HomeMy WebLinkAbout0100643-Plumbing (water heater)OSHKOSH
ON THE WATER
.lob.Address 1344WESTERN ST
Contractor MERTEN PLUMBING
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 SUSAN A BLAHA
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 Local Waste 0 Wait. St. 0 ShampSink 0
0 CIothesWshr 0 Ice Chest 0 FIr/Wst Sink 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 Standp Rec 0
0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0
No 100643
Create Date 04/04/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature SFR/Install gas water heater.
of Work
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
$875.00 Plan Approval $0.00 Permit Fees
Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
$20.00
Date
04/04/2003
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 1087 COZY LANE OSHKOSH WI 54901 - 0000 Telephone Number
231-6795
City of Oahko~
Inspectio~a S~:rices Division
P O Box 1
Oshkosh, WI ~4903-1130
Phone: (920) -~2-~505 0
Fax: (92~) 2245-5084
RECEIVED
APR 7
OF
O/HKO/H
ON THE WATER
Plumbir Perrnn pp = cat
I hereby app,' ~r a permit to do and install the folte~t~tg plumbing on the premises hereinafter described, the work to conform to the
Wiscoa~ia State Plumbing Code, in the peffm'ma~,ce of which all parties hereto agree to and are bound by said statutes.
· AlYplicaU'on(s) and fee(s) can be broughtt~ Cils!~all, Room 205 or mailed to Inspection Services, PO Box 1128,
OshkoSk ~q 54903-1128. Commencing vom-lk ~thout permit(s) will result in fees being doubled or $100.00 plus the
normat gm'mit fee, which ever is greater.
OR
ff ,?ou tore ~ contractor participating in tl~e. Per'mit Fee Account System and have adequate funds, check here
if you ,vast r3is processed through your ~:¢ormt ~
Job Addrer,~ ].~ L//7/ //L]P~bI~ ~ ~' V~.e 0~cl~ding ~aborana m~temls) ~' ~. OO Date .~/?;//&¢
Owner ~ ~ - Cmatractor ~qO~ t9 ~rl~'~ "
~]Single l:amily [--]Duplex [~M~fi-iFamily [~]Re~tal [--]~ommercial ~' I-]Industrial
Number of Fixtures:
Bathtub Lndry Standp Dent. Oper. Shamp Sink
Whirlpo~ Disposal Dip Well Flr/Wst Sink
Lavatory Dishwasher Drink Fm Catch Basin
Toilet Sump Pump Wait. St. Wash Ftn
Res. Sink Ejector/Grind Ice Chest Urinal
Bar Sink Water Softner Exam Sink Gar Drain
Water lqeam~ ] Local Waste Sculry Sink Soda Disp
XGas 2 ~ 2 P,arrVnt Clothes Wshr Hand Sink Coffee Maker
Shower Bidet F Prep Sink Ice Maker
Floor Drai~ Beer Tap Serv Sink Site Drain
Lndry Tray Classrm Sink Iht Grease Trap Roof Drain
Lab Sink Surgeons Sink Ext Grease Trap Standp Rec
Plaster Six~k Breakrm Sink
Sterilizer
Electric Coatractor
Use / Nature of Work
[~Electric Installation Verificati6n form attached
(If Replacement)
Sanitary Sea-er
Storm Sewer
Water Serdce
Size
Material Type # Conn. Type
3/02