HomeMy WebLinkAbout0100116-Plumbing (water heater)OSHKOSH
ON THE WATER
,Job Address 924 E CUSTER AVE
Contractor MERTEN 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
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner MARGUERITE FLANIGAN
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 CIothesWshr 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 100116
Create Date 03/07/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature SFR/Install gas water heater.
of Work
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
$805.77 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
03/07/2003
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 1087 COZY LANE OSHKOSH WI 54901 - 0000 Telephone Number
231-6795
City'~f Osl~h
Inspection Services Division
P O Box 113~0
Oshkosh, WI 54903-1130
Phone: (92~) 23~-5050
Fax: (920) Z36-5084
dication
Plumbin Permit
OJ'HKO/H
ON THE WATER
I hereby apply for a permit to do and install the following pb,r~i~g on the premises hereinafter described, the work to conform to the
Wisconsin State Plumbing Code, ia the performance o£wt~ch all parties hereto agree to and are bound by said statutes.
JobAdd]~ q~]-~ ~ f~l.~_l~j V~l~,(Ineju~Y~laborandmaterials) ~5, 77 Date .~/~/O.~
~Single Family E]Duplex fiMulti-Family ~-'~Renta, ~]comffmer;ial ~-~Industrial
Number ~f Fixtures:
Bathtub Lndry Standp Dent. Oper. Shamp Sink
Whirlpool Disposal Dip Well Flr/Wst Sink
Lavatory Dishwasher Drink Ftn Catch Basin
Toilet Sump Pump Wait. St. Wash Ftn
Ice Chest Urinal
Res. Sink Ejector/Grind ..
Bar Sink Water Softner Exam Sink Gar Drain
Water Heater I Local Waste Sculry Sink Soda Disp
Shower Clothes Wshr Hand Sink Coffee Maker
Floor Drain Bidet F Prep Sink Ice Maker
Lndry Tray Beer Tap Serv Sink Site Drain
Lab Sink Classrm S/nk Iht Grease Trap Roof Drain
Plaster Sink Surgeons Sink Ext Grease Trap Standp Ree
Sterilizer Breakrm Sink
Electric Contractor
Use / Nature of Work
OR
[] ElY form attached (If Replacement)
Size Material
Sanitary Sewer ~
Storm Sewer ~j~, iai, I
Water Sera, ce
Type # Coma. Type
Application(s) and fee(s) can be brought to City Hall, P,.tmm 205 or mailed to Inspection Services, PO Box 1128, Oshkosh WI
54903-1128. Commencing work without pemait(s) wilt result in fees being doubled or $100.00 plus the normal permit fee,
which ever is greater.
OR
Check here if you ~r~nt t/~i~ ~rocessed through your account []