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HomeMy WebLinkAbout0100107-Plumbing (water heater)OSHKOSH ON THE WATER .lob Address 1633 1635 IOWA ST Contractor WATTERS PLUMBING CITY OF OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD Owner PHILLIP R/ANN SCHOLL 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 100107 Create Date 03/07/2003 Plan Gar Drain Soda Disp Coffee Maker Int Grease Trap Ext Grease Trap Use/Nature DUPLEX/Install gas water heater. (Pulling permit on customer's behalf, he installed his own water heater previously.) of Work Valuation Issued By Sanitary Sewer Storm Sewer Water Service Size Material Type # $105.00 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: City of Oshkosh Inspectio~ Services Division ? O Box 1130 Oshkosh, W] $4903-1 Phone: (920) 236.5050 Fax: (920) 236-5084 03/06/2003 13:47 ~64 P.O04 Plumbing Permit Application I hereby apply for a permit to do and i.nsgal] the following plumbing on the premises hereinafter described, the work to conform to the Wisconsin State Plumbing Code, in the performance of whlch all parties, hereto agree to and are bound by said stat'mas. Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Impection Servioes, PO Box 1 I28, Oshkosh WI 54903q 12g. Co~enoing work without pemit(s) will re,It in fees berg doubled or $100,00 plus the nomal pemit fee, which ever is ~eater. OR ~f vOU are a con/ractor pa~ticipatln~ in the Pe~;?~C~,t ~ee ~cco~tlt System ~nd have a~O~ate funds, check h~re ~f vo~{ mant t~.ts p,'ocess~d through your account ~ Job Address Date Owner ~r~;,~: -.-,r',.//G Lt, . Contractor ._ .~~ ~~. ~Single Family ~Duplex ~ulti-F~mily ~Rentai ~Commercial ~Industrial Number of Fix~r~: Bathtub Lndl3t Slat~dp ..... Dcm. Oper. Shan~ Sink ~iflp0ol Disposal Dip *well ..... ~dWst Sink ~vato~ Dishwasher ........ Drink Fin Caleb Toilet Sump Pump wait, St, Wash Fm Re[. Sink Ejec~or/~nd ,, Icc Ch~ Urinal B~r Sink Wat~ $ofmer Exam Sink Gar ~in .. _ Water H~t~ / ~ul Waste Scul~ Sink Soda Disp ~Qas D Elect ~ P~Vnt Clothes Wshr ~ Hand Sink Coffee Maker Shower Bidel F P~ Si~k ~ Ice Maker Lnd~ Trey , Cla~ Sink Iht Graa~e Tap ..... Root ~aln ~b Sink Surgeons Sink Ext Orcase Trap Stan~ Rec Sterilizer Electric Contractor ~-~Electric Installation Verificati~n form attachet (1£ Re~lacemenO Use / Nature of Work Sar~taty Sew~ Stoma Sc,wet Material Type # Corm. Typo Water Service 3/02