HomeMy WebLinkAbout0100111-Plumbing (water heater)OSHKOSH
ON THE WATER
.lob Address 2121 & 2133 EVANS ST
Contractor KOCH 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 CHARLES A/MARIL PERRY
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 ClothesWshr 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 100111
Create Date 03/07/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature MULTI-FAMILY/# 2133/Replace gas water heater.
of Work
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size
$450.00 Plan Approval $0.00 Permit Fees
Material Type #
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 2005 DOTY ST OSHKOSH WI 54901 - 0000 Telephone Number
BUTCH (C)379-8753
City of Oshkosh
Inspection Service.~ Division
P O Box 1 I30
Oshkosh, ~¥! 54003 1130
Phone: (920) 236-~50
Fax: (920) 236-~084
OJ'HKO_/I--]
Plumbing Permit .A..pplication
I hereby apply P.)r a I)cmli( tO do and install dm following plumbhlg on tile premises hcreina(ter described, dic work to ¢onfoml Io the
Wisconsin Slate Plutnbing (;ode, itl Ibc perfomtancc of which ntl panics hcrcto agree Io and are bound by said statut¢.~.
~]Singlc Family []]]]Duplex [~Multi-l,'amily ~]Rcnlal [~Commercial
["-]Industrial
Number of Fixtures:
Bathtub .............. l..nd¢~/Standp ............. Dcm. Op, e~. Shamp Sink'
Whirlpool Disposal Dip Well __ Flr~ Sink
~vato~ ...... Dishwas~t ......... r~nk Fm Catch
Toilet ............... Su~ Pu~ Wait. St. _. . W~h Fm
~s. Sink ........ Ej~r/~nd I~e Chest Udnal
Bar $1n~ Wal~ So~n~ Exam Sink Oar
Waler Ilea~ ~ ~sl Waste ~ ScuI~ Sink ~ Di~
8~r .... CIo~s WSht Hand Sink Coff~ ~r
Flor ~in Bidet F ~ Sink I~ Ma~
~d~ Troy B~ T~ ..... ~ S~ Si~
~b Sink O~ Si~ ~,, ln~ ~ T~p ~f
Ptas~ Sink Su~ns Sink Ext ~e~e T~p S~n~ ~
Electric Contractor OR [] EIV form attached (If Replacement)
Use / Nature of Work
Samtary Sewe¢
Storm Sewer
Water Service
Size Material Type # Conn. Typ~
Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Setwiccs, PO Box 1128, Oshkosh WI
54903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the normal permit fee,
which ever is greatcr.
OR
Check here if yOu want this processed through your account ~
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