HomeMy WebLinkAbout0100637-Plumbing (water heater)OSHKOSH
ON THE WATER
Job Address 2424 BOWEN ST
Contractor SOPER PLUMBING
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 I Sump Pump 0
Site Drain 0 Classrm Sink 0
Roof Drain 0 Breakrm Sink 0
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner HUTAN GHOJALLU
Category 411 - Residential-Water Heaters
Ejector/Grind 0 DipWell 0 F PrepSink 0
Water Softner 0 Drink Ftn 0 Serv Sink 0
LocaIWaste 0 Wait. St. 0 Shamp Sink 0
Clothes Wshr 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 100637
Create Date 04/04/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Iht Grease Trap
Ext Grease Trap
Use/Nature 3ONDO/Replace gas water heater.
of Work
Valuation $425.00
Issued BY~
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Plan Approval $0.00 Permit Fees $20.00
[] Permit Voided J
Date 04/04/2003
In the pe~orma~nce off, is work. I agree to perform all work pursuant to rules governing the described construction.
Sig nature'~~~f~J~ ~..~_...-- Date
~ ..... (~~ Agent/Owner
Address 2225 BURNWOOD DR Oshkosh WI 54902 - 0000 Telephone Number
426-2151
City of Oshkosh
Inspection Services Division
P O Box 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
O/HKO/H
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.
Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
.OR
I_f you are a contractor participating in the Permit Fee Account System and have adequate funds, check here
(f you want this processed through your account ['~
Job Address ~)~ ~,~t,/~,3~_,,.o,~x/yf?-- VaLue (Including labor and ma[erials) ~,2~.'~_~
Owner /qar~ ~.b~-tr u Contractor .~~ ~,~//~,~,,~,~c
[~Single Family [--]Duplex [~i~Iulti-Family [-~Rental [--]Commercial
[~]Industrial
Number of Fixtures:
Bathtub Lndry Standp Dent. (3per.
Whirlpool Disposal Dip Well
Lavatory Dishwasher Drink Ftn
Toilet Sump Pump Wait. St.
Res. Sink Ejector/Grind Ice Chest
Bar Sink Water Softner Exam Sink
Water Heater / Local Waste Sculry Sink
~Gas [] Elect 12 PwrVnt Clothes Wshr Hand Sink
Shower Bidet F Prep Sink
Floor Drain Beer Tap Serv Sink
Lndry Tray Classrm Sink Int Grease Trap
Lab Sink Surgeons Sink Ext Grease Trap
Plaster Sink Breakrm Sink
Sterilizer
Shamp Sink
Flr/Wst Sink
Catch Basin
Wash Ftn
Urinal
Gar Drain
Soda Disp
Coffee Maker
Ice Maker
Site Drain
Roof Drain
Standp Rec
Electric Contractor
Use / Nature of Work
Sanitary Sewer
Size
Storm Sewer
OR
Material
Type
[-]Electric Installation Verification form attached
(If Replacement)
# Conn. Type
Water Service
3/02