HomeMy WebLinkAbout091669 - Plumbing (water heater) 'C_J CITY OF OSHKOSH No 91669
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1619 MOUNT VERNON ST Owner CHARLES J SCHILTZ Create Date 12/05/2001
Contractor SAMMONS PLUMBING Category 411 -Residential-Water Heaters Plan
Bathtub Shower Ejector/Grind Dip Well F Prep Sink Gar Drain
Whirlpool Floor Drain Water Softner Drink Ftn Sery Sink Soda Disp
Lavatory Lndry Tray Local Waste Wait.St. Shamp Sink Coffee Maker
Toilet Lndry Stndp Clothes Wshr Ice Chest FlrlWst Sink Int Grease Trap
Res.Sink Disposal Bidet Exam Sink Catch Basin Ext Grease Trap
Bar Sink Dishwasher Beer Tap Sculry Sink Wash Ftn
Water Heater 1 Sump Pump Dent.Oper. Hand Sink Urinal
Site Drain Classrm Sink Lab Sink Plaster Sink Standp Rec
Roof Drain Breakrm Sink Sterilizer Surgeons Sink Ice Maker
Use/Nature SFR/Install gas water heater.
of Work
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Valuation $450.00 Plan Approval $0.00 Permit Fees $20.00
Issued By k rvi Date 12/05/2001
❑ Permit Voided I
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature Date
Agent/Owner
Address 522 W. MURDOCK AVE OSHKOSH WI 54901 -2298 Telephone Number 414-231-9880