Wait. St. 0 ShampSink 0
0 ClothesWshr 0 Ice Chest 0 FIr/Wst Sink 0
0 Bidet 0 Exam Sink 0 Catch Basin 0
0 Beer Tap 0 SculrySink 0 Wash Ftn 0
0 Dent. Oper. 0 Hand Sink 0 Urinal 0
0 Lab Sink 0 Plaster Sink 0 Standp Rec 0
0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0
No 99945
Create Date 02/26/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature SFR/Replace gas water heater.
of Work
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
$409.00 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 $4903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
FEB 2 5 200.,
Plumbing Permit Application
I hereby apply for a permit to do and install the following plumbing on the prermses hereinafter described, the work to conform to thc
Wisconsin State Plumbing Code, in thc performance of which all parties hereto agree to and arc bound by said smutes.
· Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspecuon Services. PO Box 1128,
Oshkosh WI 54903-1128. Corru~,~ eating work without permit(s) will result in fees being doubled or $100.00 plus the
normal permit fcc, which ever is greater.
OR
If you are,,,a contractor ~artic. ipatin£ in the Permit Fee Account St, stem and have adeauate funds,..¢hect here
if ¥o.u want, this vroce$$ed throu£h your account F'] ' ~
~.~..~;'FIiI~i~ J~D~lple, J-'J~ulti-Family F]Rental F]Commercla, .' OJndllstrlnl
NUmber of Fixtures:
BslMub I.ndry Standp Dtmt. Ope'.
Wbklpool ., Disposal Oip Well
Dishwasher Drink Fm
Totlel , Sump Pump Wait. St.
Res. Sink Ejeelor/C~nd , , Ice Chest
Bar Sink Water $oltner .... Exam Sink
WMar H/ettet ~ Leer! Waste Sculry Sink
~ O Eleel 0 l~q'Vnt Clothe~ Wshr Hand Sink
Shower , Btdel ..... F Prep Sink
~ Drain Beer Tap Setv Sink
Lndry Tray Clasm'm Sink inl Grease T~ap
Lab Sink Su~,ofl$ Sink Ext Grease Trap
Plaster Si~k , ,, B~eaJu~ Sink
Steriltze~ .....
Electric Contractor O'R r']Electric Installation Vetlfleatl6n form attached
e-,,,, (If Replacement) ~.
Water Service
3/02