HomeMy WebLinkAbout0099751-Plumbing (water heater)OSHKOSH
ON THE WATER
Job Address 905W 18TH AVE
Contractor M P KELLY
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner JAMES E BOETTCHER
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
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 Re¢ 0
Roof Drain 0 Breakrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0
No 99751
Create Date 02/10/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature
of Work
~FPJ
Replace gas water heater.
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
Valuation $428.00 Plan Approval $0.00 Permit Fees $20.00
Issued By
Date
02/10/2003
[] 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 665 N MAIN ST OSHKOSH WI 54901 - 4431 Telephone Number
231-1750
City of Oshkosh
Inspection Smwises Division
P O Box 1130. '
Oshkosh./~q $4903-1130
Phone: (920) 236=5050
Fax: (920) 2136=5084
RECE]VED
FEB 1 0 ~00.]
DEP~RT~E~T OF
CO~vlMU~[ y EVE ~
Plumbing Permii ~pp~cPa~gTn
OJl--KOfH'
1'141: W^'f FI~
I hereby apply.for a permit to d° and install the following plumbing on the prermses hereinafter described, the work to conform to thc
Wisconsin State Plumbing Code, in the performance of which all parties hereto agree to and are bound by ~aifl statutes.
· Application(s) and fee(s) can be brought to City Hall. Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI $a903-1128. Corn~ encing work without permit(s) will result in fees being doubled or $100.00 plus the
normal permit tee, which ever is greater.
If you are a.contractor participating in the Permit Fee Account St, stem and have adequate [unds,..¢heck here
if you want this pro..cessed through your account ['-1
Job Address qt~5 /--~' //(/-~ ~ Value (lnc.udin. la. and matma'sL ~Tt~ ~' ~0,,. ,, · Date
Owner ~ ~~ ~ontractor ~ .~/~; /~.,
~gle Fami~ ~Duplex ~Mult,-Family ~Rentai ~Commerclal ~Indns~al
Number of Fixtures:
Bathtub I.nd./S~andp D~t. Opm'. $'~smp Sink
Whklpooi Dispt~al Dip Well Iqef~et Sink
Lavsto"/ Dishwasher Drink Fm Cet~h Bssin
Toilet ....... Sump Pump Wait. St. Wsdt FI~
Res. Sink Ejector/Grind Ice Chest th'~sl
Bat Sink Water Sof~er Exam Sink ~ ~
Walat Heater / , toe. al Wtste Scul~y Sink ~ [li~
~asE} Clofl~es Wshr Hand Sink Ceffee Maker
Eleet
PwrVnt
Sbow~ Bidet F Prep Sink .... lee Maker
Floor Drain Beet Tap Serv Sink Site Drain
Led./Tray Cqsssrm Sink Iht Grease Trap Reef Drain
Lab Sink Surg~,ons Sink Ext Grease Trap Stn~dp Rec
Plaster Sink Braakrm Sink
Electric Contractor
Use ! Nature of Work ~
/
Size Material
Type
[~]Electric Installation' Verlflcati6n form attached
(If Replacement}
# Conn. Type
Storm Sewer.
Water Service