HomeMy WebLinkAbout2003-Plumbing (water heater) °14 :1 ICI CITY OF OSHKOSH No 100035 co 0 pNiyF
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER 0A-r--
Job Address 1433 W 3RD AVE Owner ROBERT F LORENZ Create Date 03/03/2003
Contractor RAPID SOFT LLC 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 Sery 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 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 SFR/ Replace gas water heater for Sears.
of Work
Size Material Type # Conn. Type
Sanitary Sewer 0
0
0
0
0
Storm Sewer 0
0
0
0
0
Water Service 0
0
0
0
0
Valuation $400.00 Plan Approval $0.00
Permit Fees $20.00
Issued By Date 03/03/2003
❑ 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 P.O. BOX 4052 APPLETON WI 54915 - 0052 Telephone Number 920 - 757 -6432
City of Oshkosh
Inspection Services Division
P O Box 1130
Oshkosh, WI 54903-1130
Pbon~: (920) 236-$050
Fax: (920) 236-5084
Plumbing Permit Application
QfH OJH
I hereby apply for a p~mit 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 fcc(s) can be brought to City Hail, Room 205 or mailed to Inspection Services, PO Box 11'28,
Oshkosh WI 54903-1128. Conuncncmg work without permit(s) will result in fees being doubled or $t00.00 plus the
normal permit fee, which ever is greater.
OR
If you are a contractor p,.articipating in the, Permit Fee. Account System and have adequ.a..te funds, check here
if you want this processed through your account ~'~
Number of Fixtures:
Bathtub Lndry Standp Dent. Oper. Slramp Sink
Whirlpool Dispozal Dip Well Flr/Wst Sink
Lavatory Dishw, asher Drink Fm Catch Basin
Toile~ ' Sump Pump Wait. St. Wash F~
Res. Sink Ejector/Grind Ice Chest Urinal
Bar Sink Water Sofmer Exam Sink Gar Drain
Water Heart / Local Waste S4:ulry Sink Soda Disp
~oas a Elec~ D PwrVm Clothes Wshr Hand Sink Coffee Maker
Shower Bidet F Prep Sink Ice Maker
Floor Drain Beer Tap Scrv Sink Si~ Drain
Lndry Tray Classrm Sink Iht Grease Trap Roof Drain
Lab Sink Surgeons Sink Ext ~ Trap Standp Rec
Plaster Sink Breakrrn Sink
Sterilizer
Electric Contractor
Use / Nature of Work
r]Elec~c Installation Verificati6n form attached
(If Replacement)
Sanitary Sewer
Size
Material Type # Conn. Type
Water Service