HomeMy WebLinkAbout0100198-Plumbing (water heater)OSHKOSH
ON THE WATER
Job Address 1219 CEDAR ST
Contractor JNL PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
Owner KRISTINAA STAUFFER
Category 411 - Residential-Water Heaters
Bathtub 0 Shower 0 Ejector/Grind 0 DipWell 0 F Prep Sink 0
Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 Serv Sink 0
Lavatory 0 Lndry Tray 0 Local Waste 0 Wait. St. 0 Shamp Sink 0
TOilet 0 LndryStndp 0 CIothesWshr 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 BeerTap 0 SculrySink 0 Wash Ftn 0
Water Heater I 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 100198
Create Date 03/14/2003
Plan
Gar Drain 0
Soda Disp 0
Coffee Maker 0
Int Grease Trap 0
Ext Grease Trap 0
Use/Nature SFR/Replace gas water heater.
of Work
Valuation $550.00
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Plan Approval $0.00 Permit Fees $20.00
Date 03/14/2003
[] Permit Voided
In the perf~rrr~an~F~f this work, I agj;ee, to perform all work pursuant to rules governing the described construction.
Signature~ ~4~,4..~ ( ~
/ ' [ -- - Agent/Owner
Date
Address 1570 N OAKWOOD RD Oshkosh WI 54904 - 0000 Telephone Number
233-2661
City of Oshkosh
Inspection Services Division
P O Box 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
O/HKO../H
ON THE WATER
Plumbing Permit 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 of which all parties hereto agree to and are bound by said statutes.
· 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
If you are a contractor participatinx in the Permit Fee Account System and have adequate_funds, check here
(f you want this processed through ~vour account
Job Address J~l ~'[ C/.~,4q..~"[" Value (Including labor and materials) ,~-.~,
Owner Contractor .
J~Single Family [-']Duplex [--]Multi-Family [--]Rental ['-]Commercial
[--]Industrial
Number of Fixtures:
Bathtub Lndry Standp Dent. Oper.
Whirlpool Disposal Dip Well
Lavatory Dishwasher Drink Ftn
Toilet Sump Pump Wait. St.
Res. Sink Ejector/Grind Ice Chest
Bar Sink Water Softner Exam Sink
Water Heater J Local Waste Sculry Sink
~1~ Gas [] Elect I51 PwrVnt
Clothes Wshr Hand Sink
Shower
Bidet F Prep Sink
Floor Drain
Beer Tap Serv Sink
Lndry Tray Classrm Sink Int Grease Trap
Lab Sink
Surgeons Sink Ext Grease Trap
Plaster Sink
Breakrm Sink
Sterilizer
Shamp Sink
Flr/Wst Sink
Catch Basin
Wash Ftn
Urinal
Gar Drain
Soda Disp
Coffee Maker
Ice Maker
Site Drain
Roof Drain
Standp Rec
Electric Contractor
Use / Nature of Work
OR [-']Electric Installation Verification form attached
(If Replacement)
Sanitary Sewer
Size
Material
Type # Conn. Type
Storm Sewer
Water Service
3/02