HomeMy WebLinkAbout0092888-Plumbing (water heater) (...D CITY OF OSHKOSH No 92888
OSHKOSH PLUMBING PERMIT APPLICATION AND RECORD
ON THE WATER
Job Address 1111 WINDSOR ST Owner LINDA A COOK Create Date 03/04/2002
Contractor RASMUSSEN 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 $450.00 Plan Approval $0.00 Permit Fees $20.00
Issued By K yyl Date 03/04/2002
0 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 1914 GREENBRIAR TRL OSHKOSH WI 54904 8887 Telephone Number 920 233 -6747
03/03/2002 16:18 2336747 J RASMUSSEN PAGE 02
7ity of Oshkosh
Inspection Services Division �f P O Box 1130 I" 2,- .a 1 Oshkosh. WI 54903 -1130 Of KQf I Y -`'b CV
Phone: (920) 236-5050
Fax: (920) 236 -5084 ON THE WATER
Plumbic Permit Application,
T. 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 patties hereto agree to and are bound by said statutes.
Job Address f �MY /AL./450k .St Value 9-cti Date 3-/-
Owner 4, Gook Contractor Z r I�Ars►t.,•4s,e^' 1 t '-""c.
[Single Family []Duplex ❑Multi- Family [Rental ['Commercial Olndustrial
Number of Fixtures:
Bathtub Ltdry Slandp Dent. Oper. Shame Sink
Whirlpool Disposal Dip Well (1r /Wkt Sink
Lavatory Uicir.aElxv �r Drink Fen Catch Basin
Toilet Sump rump Wait. Si. Wash Ftn
Res. Sink tjectcx +ind ke Chest Urinal
Bar Sink Water Sultrier Exam Sink Gar Drain
Water I Italia r Local Waste Sculry Sink Soda [asp
Shower Clothes Whit► 1land Sink Coffee Maker
Floor Drain Bidet F Prep Si ink lee Maker
t.ndry Tray Beer Tap Sure 5ink Site Drain
Lab Sink ('taxxrrn Sink In1 Grease Trap Ruol' Drain
Planter Sink Surgeons Sink lixt Grease Trap r Slandp Tice
Stcr•ilirer IIrcakmr Sink
Electric Contractor `r
Use Nature of Work, LA. 6'* s bo
Size Material Type Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
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