HomeMy WebLinkAbout0100414-Plumbing (water heater)OSHKOSH
ON THE WATER
.lob Address 222 W 14TH AVE
Contractor WATTERS PLUMBING
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 MR/MRS MICHAEL TRUESDALE
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 CIothesWshr 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 100414
Create Date 03/26/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature SFR/Install a gas water heater.
of Work
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
$499.00 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 03/26/2003
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 1303 MIDWAY RD, PO BOX 118 MENASHA WI 54952 - 1129 Telephone Number
800-801-8125,733-81
From: 03/25/2003 09:55 550 P.O02
CiW of'Oshkosh
Inspection Services Division
P 0 Box 1 I30
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
WATER
Plumbing Permit Application
hereby apply for a pervcht to do and install the following plumbing on the premises hereinafter described, the wo:k 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 I 128,
Oshkosh WI 5,,903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
If you are a contr.~c_t_or ~particJpating in the Permit Fee Account Sw'tem and have adep~at¢ funds: check her~
itc vott want this :orocessed through your account ['-]
Job Address ~.~ ~. /9ff//_~'?_.~?~. Value (~,c~,~,~ ~,~o~a,~,~teria~,) ~'~9'. 6~-:~ Date~ .
Owner ' ....~.. _ ,',.~. ~.~....~'.~x_~. Contractor ~/~"'~-~_.~ .~-.-:-~, ._
,[ Single Family [ ]l)uplex /"]Multi-Family ['"]Rental I'-[Commercial [.. ndustrial
Number of Fixtures:
Bathtub Lndry 5tandp Dent. Ol:~r. Shamp Sink
~vato~ , Dishwa~h~ Drnk Ft~ Ca,ch Basin
To~1~ $u~ Pu~ Wah. St. Wash Fm
Rea. Sink .......... Ejector/Grind .... Ice Chest Urinal
Bar Sink Water Soflner Exam Sink Oat Drai~
Wat~ ~a~ ~ Loll Waate Scu~ Sink S~a
~ O~ ~ E~ect D P~Vnt Cloth~ Wahr Hand S~nk Coff~ Ma~
Sho~r B~d~ F Pr~ Sink ~ lee Mak~
Flor ~n Beer Tap 5c~ Sink Site
LndW Tray C)as~ Sink iht Gromsc T~p ~ Roof ~ain
~b Sink Su~ns Sink Ext Orea~ Trap S~p Rec
Pla~r Sink B~k~
S~lizer
Electric Contractor
Use / Nature of Work
[--]Electric Installation VerificatiOn form attached
(If Rel~lacement)
Sanitary Sewcr
Storm Sc.wet
Size
Material Type # Conn. Type
Wate~ Service
3/02