HomeMy WebLinkAbout0094091-Plumbing (water heater) 0 CITY OF OSHKOSH No 94091
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 2330 MINERVA ST Owner BRADLEY D/TRACY CAUFFMAN Create Date 05/02/2002
Contractor HOMEOWNER Category 411 - Residential -Water Heaters Plan
Bathtub 0 Shower 0 Ejector /Grind 0 Dip Well 0 F Prep Sink 0 Gar Drain 0
Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 Sery Sink 0 Soda Disp 0
Lavatory 0 Lndry Tray 0 Local Waste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
Toilet 0 Lndry Stndp 0 Clothes Wshr 0 Ice Chest 0 FIr/Wst Sink 0 Int GreaseTrap 0
Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0
Bar Sink 0 Dishwasher 0 Beer Tap 0 Sculry Sink 0 Wash Ftn 0
Water Heater 1 Sump Pump 0 Dent. Oper. 0 Hand Sink 0 Urinal 0
Site Drain 0 Classrm Sink 0 Lab Sink 0 Plaster Sink 0 Standp Rec 0
Roof Drain 0 Breakrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0
Use /Nature *Homeowner called 5/2/02 @ 2:20pm. He will be coming in tomorrow morning (5/3) to take out the permit.
of Work REPLACE 40 GAL NG WATER HEATER
Size Material Type # Conn. Type
Storm Water 0
0
0
0
0
Valuation $400.00 Plan Approval $0.00 Permit Fees $20.00
Issued By Date 05/06/2002
❑ Permit Voided
The undersigned, in applying for a plumbing permit to install plumbing in a single family home owned and occupied as the
principle residence of the undersigned, hereby acknowledges, per Wisconsin State Statutes, ss 145.06, that other individuals
will not be employed to assist with the work described by this permit. If an individual will be employed to install plumbing
the work involved must be covered by a permit issued to a properly licensed Master Plumber.
In the performance of this work, I agree to perform all work pursuant to rules goveming the described construction.
Signature i�i�� _�� % Date S —0 Z
Agent/Owner
Address 2330 MINERVA ST OSHKOSH WI 54901 1721 Telephone Number 233 -8486
Job Address 2330 MINERVA ST Plumbing Permit Work Card
Permit Number 94091 Create Date 05/02/2002
Owner BRADLEY D/TRACY CAUFFMAN Contractor HOMEOWNER
`egory 411 - Residential -Water Heaters Plan Value $400.00
.�athtub 0 Shower 0 Ejector /Grind 0 Dip Well 0 F Prep Sink 0 Gar Drain 0
Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 Sery Sink 0 Soda Disp 0
Lavatory 0 Lndry Tray 0 Local Waste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
Toilet 0 Lndry Stndp 0 Clothes Wshr 0 Ice Chest 0 FIr/Wst Sink 0 Int Grease Trap 0
Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0
Bar Sink 0 Dishwasher 0 Beer Tap 0 Sculry Sink 0 Wash Ftn 0
Water Heater 1 Sump Pump 0 Dent. Oper. 0 Hand Sink 0 Urinal 0
Site Drain 0 Classrm Sink 0 Lab Sink 0 Plaster Sink 0 Standp Rec 0
Roof Drain 0 Breakrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0
Use /Nature *Homeowner called 5/2/02 @ 2:20pm. He will be coming in tomorrow moming (5/3) to take out the permit.
of Work REPLACE 40 GAL NG WATER HEATER
Size Material Type # Conn.Type
Sanitary Sewer 0
0
0
0
0
Storm Sewer 0
0
r S' / -71 it 00
0
Water Service 0
0
0
0
0
Date Type Inspector
Date/Time requested: Notice Type: Telephone Number:
Access:
Ready Date/Time: • Requested By:
Q Reinspect Fee 0 Fee Waived ❑ Reinspect Fee Paid