HomeMy WebLinkAbout0096686-Plumbing (water heater) CITY OF OSHKOSH No 96686
OSHKOSH PLUMBING PERMIT APPLICATION AND RECORD
ON THE WATER
Job Address 1028 WINDSOR ST Owner DANIEL W /JOAN G HELLER Create Date 08/19/2002
Contractor SOPER PLUMBING Category 411 Residential -Water Heaters 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 SFR/ 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 $400.00 Plan Approval $0.00 Permit Fees $20.00
Issued By �Y Date 08/19/2002
11 Permit Voided
In the performance this work, I a ree to perform all work pursuant to rules goveming the described construction.
Signature
Date /9.•40 2..
Agent/Owner
Address 2225 BURNWOOD DR Oshkosh WI 54902 0000 Telephone Number 426 -2151
City of Oshkosh
Inspection Services Division
P O Box 1130
Oshkosh, WI 54903 -1130
Phone: (920) 236 -5050 O�I IKO�H
Fax: (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.
Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
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
if you want this processed through your account n
Job Address /D„2P 141/44 r Value (Including labor and materials) Ge Date Z
Owner ur____/Ye Contractor v?/1 riz e /j.■,V G'
[Single Family []Duplex ['Multi-Family ❑Rental ['Commercial ❑Industrial
Number of Fixtures:
Bathtub Lndry Standp Dent.
Oper. Shamp Sink
Whirlpool P Disposal Dip Well Flr/Wst Sink
Lavatory Dishwasher Drink Ftn Catch Basin
Toilet Sump Pump Wait. St. Wash Ftn
Res. Sink Ejector /Grind Ice Chest Urinal
Bar Sink Water Softner Exam Sink Gar Drain
Water Heater 4' Local Waste Sculry Sink Soda Disp
,Gas E Elect PwrVnt Clothes Wshr Hand Sink Coffee Maker
Shower Bidet
F Prep Sink Ice Maker
Floor Drain Beer Tap Sery Sink Site Drain
Lndry Tray
Classrm Sink Int Grease Trap Roof Drain
Lab Sink Surgeons Sink Ext Grease Trap P Standp Rec
Plaster Sink
Breakrm Sink
Sterilizer
Electric Contractor OR ['Electric Installation Verification form attached
(If Replacement)
Use Nature of Work ÷4.204 1/
Size Material Type Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
3/02