HomeMy WebLinkAbout0100369-Plumbing (water heater)OSHKOSH
ON THE WATER
.lob Address 1750 #F W 5TH AVE
Contractor RAPID SOFT LLC
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 PAULTSCHROEDER
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 100369
Create Date 03/24/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature CONDO/Replace gas water heater for Sears.
of Work
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size
$485.00 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
03/24/2003
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 P.O. BOX4052 APPLETON WI 54915 - 0052 Telephone Number
920-757-6432
City of Oshkosh
Inspection Services Division
P OBox 1130
(~hkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
O./1-KOffH
ON THE
Plumbing Permit Application
I hereby apply for a p~afit to do and install the following plmnbing 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 11'28,
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 ~r,e a contract, or.p,articipati, ng in the Permit Fee Account System and have ade, quatefunds, check here
if you want this p.,r,.ocessed,t.,,hrou~h your account
Job Address /7f'-O ~9 ~ ,.y~. ~;~oe~ce~' Value (~ct~ing a~erm~al Za> c~ Date. 3-'
Owner ~o..~ { Sc~~ Contrnctor /E._~/,~;. - -~ ~ ~.~.
[
Elsi"Oeramily ElOupiex u ti-r A i y El e,, I--ICom =i
Number of Fixtures:
Bathtub I.,ndry Standp Dent. Oper. Shamp Sink
Whirlpool Disposal Dip Well Flr/W~ Sink
Lavatory Dishwasher Drink Fm Catch Basin
Toilet Sump Pump Wait. St. ~ Wash Faa
Res. Sink Ejector/Grind Ice Chest Urinal
Bar Sink Wal~r Softner Exam Sink Gar Drain
Water Heater ~ Local Waste Sculry Sink Soda Disp
~ ~ Elect [3 PwrVnt Clothes Wshr Hand Sink Coffee Maker
Shower Bidet , F Prep Si~k Icc Maker
Floor Drain Beer Tap Serv Sink Site Drain
Lndry Tray C'lassrm Sink Iht Grease Trap Roof Drain
Lab Sink Surgeons Sink Est Grease Trap Standp Rec
Plaster Sink Breakrm Sink
Sterilizer
Electric Contractor
Use / Nature of Work
I-']Electric Instalh~fion Verifieatidn form attached
(If Rep/acemcnt)
Size
Material Type # Conn. Type
Storm Sewer
Water Service