HomeMy WebLinkAbout0100288-Plumbing (water heater) (~ - CITY OF OSHKOSH
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 509 W 16TH AVE Owner MICKEY PROPERTIES INC
Contractor JNL PLUMBING Category 411 - Residential-Water Heaters
Bathtub 0 Shower 0 Ejector/Grind 0 DipWell 0 F Prep Sink __
Whirlpool 0 Floor Drain 0 WaterSoftner 0 Drink Ftn 0 Serv Sink
Lavatory 0 LndryTray 0 Local Waste 0 Wait. St. 0 ShampSink __
Toilet 0 LndryStndp 0 CIothesWshr 0 Ice Chest 0 FIr/Wst Sink __
Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin
Bar Sink 0 Dishwasher 0 Beer Tap 0 SculrySink 0 Wash Ftn
Water Heater 1 Sump Pump 0 Dent. Oper. 0 Hand Sink 0 Urinal
Site Drain 0 Classrm Sink 0 Lab Sink 0 Plaster Sink 0 Standp Rec
Roof Drain 0 Breakrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker
No 100288
Create Date 03/19/2003
Plan
Gar Drain 0
Soda Disp 0
Coffee Maker 0
Int Grease Trap 0
Ext Grease Trap 0
Use/Nature
of Work
IDUPLEX/#509N Install 40 gal. gas water heater.
Valuation
Issued By
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
$300.00 Plan Approval $0.00 Permit Fees $20.00
Date 03/19/2003
[] 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 1570 N OAKWOOD RD Oshkosh WI 54904 - 0000 Telephone Number
233-2661
OSHKOSH
ON THE WATER
.lob Address 509 W 16TH AVE
Contractor JNL PLUMBING
Bathtub 0 Shower 0
Whirlpool 0 Floor Drain 0
Lavatory 0 Lndry Tray 0
Toilet 0 Lndry Stndp 0
Res. Sink 0 Disposal 0
Bar Sink 0 Dishwasher 0
Water Heater 1 Sump Pump 0
Site Drain 0 Classrm Sink 0
Roof Drain 0 Breakrm Sink 0
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner MICKEY PROPERTIES INC
Category 411 - Residential-Water Heaters
Ejector/Grind 0 DipWell 0 F Prep Sink 0
Water Softner 0 Drink Ftn 0 Serv Sink 0
LocaIWaste 0 Wait. St. 0 Shamp Sink 0
CIothesWshr 0 Ice Chest 0 FIr/Wst Sink 0
Bidet 0 Exam Sink 0 Catch Basin 0
Beer Tap 0 Sculry Sink 0 Wash Ftn 0
Dent. Oper. 0 Hand Sink 0 Urinal 0
Lab Sink 0 Plaster Sink 0 Standp Rec 0
Sterilizer 0 Surgeons Sink 0 Ice Maker 0
No 100288
Create Date 03/19/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature DUPLEX/#509A/Install 40 gal. gas water heater.
of Work
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size
$300.00 Plan Approval $0.00 Permit Fees
Material Type #
Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
$20.00
Date
03/19/2003
Permit Voided
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address 1570 N OAKWOOD RD Oshkosh WI 54904 - 0000 Telephone Number
233-2661
]IRR- 18-2003 TUE 04: ,58 PM
City of O~hkosh
Inspection Services Division
P 0 Bo:; 1130
Oshkosh, %VI 54903-1130
Phone: (920) 236-5050
Fax: (gZ0) 236-5084
KITZ&PFEIL
920 236 3348
P, 02
Q/HKO/H
ON THE WATE~
Plumbin Permit Application
I hereby apply for a l~ermit to do and install the following plumbing on the premises hereinafter described, thc work to con_form to the
Wisoonsin State Plumbing Code, in the performance of which all parties hereto agree to and are bound by said statutes.
[~Single Family l~uplex [~Multi-Family [-lRental I-]Commercial I--Ilndustrial
Number of Fixtures:
Ba~tu5 Lndcy Standp .... D~nc Oper, Shamp Sink
Whirlpool Diaooaal ~ Dip W~II l~r/Wst Sink
Lavatory -- Di;hwa~h~' I.~nk Pm Ca~cb B~in
Toilet Sump Pump __ Wail. St W~h
~. Sink ........ Ejecmr/~ind ~. Icc C~st Urinal
B~ Sink Wat~ So~er' _ . Exam Sink .. Gar
Shower Clothe3 Wshr HaM Sink Coff~ Mak~
F~or ~i. Bid~ F P~ Sink loc Maker
~d~ T~y ~ Tap ,., S~ S~k Si~ ~
~b Sink Cla~ Sink Iht ~c~c Trap __ R~f
PI~ Sink _. Suf$~ns Sink , Ext ~c ~p S~ndp
Electric Contractor
Use / Nature of Work
OR El EIV form attached (If Replacement)
Size
Material Type
# Conn. Type
Sanitary Sewer
Storm Sewer
Water ,'~'vice
KITZ & PFEII. lNG.
427 N. MAIN bT.
OSHKOSH, WI 84,901
Application(s) and fcc(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128, Oshkosh WI
54903-I 128. Commencing work without permit(s) will result in fees being doubled or $I00,00 plus the normal permit fee,
processed
which ever is greater,
OR
Check here .i.f ,you want