HomeMy WebLinkAbout0084668-Plumbing (water heater) 12-1) CITY OF OSHKOSH No 84668
OSHKOSH PLUMBING PERMIT APPLICATION AND RECORD
ON THE WATER
Job Address 1222 BOWEN ST Owner MICHAEL R BREFCZYNSKI Create Date 03/14/2001
Contractor JOHN D RANSOM Category 411 Residential -Water Heaters Plan
Bathtub Shower Ejector /Grind Dip Well F Prep Sink Gar Drain
Whirlpool Floor Drain Water Softner Drink Ftn Sery Sink Soda Disp
Lavatory Lndry Tray Local Waste Wait. St. Shamp Sink Coffee Maker
Toilet Lndry Stndp Clothes Wshr Ice Chest Flr/Wst Sink Int Grease Trap
Res. Sink Disposal Bidet Exam Sink Catch Basin Ext Grease Trap
Bar Sink Dishwasher Beer Tap Sculry Sink Wash Ftn
Water Heater 1 Sump Pump Dent. Oper. Hand Sink Urinal
Site Drain Classrm Sink Lab Sink Plaster Sink Standp Rec
Roof Drain Breakrm Sink Sterilizer Surgeons Sink Ice Maker
Use /Nature Replace water heater
of Work
Size Material Type Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Valuation $277.00 Plan Approval $0.00 Permit Fees $20.00
Issued By e■ Date 03/14/2001
Permit Voided
In the performance of this work, I agree to perform all work pursuant to rules goveming the described construction.
Signature Date
Agent/Owner
Address W 5056 PARADISE LN FOND DU LAC WI 54935 9662 Telephone Number 922 -1987