HomeMy WebLinkAbout0093334-Plumbing (water heater) (&) CITY OF OSHKOSH No 93334
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1933 SIMPSON ST Owner DANIEL E BURDICK SR Create Date 04/01/2002
Contractor RASMUSSEN PLUMBING 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 FIrIWst 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 SFR/ Replace gas water heater.
of Work
Size Material Type # Conn. Type
Sanitary Sewer 0
0
0
0
0
Storm Sewer 0
0
0
0
0
Water Service 0
0
0
0
0
Valuation $450.00 Plan Approval $0.00 Permit Fees $20.00
Issued By Date 04/01/2002
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 1914 GREENBRIAR TRL OSHKOSH WI 54904 - 8887 Telephone Number 920 - 233 -6747
03/31/2002 16:38 2336747 J RASMUSSEN PAGE 01
City of Oshkosh
Inspection Services Division r 6)4
V illir
P O Box 1130 /� l) f a
Oshkosh. WI S4903-1130 ; .- 3
Phone: 9022) 0� Of H
Fax: (920) {920) 0326 -5084 5084
ON THE WATER
Plumbing Permit Application,
I hereby apply for a permit to do and install the following plumbing 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.
Job Address 1133 5 i w. s c N Value Y3-6, Date 3 —.2 f 0 Z.
Owner R t■ r k it Contractor _It AAs a• (A—sr eN P( .T -
E.‘ingle Family ❑Duplex ❑Multi - Family [Rental ❑Commercial ['Industrial
Number of Fixtures:
Bathtub indry Sr�ndp
Dent. nper, Shamp Sink
Whirlpool Dispusai Dip Wcll
l.avatpry fldWSt Sink
Dishwaslwr think Ftn Catch Basin
'toilet Sump Pomp Wuit. St.
Wash Fin
Rm. Sink Ejector /Grind Ice Chest
Urinal
Bar Sink Watw Sulln�7
t Exam Sink Gar Dtnin
Water I lemur _l local Wasic Scul Sink
rY Soda Disp
Shower Clothes Wshr
hand Sink Calrce Maker
Floor Drain Bidet rt "
I 'fray r Prep Sink Ice Maker
Beer Tap Scry Sink Site Drain
rah Sink Classrm Sink Int Grease Ira
P Roof Drain
!Taster Sink Surtaons Sink I t Grtatee Trap Sland p Rey k
Strrili ?Cr l3rrakrm Sink
•
Electric Contractor
Use / Nature of Work . CO-60-e_ 6 it. “
i
Sizc Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
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