HomeMy WebLinkAbout0100343-Plumbing (water heater)OSHKOSH
ON THE WATER
.lob Address 1115 EASTMAN ST
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 LEROY BARBIAN
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 100343
Create Date 03/21/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature SFR/Install a gas water heater for Kitz & Pfeil.
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
03/21/2003
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
MRR-21-2003 FR! 08:23
City of Oshkosh
Impection Services Division
P O Box 1130
O~hkosh~ ~ 54903-1130
Phone: (920)
Fax: (920) 236-50~
KITZS, PFEIL
920 236 3348 P, 02
OSHKOSH
ON rilE ~^TER
Plumbing_ Per it Application
I hereby apply for a permit to do and install the following plumbing on the premises htrcinafier described, the work to ~otd'otm to the
Wisconsin State Plumbing Code, in thc performance of which all panics hereto agree to and am bound by said statutes.
300?0
~Siag]e Family / [~]Duplex E]Muiti-Family [-']Rental E-]Commercial [~]Iudustrial
Number of Fixtures:
Ba~b . _ Lndry Smndp D~nt. Opc~. Shamp S;nk
Whirlpool .... Disposal Dip Well
~vato~ DJ~h~s~r ~nk Fm
W~h Fm
~ilet .... 5u~ ~ Wail SI ....
R~. ~k ,,, ~~ -
8~r S~k Water ~ ....... Exam S~k ~ G~ ~in
Wa~r H~tcr ~ ~cal Was~ , Scul~ Sink
Hand Sink Coff~ Maker
Clmh~s W~hr
Shower
~ ~in . Bidet F Prep Sink Icc Mak~
ad~ ~ Be~ T~ ~ Sink Si~ ~;n
~b Si~ C~ss~ Sink lm Or~c T~ ~f
Plas~ ~nk ~ Sm~ns S~nk ~t ~e T~p S~n~ Rec
St~li~ B~a~ Sink
Electric Contractor
Sanitary Sewer
Storm S~r
Size Mntcrinl Type #
[3 EiV form attached (If Replacement)
!
Water Service
Application(s) and fc~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
Che~ here if you want :his processed through },our account ~