HomeMy WebLinkAbout0101019-Plumbing (water heater)OSHKOSH
ON THE WATER
.lob ,Address 337 W 12TH AVE
Contractor M P KELLY
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 JACK L/SHELLY L FARVOUR JR
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 101019
Create Date 04/25/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature SFR/Replace gas water heater.
of Work
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
$457.00 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
04/25/2003
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 665 N MAIN ST OSHKOSH WI 54901 - 4431 Telephone Number
231-1750
City of Oshkosh
Inspection Services Division
P O Box 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
APR 2 5 2003
DEPA~T~E~qT Of: .
Plumbing P e ri i PA i it {3ka kc £N T
OJI-IKOffH
ON THF WATER
I hereby apply for a permit to do and install the followi.ng plumbing on the premises hereinafter described, the work to conform to the
Wisconsin State Plumbing Code, in the performance of which all parties 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 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 ~eater.
OR
l_f you are a contractor participating in the Permit Fee Account System and have adequate funds, check here
if you want this processed through your account ~]
,lob Address~ 7 ~/'/2~/4~ ~ Value ,includinglabor and materialsL._ ~_,~ 7-~
Owner ~ 7~~c/C Contractor /~,/~. ~1/~, /~.
~ingle Family ~Daplex ~Muiti-Family DRental ~Commercial
[--]Industrial
Number of Fixtures:
Bathtub Lndry Standp Dent. Oper.
Whirlpool Disposal Dip Well
Lavatory Dishwasher Drink Ftn
Toilet Sump Pump Wait. St.
Res. Sink Ejector/Grind Ice Chest
Bar Sink Water Softner Exam Sink
Water Heater .~ Local Waste Sculry Sink
45as Clothes Wshr Hand Sink
Elect
U
PwrVnt
°wet Bidet F Prep Sink
Floor Drain Beer Tap 'SeTM ,Sink
Lndry Tray Classrm Sink lnt Grease Trap
Lab Sink Surgeons Sink Ext Grease Trap
Plaster Sink Breakrm Sink
Sterilizer
Sham~ Sink
l~r/Wst Sink
Catch Basin
Wash Ftn
Urinal
Cmr Drain
Soda Disp
Coffee Maker
lee Maker
Si~ Drain
Roof Drain
St~ndp Rec
Electric Contractor O-R
'Use / Nature of Work ~. , ~¢~ ~/?/
Size Material Type
Sanitary Sewer
Storm Sewer
Water Service
[-']Electric Installfition Verificati6n form attached
Conn. Type
(If Replacement)
3/02