HomeMy WebLinkAbout0100552-Plumbing (water heater)OSHKOSH
ON THE WATER
.lob Address 235 W 17TH 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 JON C/MICHELLE SHEW
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 100552
Create Date 04/01/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature SFR/Install gas water heater for Sears.
of Work
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size
$370.00 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
04/01/2003
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
P O Box 1130
Oshkosh, WI 54903-1130
P~. (920) 236-5050
Fax: (920) 236-5084
RECEIVED
APR 0 1 200
DEPARTMENT OF
COMMUNITY DEVELOPMENT
Plumbing Permit Application
I hereby apply for a permit to do and install the following plumbing on the premises hereinafter descnt~d, 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 fcc(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1 I28,
Oshkosh WI 54903-1128. Commencing work without permits) will rcs-alt in fees being doubled or $100.00 plus thc
normal pemfit fee, which ever is greater.
OR
I£ you are a contractor particil~atin~t in ,th,e Perm,Et Fee Account System and have adequate funds, c,,,heek here
i£ vou want this t~roces~ed,,through Four account
Job Address c.~3~'- c~ · t 7----~f~ Value 0.ci.ains [a~orana ~ls) ~ 2~P ~ e~ Date ~-~-~
~ner _ ~' A ~ Con.actor o',~-~ ~
~ingle Family ~Duplex ~Multi-Fa~y ~ent~ ~Commerc~ ~lndus~
Number of Fixtures:
Bathtub Lndry Standp Dent. Opm'. Shamp Sink
Whirlpool Disposal Dip Well Flr/Wst Sink
Lavatory DishwasheT Drink Fm Catch Basin
Toile~ Sump Pump Wait. St. Wash Fin
Res. Sink Ejector/Grind Ice Chest Urinal
Bar Sink Water Sofmcr Exam Sink Gar Drain
Water Heater { Local Waste Sculry Sink Soda Disp
~?rasC~ Clothes Wshr Hand Sink Coffee Maker
PwrVnt
Shower
Bidet F Prep Si~k Ice Maker
Floor Drain
Beer Tap Serv Sink Site Drain
Lndry Tray Classrm Sink lnt Grease Trap Roof Drain
Lab Sink
Surgeons Sink Ext Grease Trap Sumdp Rec
Plaster Sink
Breakrm Sink
Smrilizer
Electric Contractor
Use / Nature of Work
[=-]Electric Installation Verificati6n form attached
(If Replacement)
Size
Material Type # Conn. Type
Storm Sewer
Water Service