HomeMy WebLinkAbout0100141-Plumbing (water heater)OSHKOSH
ON THE WATER
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
No 100141
Job Address 412 W 11TH AVE Owner WILLIAM/CASSAND FRITZ Create Date
Contractor HOMEOWNER Category 411 - Residential-Water Heaters Plan
Bathtub 0 Shower 0 Ejector/Grind 0 DipWell 0 F Prep Sink 0 Gar Drain
Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 Serv Sink 0 Soda Disp
Lavatory 0 Lndry Tray 0 LocaIWaste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker
Toilet 0 Lndry Stndp 0 CIothesWshr 0 Ice Chest 0 FIr/Wst Sink 0 Int GreaseTrap
Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap
Bar Sink 0 Dishwasher 0 Beer Tap 0 SculrySink 0 Wash Ftn 0
Water Heater 1 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
03/11/2003
Use/Nature
of Work
REPLACE NG WATER HEATER
Valuation
Issued By
Storm Water
Size
$450.00 Plan Approval
Material Type
Permit Fees
$0.00
# Conn. Type
$20.00
Date
03/11/2003
Permit Voided
The undersigned, in applying for a plumbing permit to install plumbing in a single family home owned and occupied as the
principle residence of the undersigned, hereby acknowledges, per Wisconsin State Statutes, ss 145.06, that other individuals
will not be employed to assist with the work described by this permit. If an individual will be employed to install plumbing
the work involved must be covered by a permit issued to a properly licensed Master Plumber.
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature Date
Agent/Owner
Address 412W 11TH AVE OSHKOSH WI 54902 6414 Telephone Number 920-236-8799
OSHKOSH
ON THE WATER
Job Address 412 W 11TH AVE
Contractor HOMEOWNER
CITY OF OSHKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
Owner WILLIAM/CASSAND FRITZ
Category 411 - Residential-Water Heaters
No 100141
Create Date 03/11/2003
Plan
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 Lndry Stndp 0 Clothes Wshr 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 1 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
Gar Drain
Soda Disp
Coffee Maker
Int GreaseTrap
Ext Grease Trap
Use/Nature
of Work
REPLACE NGWATER HEATER
Size Material Type # Conn. Type
Storm Water 0
0
0
0
0
Valuation
Issued By
$450.00 Plan Approval $0.00 Permit Fees $20.00
Date 03/11/2003
[] Permit Voided
The undersigned, ir~ applying for a plumbing permit to install plumbing in a single family home owned and occupied as the
principle residence of the undersigned, hereby acknowledges, per Wisconsin State Statutes, ss 145.06, that other individuals
will not be employed to assist with the work described by this permit. If an individual will be employed to install plumbing
the work involved must be covered by a permit issued to a properly licensed Master Plumber.
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature /'(./(./(/ .~.-,.¢, ~_~ ............... Date
AgentJOwner
Address 412W 11TH AVE OSHKOSH WI 54902 6414 Telephone Number
920-236-8799