HomeMy WebLinkAbout0100108-PLUMBING (water heater)OSHKOSH
ON THE WATER
.lob Address 654 JACKSON ST
Contractor WATTERS PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner RHONDA J VANGYSEL
Category 411 - Residential-Water Heaters
Bathtub 0 Shower 0 Ejector/Grind 0 DipWell 0 F Prep Sink 0
Whirlpool 0 Floor Drain 0 Water Soffner 0 Drink Ftn 0 Serv Sink 0
Lavatory 0 Lndry Tray 0 LocalWaste 0 Wait. St. 0 Shamp Sink 0
Toilet 0 Lndry Stndp 0 ClothesWshr 0 Ice Chest 0 FIr/Wst Sink 0
Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0
Bar Sink 0 Dishwasher 0 Beer Tap 0 SculrySink 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
No 100108
Create Date 03/07/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature DUPLEX/Install a gas water heater.
of Work
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
$499.00 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 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 1303 MIDWAY RD, PO BOX 118 MENASHA WI 54952 - 1129 Telephone Number
800-801-8125,733-81
,. From: 08/06/2003 ]3:47 564 P,O05
City of Oshkosh
Inspection Services Division
P OBox 1130
Oshkosh. WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236.5084
ON 'r~
Plumbing Permit Application
I hereby apply for a permit to do and install the following plumbing on the prermscs hereinafter described, the work to conform to the
Wisconsin State Plumbing Code, in the performance of which all part/es hereto agree to ~nd ar,~bound by said statutes.
Application(s) and fee(s) can be brought t° City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-I I28. Commencing work without permit(s) wilt result in fees being doubled or $100,00 plus the
normal pein'at fcc, which ever is ~reater.
O1~
If ¥0~ ar.¢ a contractor ~ar, llc'i_vatin~ in t]~e, Permit Fee ~4ccORll! System and have ~dequate fund~, .¢~¢c~ here
if you want this t~roge$$ed thFpu~h your account ~
,
~Single Family plex ~Multi-Fa~ly ~Rental ~Commereia~
[--']lndnstrial
Number of Fixtures:
Ba:htub Lr. dty Slandp .__ Der~:, Op~,
Whirlpool Dispo~l Dip Well
~vat~ ~ Dishwa~h~ ~nk Ftn
Toilet Su~ Pu~ Walt, St.
Res. S~k ~ Ej~tor/Qdnd lee Ch~t
~ar Si~k Wn~ ~fmer E~m Sink
Cloth~ Wshr Hand Sink
Bidet ~ ~ Pt~ Sink
Flor
-- B~ Tap
Lnd~ Tray C1~8~ Sink Im Grease Trap
~b Sink Surges Sink Ext Grease T~
Shamp Sink
FlrlWst Sink
Camh Basin
Wash Ftn
Gar Drain
Soda Dtsp
Coffee Maker
Icc Maker
Site Drain
Roof Drain
Sm~O.R~
Electric Contractor
Use t Natnre of Work
['=]]Electric Installation VerificatiSn form attached
(If Kcplacemem)
Sanitary Sewer
Storm Sewe~
Water Servic~
Size
Material
Type
3/02