HomeMy WebLinkAbout0093926-Plumbing (water heater) CITY OF OSHKOSH No 93926
OSHKOSH PLUMBING PERMIT APPLICATION AND RECORD
ON THE WATER
Job Address 1925 WHITE SWAN DR Owner SHAWN /NANCY DIAMOND Create Date 04/30/2002
Contractor WATTERS PLUMBING Category 411 Residential -Water Heaters Plan
Bathtub 0 Shower 0 Ejector /Grind 0 Dip Well 0 F Prep Sink 0 Gar Drain 0
Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 Sery Sink 0 Soda Disp 0
Lavatory 0 Lndry Tray 0 Local Waste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
Toilet 0 Lndry Stndp 0 Clothes Wshr 0 Ice Chest 0 Flr/Wst Sink 0 Int Grease Trap 0
Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0
Bar Sink 0 Dishwasher 0 Beer Tap 0 Sculry Sink 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
Use /Nature SFR/ Replace gas water heater.
of Work
Size Material Type Conn. Type
Sanitary Sewer 0
0
0
0
0
Storm Sewer 0
0
0
0
0
Water Service 0
0
0
0
0
Valuation $499.00 Plan Approval $0.00 Permit Fees $20.00
Issued By V vv‘ Date 04/30/2002
El 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 1303 MIDWAY RD, PO BOX 118 MENASHA WI 54952 1129 Telephone Number 800 801 8125,733 -81
04/29/2002 19:45 920-733-2713 WATTERS PLUMBING PAGE 01/02
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Date Our Phone: 920-733-S125
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04/29/2002 19:45 920 733 -2713 WATTERS PLUMBING PAGE 02/02
Gild of Oshkosh
Inspection Services Division
P 0 Box 1130
Oshkosh. WI S4903-1130. •�JHK� I I
Phone: (920)236.5050
Fax: (920) .36- 3013.1 ON THE WATER
Plumbing nbi Permit t A�pii,�ation
1 hereby apple for a permit to do and install the following plumbing on the premises hereinafter described, the work to conform to the
Wisconsin State Pluinbing Code. in the performance of which all parties hereto agree to and are bound by said statutes.
Job Address Value 9 ED Date 7 .es
L
Owner c2 Contractor A-40Orstief e r�'i,r.4.
ingie Family ❑Duplex QNlutti- Family ❑R•ental ❑Commercial• DIndustrial
Number of Fixtures:
llathuth I.nthy Sl.ndp Dent. Char. Shanty) Sink
Whirlpool Disposal Clip Wcll Ilr /Wsi Sink
I.:iv: ry Dishwasher Drink Fin C:alch Basin
t Wait- SI• wash Gut
luilet sump 1 until
Iles. Sin:; I'.jtttttr +l inntl lea (item urinal
Itar Sink 1 ttur luruto� Li.eant fink, t.iur Drain
Wake' I katt'r I awal Wash Star sy Sink Stela DO
Shower l'ktthes Wain I Land Sink (.once Maker
Floor Drain liiikt t' from Sink lee Maker
1.ndry Troy Reer'tip Sery Sink Site Drain
I.ah Sink t'tassnn Sink htt I Ire'a.e'1'r°ap Itnal I)rain
Plaster Sink Surgeons Sink list t hum; rap Suttdp lice
Ster1hKt' Ilre \iornt Sink
Electric Contractor
Use Nature of Work X",esleitr s�t stAr 41 4%* oot-
Size Material Type Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
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