HomeMy WebLinkAbout0100641-Plumbing (water heater)OSHKOSH
ON THE WATER
.lob .Address 1325 W MURDOCK AVE
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 KlM E DODSON
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 100641
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 #
$217.25 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
~li~a Services Division
P OBox 1ti30
Osldc. sh, WI 54903-I 130
Plm~:' (920) 236-5050
Fax: 020) 236-5084
OdHKO_fH
ON T~E W~TE~
Plumbing Permit Application
I ~ereby apply for a permit to do and install the follovdng pl .,:urabing on the premises hereinafter described, the work to conform to the
Wisconsin State Plumbing Code, in the performance ,0~fwhich all parties hereto agree to and are bound by said statutes.
· Application(s) and fee(s) can be brought to City Ha. IL Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-I 128. Commencing v,rk witEc~t permit(s) will result in fees being doubled or $100.00 plus the
normal pcrn-dt fee, which ever is greater.
OR
![':,~ are a contractor participating ia the Perm.ir Fee Account System and have adequate funds, check here
~f Fvu want this processed through voter account []
F-llndustrial
Number of Fixtures:
l~rlreab Lndry Standp Dent. Oper.
W'n/r[tmo] Disposal Dip Well
Lav~ Dishwasher Drink Fm
Toik:, Sump Pump Wait. St.
Rt~ Sink Ejector/Grind Ice Chest
l~r Sink Water Sofmer Exam Sink
W~'-r tt~-~,~t,* ~ Local Waste
Sculry
Sink
X~Gas - Elect E PwrVnt Clothes Wshr Hand Sink
Shen~ Bidet F Prep Sink
Floor Dra~ Beer Tap Serv Sink
latdr7 Tray Classrm Sink hat Grease Trap
La~ 5ia-tk Surgeons Sink Ext Grease Trap
~ Sink Breakrm Sink
Eleetrie Contractor
Use / Nature of Work
Shamp Sink
Flr/Wst Sink
Catch Basin
Wash Ftn
Urinal
Gar Drain
Soda Disp
Coffee Maker
Ice Maker
Site Drain
Roof Drmn
Standp Rec
[--]Electric Installation Verificati6n form attached
(If Replacement)
Sanilary Sewer
Stoma Sewer
Wa~er Service
Size
Material.
# Conn. Type
3/02