HomeMy WebLinkAbout0100642-Plumbing (water heater)OSHKOSH
ON THE WATER
.lob Address 10 W SOUTH PARKAVE
Contractor MERTEN PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner NORMAN R BOCK
Category 411 - Residential-Water Heaters
Bathtub 0 Shower 0 Ejector/Grind 0 DipWell 0 F Prep Sink 0
Whirlpool 0 Floor Drain 0 Water Soffner 0 Drink Ftn 0 Serv Sink 0
Lavatory 0 Lndry Tray 0 LocalWaste 0 Wait. St. 0 Shamp Sink 0
Toilet 0 Lndry Stndp 0 ClothesWshr 0 Ice Chest 0 FIr/Wst Sink 0
Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0
Bar Sink 0 Dishwasher 0 Beer Tap 0 SculrySink 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
No 100642
Create Date 04/04/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature DUPLEX/Install gas water heater.
of Work
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
$186.46 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 Oshkosh
Inspection Services Division
P O Box 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
EC IVED
n O/I-IKO/H
ON THE WATER
Plumbing PerrflR
[ hereby apply fo~ a pe~t to do ~d ~ ~ ~o~ p]~b~g
~isco~ S~te ~]~b[~g Code, ~ ~ ~e~c~ of wh~c~ aH pa~es hereto agree to a~d ~e bo~d b~ sa~d smites.
Application(s) and fee(s) can be broughtro 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 grealer.
OR
!£ vou are a contractor participatin~ £~ ere Permit Fee Account System and have adequate funds, check here
i£vou want this processed through vortr account ~]
JobAddress /0 /~, ~-1~ fO~ ~rllne (Including labor and materials) }y~.qL Date_~_l:~L
Owner ~~,'.-].~t]2~ "C~ntractor ~q4U~. ~ ? ~~5.,
'~Single Family ['"]Duplex ~lulti-Family [--]Rental [--lCommercial [-]Industrial
Number of Fixtures:
Bathtub Lndry Standp Dent. Oper. Shamp Sink
Whirlpool Disposal Dip Welt Flr/Wst Sink
La-ratoty Dishwasher Drink Ftn Catch Basin
Toilet Sump Pump Wait. St. Wash Fm
Res. Sink Ejector/Grind Ice Chest Urinal
Bar Sink .~ Water Sorrier Exam Sink Gar Drain
Water Heater l Local Waste Sculry Sink Soda Disp
~('Ga~ 5 Elect .'E PwrVnt Clothes Ws~ Hand Sink Coffee Maker
Sho,a~r Bidet F Prep Sink Ice Maker
Floor Drain Beer. Tap Serv Sink Site Drain
I_ndry Tray Classrm Sink Int Grease Trap Roof Drain
I. ab Sink Surgeons Si~ Ext Grease Trap Standp Rec
Pla~ter Sink Breakrm Sink
Sterilizer
Electric Contractor
Use / Nature of Work
[-]Electric Instalhition Verificatidn form attached
(If Replacement)
Sanitary Sewer
Storm Sewer
Water Service
Size
Matem] Type # Conn. Type
3/02