HomeMy WebLinkAbout0100666-Plumbing (water heater)OSHKOSH
ON THE WATER
Job Address 1929 ARIZONA ST
Contractor FARMERS SUPPLY CO
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 STEVEN L HEMMINGHAUS
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 LocaIWaste 0 Wait. St. 0 Shamp Sink 0
0 CIothesWshr 0 Ice Chest 0 FIr/WstSink 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 StandpRec 0
0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0
No 100666
Create Date 04/07/2003
Plan
Gar Drain 0
Soda Disp 0
Coffee Maker 0
Int Grease Trap 0
Ext Grease Trap 0
Use/Nature SFR/Replace a gas water heater.
of Work
Valuation
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
$430.00 Plan Approval $0.00 Permit Fees $20.00
[] Permit Voided j
Date 04/07/2003
In the perfor~Cnceof this work, I agree to perform all work pursuant to rules governing the described construction.
[\ ~-'~.~-~/~ _.~/_~ ..~~~ ..... Date
Signature
~' Agent/Owner
Address 34 W 7TH AVE OSHKOSH WI 54g02 - 0000 Telephone Number
235.-6970
City%f Oshkosh
Inspection Services Division
P O Box 1130
Oshkosh, WI 54903-I 130
Phone: (920) 236-5050
Fax: (920) 236-5084
O./'HKO./'H
ON THE blATER
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 Serv/ces, 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
If you are a contractor participating in the Permit Fee Account Svstem and have adequate funds check here
(f VOU want this processed through your account [-]
Job Address· / ~7V.-~7'~.~ ~*, ~- Value (Including labor and materials), ff/-ff~ ~ c~
[--]Single Family [--]Duplex I--]Multi-Family [-]Rental I-]Commercial
[--]Industrial
Number of Fixtures:
Bathtub Lndry Standp Dent. Oper.
Whirlpool Disposal Dip Well
Lavatory Dishwasher Drink Ftn
Toilet Sump Pump Wait. St.
Res. Sink Ejector/Grind Ice Chest
Bar Sink Water Sofmer Exam Sink
Water Heater ~ Local Waste Sculry Sink
~Gas [2 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
OR
[-]Electric Installation Verification form attached
(If Replacement)
Sanitary Sewer
Storm Sewer
Water Service
Size
Material
Type
# Conn. Type
3/02