HomeMy WebLinkAbout0100026-Plumbing (water heater)OSHKOSH
ON THE WATER
Job Address 972 E SUNNYVIEW RD #25
Contractor HOMEOWNER
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 GARY NOWAK
Category 411 - Residential-Water Heaters
0 Ejector/Grind 0 DipWell 0 F Prep Sink 0
0 Water Softner 0 Drink Ftn 0 ServSink 0
0 Local Waste 0 Wait. St. 0 ShampSink 0
0 Clothes Wshr 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 StandpRec 0
0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0
No 100026
Create Date 03/03/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int GreaseTrap
Ext Grease Trap
Use/Nature
of Work
REPLACE WATER HEATER (NG)
Valuation
Issued By
Size Material Type # Conn. Type
Storm Water 0
0
0
0
0
$425.00 Plan Approval $0.00 Permit Fees $20.00
[] Permit Voided ]
:Date 03/03/2003
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.
In the performance of th~s work, I agree to perform all work pursuant to rules governing the described construction.
Signature ~ / _~_ ,~L~,~~ ~~
/ Agent/Owner
Address 972 E SUNNYVIEW RD #25 Oshkosh WI 54901 1325 Telephone Number
Plumbing Permit Work Card
J ob Address 9 72 E SUNNYVIEW RD #25 Permit Number 100026 Create Date 03/03/2003
Owner GARY NOWAK Contractor HOMEOWNER
3gory 411 - Residential -Water Heaters Plan Value $425.00
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 1
of Work
REPLACE WATER HEATER (NG)
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
Date Type Inspector
Date/Time requested: Notice Type: Telephone Number:
Access:
Ready Date/Time: Requested By:
0 Reinspect Fee 0 Fee Waived ❑ Reinspect Fee Paid