HomeMy WebLinkAbout0096318-Plumbing (water heater) g) CITY OF OSHKOSH No 96318
OSHKOSH PLUMBING PERMIT APPLICATION AND RECORD
ON THE WATER
Job Address 418 WAUGOO AVE Owner DONALD F SURRELL Create Date 08/01/2002
Contractor RAPID SOFT LLC Category 411 - Residential -Water Heaters Plan
Bathtub 0 Shower 0 Ejector /Grind 0 Dip Well 0 F Prep Sink 0 Gar Drain 0
Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 Sery Sink 0 Soda Disp 0
Lavatory 0 Lndry Tray 0 Local Waste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
Toilet 0 Lndry Stndp 0 Clothes Wshr 0 Ice Chest 0 Flr/Wst Sink 0 Int Grease Trap 0
Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0
Bar Sink 0 Dishwasher 0 Beer Tap 0 Sculry Sink 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
Use /Nature SFR/ Install gas water heater for Sears.
of Work
Size Material Type # Conn. Type
Sanitary Sewer 0
0
0
0
0
Storm Sewer 0
0
0
0
0
Water Service 0
0
0
0
0
Valuation $360.00 Plan Approval $0.00 Permit Fees $20.00
Issued By I 'V \A Date 08/01/2002
D Permit Voided
In the performance of this work, I agree to perform all work pursuant to rules goveming the described construction.
Signature Date
Agent/Owner
Address P.O. BOX 4052 APPLETON WI 54915 - 0052 Telephone Number 920 - 757 -6432
1
City of Oshkosh
:inspection Services Division
P O Box 1130
Oshkosh, WI 54903 -1130
Phone: (920) 236 -5050
Fax: (920) 236-5084 OJH(OJH
ON THE WATER
Plumbing Permit Application
I hereby apply for a permit to do and install the following plumbing on the
Wisconsin State Plumbing Premises hereinafter described, the work to conform to the
mg Code, in the performance of which all parties hereto agree to and are bound by said statutes.
Job Address %' i I' 1.r.')s F,✓ a, t 117 ``' Value (Including labor and materials
) >% • . o Date x
Owner a- 5 --,� - / / Contractor n
,9'�cr. S - Al c.
OSingle Family QDuplex QMulti -Family ❑Rental ElCommercial []Industrial
Number of Fixtures:
Bathtub Sterilizer
Whirlpool Breakrm Sink
Lavatory Lndry Standp Dent. Oper. Sharp Sink
Toilet Dip Well FIr/Wst Sink
Dishwasher Drink Ftn
Res. Sink Su P Catch Basin
Pump Wait. St
Bar Sink Wash Ftn
Ejector/Grind Ice Chest Urinal
Water Heater i Water Sonnet'
Gas ❑ Electric ❑ Power Vent Exam Sink Gar Drain
Shower Local Waste Scully Sink
Clothes Wshr Soda
Floor Drain Hand Sink Coffee Maker
Lndry Tray Bit F Prep Sink Ice Makes
Lab Sink Bea Tap Sery Sink Site Dram
Plaster Sink Cias:um Sink Int Grease Trap Drain
Surgeons Sink Ext Grease Trap
Standp Rec
Electric Contractor OR ❑ EIV form attached (If Replacement)
Use / Nature of Work
,rte ,�i a-c,- �e — r-c. -- , ,% j 4 . �. f1
Sanitary Sewer Size Material Type # Conn. Type
Storm Sewer
Water Service
IP 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 phis the normal permit fee,
which ever is greater.
OR
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