HomeMy WebLinkAbout2003-Plumbing (water heater)OSHKOSH
ON THE WATER
.lob Address 823 W 4TH AVE
Contractor KOCH PLUMBING
Bathtub 0 Shower 0
Whirlpool 0 Floor Drain 0
Lavatory 0 Lndry Tray 0
Toilet 0 Lndry Stndp 0
Res. Sink 0 Disposal 0
Bar Sink 0 Dishwasher 0
Water Heater 1 Sump Pump 0
Site Drain 0 Classrm Sink 0
Roof Drain 0 Breakrm Sink 0
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner BERNARD R HUNT JR
Category 411 - Residential-Water Heaters
Ejector/Grind 0 DipWell 0 F Prep Sink 0
Water Softner 0 Drink Ftn 0 Serv Sink 0
LocalWaste 0 Wait. St. 0 Shamp Sink 0
ClothesWshr 0 Ice Chest 0 FIr/Wst Sink 0
Bidet 0 Exam Sink 0 Catch Basin 0
Beer Tap 0 Sculry Sink 0 Wash Ftn 0
Dent. Oper. 0 Hand Sink 0 Urinal 0
Lab Sink 0 Plaster Sink 0 Standp Rec 0
Sterilizer 0 Surgeons Sink 0 Ice Maker 0
No 100112
Create Date 03/07/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature DUPLEX/RENTAL/Replace gas water heater.
of Work
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size
$420.00 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
('?ity of Oshkosh- .
ll..gpection Services I)ivisio.
P 0 ]Box 1130
O.~hkosh~ %%r[ ~4~03 I 1~0
Phon~: (920) 236-SOS0
Fax: (920) 236-~$4
Of HKOff
Plumbing Permit App!icatim_ _
! hcrcby apply fi~f a pcmlit Io do and install the £ollowing plumbin[~ on thc premises hereinafter described, thc work Io conform ~o thc
Wisconsin Sta~e Plumbin[~ Code, ia the pcrforn~nce of wlsich all panics hereto agr~ Io and arc bound by said sUtulc/.
Owner ~ff~ ..~ Coatrador ~~ ~
~Singlc Family ~Duplex ~Multi-Family ~Rental ~Com~nercial ~lndustrial
Numbcr of Fixtures:
Ball)tub ................ bm:fry Stm~dp De,st. Oper. Sh~rnp
W~irlp~ol ............. Dis~sal ~=~ Dip Well Fh~st Sink
t,~nk F~ Catch Basin
l.~val~ Dish~r ..............
Toilc~ ......... ~ Pe~ Wail St .....
~s. Sink Ej~r~nd ~ l;e Chest Unnsl
Bs~ Sin~ Wat~ So~ [[um S~k
Wa~ lt~ / ~ Waste __ ~u~ Sink __. S~a Di~
Sho~r Clot~s Wshr Hand Sink ~ffee Maker
FI~ ~in Bi~ F P~ Sink
~ T~y Be~ T~ _ . ~ 8ink
l~b Sink Cl~ Sink _ Iai ~se Trap , ,
P~s~ Sink Su~ge~s S~k ~ EXI ~ T~
St~liz~ O~ Sink
Electric Contractor
Use / Nature of Work
OR [] EIV form attached (lfReplaccmcnt)
Sanitary Sewer
Storm Scwcr
Water Service
Size Material Type # Conn. Type
Application(s) and fcc(s) can bc brought to City Hall, Room 205 or mailed to/nspcction Services, PO Box 1128, Oshkosh
54903-! 128. Commencing work without permit(s) will resul~ in fees being doubled or $100.00 plus the normal permit fee,
which ever is ~-eater.
OR
Check here ~f ),ou want £hi$ pro~essed chrouqh your account