HomeMy WebLinkAbout0100703-Plumbing (water heater)OSHKOSH
ON THE WATER
.lob Address 1830 OLIVE ST
Contractor WATTERS 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 KAY N SANDERS
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 100703
Create Date 04/09/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature SFR/Install a gas water heater.
of Work
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
$499.00 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 04/09/2003
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 1303 MIDWAY RD, PO BOX 118 MENASHA WI 54952 - 1129 Telephone Number
800-801-8125,733-81
.. From:
04/04/2009 16:t3 P.O02
City of Oshkosh
Inspect/on Services Division
P OBox 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
Plumbing Permit Application
Q/HKO/H
ON THF, WATER
I h~reby apply for a permit to do and install the following plumb/ng on the premises hereinafter described, r.he work to conform to t
Wisconsin State Plumbir~ Code, m the performance of which all panics, 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 Inspccfion S~'viccs, PO Box 1 I28,
Oshkosh 'WI 54903-1 t28. Con'n'acn¢ing work without permit(s) will result in fees being dOubled or $100.00 plus tl
normal permit fee, which ever is greater.
OR
l~f you are a contractor partiei.t~.attn~ the Permit ~ee Ac_count System and have, a~,eo~tctte funds, ch.e..ch he
if 1/oj~_.wcnt this processed throufffi your account ~
Job Address /J~:~',A::~ ~:~.,,'~,~ 0',,~". Value (,.~,,.~ins,.t~o~.n~ ~t~i,ts). 'f/~'-dO Date ,~f./~
Owner /~,, ~r' _~_. _~_ ,e_r Contractor ~-.~'~"e'~.~'/~.~~.
. ~
.~ingle Family [-]Duplex [~]Multi-Family [~]Rental ['-]Commercial ['-]Industrial
Number of Fixtures:
Bathtub Lnd~' Standp ,, , Oe~L Ope'. Shan~ S/nk
Whlr~pool ..... Disposal' Dip Well Fir/War Sink
Lavatory Dishwasher .... Drink Fta Catch BaSin
Res. Siak r~eclor/Ormd . . Ice Chest Lh~al
Bar Sink . _/ Water So/Inet ~ Exam Sink Gar Drain
Water Heater f-/ , Lo,al Waste Sculry Sink soda Disp
~E~-Oa~ D Elect ~ Pw~9~! Clnthcs Wsh~ ~ Han¢'Sink Cofl~ Maker
Shower ~ Bi/et F Frep Sink lee Make'
r-loot DenS11 8r,~' Tap Setv Sink Site Drain
Lnd~y Tr~y C]essrlll $/nk Iht Grease Trap ~ Roof Drain
Lab Sink Surgeons Sink ExI Grease Trap Standp Re:
Sterilizer
Electric Contractor
Use 1 Nature of Work
O~R [--]Electric Insl~lhition Verificati~a form attaeI~
(If Replacemmt)
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type # Co~.