HomeMy WebLinkAbout0100367-Plumbing (water heater)OSHKOSH
ON THE WATER
.lob Address 1326 GROVE ST
Contractor M P KELLY
Bathtub 0 Shower
Whirlpool 0 Floor Drain
Lavatory 0 Lndry Tray
Toilet 0 Lndry Stndp
Res. Sink 0 Disposal
Bar Sink 0 Dishwasher
Water Heater 1 Sump Pump
Site Drain 0 Classrm Sink
Roof Drain 0 Breakrm Sink
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner BRIAN L/JILL M COATES
Category 411 - Residential-Water Heaters
0 Ejector/Grind 0 Dip Well 0 F Prep Sink 0
0 WaterSoftner 0 Drink Ftn 0 ServSink 0
0 Local Waste 0 Wait. St. 0 ShampSink 0
0 ClothesWshr 0 Ice Chest 0 FIr/Wst Sink 0
0 Bidet 0 Exam Sink 0 Catch Basin 0
0 Beer Tap 0 SculrySink 0 Wash Ftn 0
0 Dent. Oper. 0 Hand Sink 0 Urinal 0
0 Lab Sink 0 Plaster Sink 0 Standp Rec 0
0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0
No 100367
Create Date 03/24/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature SFR/Replace gas water heater.
of Work
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
$487.00 Plan Approval $0.00 Permit Fees
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 665 N MAIN ST OSHKOSH WI 54901 - 4431 Telephone Number
231-1750
City of Oshkosh
Inspection Services Division
P O Box 1130.
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
Plumbing
Pe cat,on
I hereby apply for a permit to do and install the following plumbing on the prennses hereinafter described, the work to conform to thc
Wisconsin State Plumbing Code, in the performance of which all parties hereto agree to and are boumt by said stalvtes.
· Application(s) and fee(s) can be brought to City Hall. Room 205 or mailed to Inspection Services, PO Box ! 128,
Oshkosh WI 5,,903-1128. Corn~..encing work without permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
O1~
l_f you are..a contractor participatin£ in the Permit Fee ,4ccount St, stem and have adeauate_fund$,_.¢heck here
if you want this oroce$$ed through your ac.count ~
r"iSingle Family r'"lDuplex [-"}Multi-Family [-']Rental ['-}Commercial .' r-]Industrial
Number of FixtuFes:
Bathtub .... ~ Standp IX, at. 01~. ~ Sink
W~{~I ,., ~1 Dip Well
T~I~ Su~ Pu~ Wait. St. W~k
~ S~k Ej~nd ice Ch~t
B~ S~k , Wt~ ~ Exam S~nk
Wa~ Hu~ / ~1W.te Scul~ Sink
~ O E~ 0 ~VM ~ Wshr Hand Sink
S~ B~ F P~ Sink
~ ~t. ~ T~ ~ Sink
~ T~y ~n~ S~k Iht G~se T~p
bb Sink , S~s Sink Ext ~se T~p
~ S~k .... B~ Sink
S~li~
Electric Contractor
Us., N.ture of
Water Service
r-lEiectric Installation Yerlflcntl~n form attached
Conn. Type
Type #
3/02