HomeMy WebLinkAbout0097839-Plumbing (water heater)OSHKOSH
ON THE WATER
Job Address 910 COZY LN
CITY OF OSHKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
Owner DAVID R SCOTT
Category 411 -Residential-Water Heaters
0 Ejector/Grind 0 Dip Well 0 F Prep Sink
0 Water Softner 0 Drink Ftn 0 Serv Sink
0 Local Waste 0 Wait. St. 0 Shamp Sink
0 Clothes Wshr 0 Ice Chest 0 Flr/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
No 97839
Create Date 10/07/2002
Plan
Contractor SAMMONS PLUMBING
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
Use/Nature
of Work
0 Gar Drain 0
0 Soda Disp 0
0 Coffee Maker 0
0 Int Grease Trap 0
0 Ext Grease Trap 0
0
0
0
0
FR/ Install electric water heater. 'EIV form from Slim's Electric.
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 $500.00
Issued By
Plan Approval $0.00 Permit Fees $20.00
Date 10/07/2002
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 522 W. MURDOCK AVE OSHKOSH
WI 54901 - 2298 Telephone Number 231-9880
FROM :SAMMDNS PLUMBING FAX N0. :9202318485
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Oct. 02 2002 09:43AM P9
t Ewa) SAM'S ELECTRIC INC.
(rskatri~w Ccaa~ector Nome)
Oshkosh WI
54904
Pay
h~ beea cold m , ekcaic iaeadb-eioe wa~c for Sam man's
~eatp~ts-aootrauedb3
~ ~~ ~,~,~ 910 Cozy Ln.
(l~darere•v6ero wod~ will beperfanned)
T1e nature of the w~odc ooaasfs of: (Check One a Dacn'be the Ndare e!f Wort)
Reeeo~recoon a aaw cir~rit !br r~pbiamrrt Hem Plant andbr MC Caber.
Raooo a aNw circuie for repdameat bleetria wabr H..tt cr pourer venead
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and Iii i dat: ~ t>idi~ r wl1D iaallnE;on. Note: Neer Savior
Danaoco t~tbks w1n regai{e a eapaeate perimtt.
.~,,,,~ Rooawection or new oie+cuit for the:+ePtaoarre~q ccd'o>ber pmn~y wired
apptiancer / Bo~taQea.
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m a dupls~c a oa~ndoe~inep~ a~ol~ regt~ed eehried
tither
The valwrofthia wr~etc is S ~.~~
I hereby verify the work wiU be Permed by ao employe of thin ooo~Mpy ~d ~fher verify
the reoa®ection ! iomilrtion wiN bo doue m c~PWoos with apd ~ Dade
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