HomeMy WebLinkAbout0100202-Plumbing (water heater)OSHKOSH
ON THE WATER
.lob.Address 812 CEAPE AVE
Contractor OGDEN 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 CHAD E/NICKI J JANSMA
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 CIothesWshr 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 100202
Create Date 03/14/2003
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 #
$200.00 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
03/14/2003
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 PO BOX689 NEENAH WI 54957 - 0689 Telephone Number
725-8985
Mar 13 03 12:38p Je~re~ D. Ocden 8~0-?~5-0123 p.1
lnsp~on Scrv~c~ D~vi~n
POBox 1130
Oshtmsh, WI 54~0~-1130
(920) 236~5084
Plumbing Permit Application
I l~mby apply for a permit to do and in~all fluc follow~n.; plumbi~; on thc Mcmisc~ lz~in~fln' dncdbcd, thc work m co~fonn
Wisconsin $~atc Plumbing Code, ia. d~ performance of which all parties I~:~cto agree to and are bound by said statutes.
e Applicntion(s) and fee(s) cnn be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128~
Oshlmsh WI 54903-1128. Commencing work witbout permit(s) will result in fees being doubl~ or $I00.00 plus the
normal permit fee, which ever is greater.
OR
if yO*¢ wont tAiz processed througA.y° ur. d ccount [V~ ....
~iel;'ar~iy n')]l~plex E]Mulfi-l;nmily E]Reotal0 E]Commerci~!~ E]ln~ustriai
Number of Fixtures:
Ibum~ Lndw Sundp Ocn~ Over. _ _ Sta=~ Siak
WhirJlM01 Ois~l ~p WcH ,, ~r~$l S~nk
~. $~ . Ej~ Ice ~ut __ O~
~ 0 ~t D ~Vnt ~ WS~ ..... Hand S~ ~ C~ee ~r
S~ B~ F ~ Si~ t~ ~ -
F~ ~n ~ Tap ~ S~k , S~ ~ia
~b ~k ~ Si~ ~ ~t ~ T~p S~ ~
P~ Sink B~ ~
Electric Contractor
Use / Natere of Work
O-R [~lectric Install~Jon Verificati6n form attached
~ize ~
T~c # ~.T~
Sewer
Watzr S~