HomeMy WebLinkAbout0100248-Plumbing (water heater)OSHKOSH
ON THE WATER
Job Address 325WINDINGBROOK DR
Contractor JNL PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
Owner JAMES S/MARY J POPKE
Category 411 - Residential-Water Heaters
Bathtub 0 Shower 0 Ejector/Grind 0 Dip Well 0 F Prep Sink 0
Whirlpool 0 Floor Drain 0 Water Soffner 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
BarSink 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
No 100248
Create Date 03/17/2003
Plan
Gar Drain 0
Soda Disp 0
Coffee Maker 0
Int Grease Trap 0
Ext Grease Trap 0
Use/Nature SFP,/Replace power vented water heater.
of Work
Valuation $550.00
,ssue...
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
[] Permit Voided
Date 03/17/2003
In the performaj~c~of this work, I agre, e~to perform all work pursuant to
Signature~/~'~'L_~"(,.,{~..~,~[~, ~
I '~- I - A~FOwner
Address 1570 N OAKWOOD RD Oshkosh
rules governing the described construction.
Date
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 I 128,
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 particiPating in the Permit Fee Account System and have adequate funds check here
(f vou want this processed through your account ~]
Job Address ~5
Owner
[~]Single Family
Contractor _"~,~ ~.
V-]Duplex [~]Multi-Family [-]Rental [--]Commercial
Date
[--]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,__/_~'/- Local Waste Sculry Sink
[] Gas [] Elect~Pf~Vnt 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