HomeMy WebLinkAbout0100117-Plumbing (water heater)OSHKOSH
ON THE WATER
,Job Address 347 W 11TH 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 KATHRYN M NELSON
Category 411 - Residential-Water Heaters
0 Ejector/Grind 0 Dip Well 0 F Prep Sink 0
0 WaterSoffner 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 100117
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 #
$507.15 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 of Oshkosf~
Inspection Services Division
P O Box 1130
Oshkoslx, VT154903--1130
Phone: (920) 236-5050
Fax: (920) 236-5084
O_/'HKO/H
ON THE WATER
Plumbing Pemit Application
I hereby apply for a permit to do and install the following plumbing on the premises hereinafter described, the work to conform to the
Wisconsin State Plumbing Code, in the performance ofwh/ch all parties hereto agree to and are bound by said statutes.
JobAddress 3L/7 ~, l(44q ~O'P,.-~. Vahle(Includinghborandmaterials).,~72/_~' , Date~flg!03
[~]Single Family [~]Duplex [-]Multi-Family ["]Rental I--]Commercial
Number of 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. SL Wash Ftn
Res. Sink Ejector/Grind Ice Chest Urinal
Bar Sink Water Softner Exam Sink Gar Drain
Water Heater ] Local Waste Seulry Sink
Soda
Shower Clothes Wshr Hand Sink Coffee Maker
Floor Drain Bidet F Prep Sink Ice Maker
Lndry Troy Beer Tap Serv Sink Site Drain
Lab Sink Classrm Sink Iht Grease Trap Roof Drain
Plaster Sink Surgeons Sink Ext Grease Trap Standp Rec
Sterilizer Breaknn Sink
Electric Contractor
Use I Nature of Work
OR
[] EIV form attached (If Replacement)
Size Material
Sanitary Sewer
Storm Sewer ~/~/' ~' ~
Type # Conn. Type
Water Service
Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, 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 greater.
OR
Check here if you want this ~rocessed throuffh your account []