HomeMy WebLinkAbout0093983-Plumbing (water heater) CITY OF OSHKOSH No 93983
OSHKOSH PLUMBING PERMIT APPLICATION AND RECORD
ON THE WATER
Job Address 2021 WILSON AVE Owner KENNETH L GEHRKE/T SZESTERNIAK Create Date 05/01/2002
Contractor M P KELLY Category 410 Residential- Interior 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 FIr/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 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 $420.00 Plan Approval $0.00 Permit Fees $20.00
Issued By Date 05/01/2002
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 665 N MAIN ST OSHKOSH WI 54901 4431 Telephone Number 231 -1750
City of Oshkosh
Inspection Services Division
P O Box 1130
Oshkosh, WI 54903 -1130
Phone: (920) 236 -5050 JHKJH
;(920)236 -5084
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.
Job Address i D I 55' a✓ Valu i- t' e Date 4 70 5.---0 2.
Owner AMIr 0, t Contractor M p KPl ly Plumbing, Tnc
]Single Fam y ❑Duplex ❑Multi- Family ❑Rental ECommercial ❑Industrial
Number of Fixtures:
Bathtub Lndry Standp Dent. Oper. Shamp Sink
Whirlpool Disposal Dip Well Flr/Wst Sink
Lavatory Dishwasher Drink Fut Catch Basin
Toilet Sump Pump Wait. St. Wash Ftn
Res. Sink Ejector /Grind Ice Chest Urinal
Bar Sink Watcr Softncr Exam Sink Gar Drain
ter Heater _L_ Local Waste Sculry Sink Soda Disp
Shower Clothes Wshr Hand Sink Coffee Maker
Floor Drain Bidet F Prep Sink Ice Maker
Lndry Tray Beer Tap Sell Sink Site Drain
Lab Sink C lassrrn Sink Int Grease Trap Roof Drain
Plaster Sink Surgeons Sink Ext Grease Trap Standp Rec
Sterilizer Breakrm Sink
Electric Contractor
Use Nature of Work iv.1
Size Material Type Conn. Type
Sanitary Sewer
Storm Sewer
f 77%-e id°
Water Service
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