HomeMy WebLinkAbout0100244-Plumbing (water heater)OSHKOSH
ON THE WATER
,Job Address 843 W 18TH AVE
Contractor RASMUSSEN 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 JAMES R/ANNETTE HANSON
Category 411 - Residential-Water Heaters
Ejector/Grind 0 DipWell 0 F Prep Sink 0
Water Softner 0 Drink Ftn 0 Serv Sink 0
LocaIWaste 0 Wait. St. 0 Shamp Sink 0
CIothesWshr 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 100244
Create Date 03/17/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature SFR/Replace gas water heater with cord.
of Work
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size
$900.00 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
03/17/2003
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 1914 GREENBRIAR TRL OSHKOSH WI 54904 - 8887 Telephone Number
920-233-6747
03/15/2003 19:37 2336747 J RASHUSSEN PAGE 01/01
p. 1
'City o
P 0 ~ox I1BO
Oshkosh, WI ~11 ~0
Plmne: (920)
Fsx: (920) 236-5084
Plumbing Permit Application
hereby apply tot a petit to do nnd install the following pb~b~ o~ ~e ~W~ he~i~f~r d~'~d., thc work to c~fom~ to
Wisc~m v S~tc Pl~bt' ~g C~dc, in t~ p~o~.nce of which all pa~es h~eto a~ee m ~nd ~re bound by said st~naes.
Appli~(~) ~d fe~s) can ~ ~ought ~ Ciiy Hall, R~ 205 ~ ~iled to ln~tion ~ic~, PO Box 1128,
Osh~sh ~ 54903-112g. Comm=~ing work wi~m p~it(s) ~11 ~s~t in f~ being doubled ~ $100.~pl~
~a] p~/t fee, wh~h evcr ~ ~cs~,
ngle Family ~up~x ~Mul~Fam~ ~Rental ~Commercial ~lndust~al
Number of Fixtures:
Urinal
R~. ~ __ ~d . - ,-
~low~r ~id~ ~.~ F ~p Sink la: Mak~
p~ $i~k .... Brcnk~ ,~n~
lgAecr, r~c Contractor
Use / Nature
Size Material Typ~