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HomeMy WebLinkAbout093607 - Plumbing (install water heater) '4 CITY OF OSHKOSH No 93607 OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 2212 MOUNT VERNON ST Owner MARYANN B HOEFT Create Date 04/15/2002 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 Scully 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 $550.00 Plan Approval $0.00 Permit Fees $20.00 Issued By k.110. Date 04/15/2002 El 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 P.O. BOX 4052 APPLETON WI 54915 -0052 Telephone Number 920-757-6432 City of Oshkosh J Inspection Services Division I P 0 Box 1130 Oshkosh,WI 54903-1130 Phone:(920)236-5050 afFIKC)./H Fax:(920)236-5084 ON THE WATER Plumbing Permit Application I hereby apply for a permit to do and install the following 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. Job Address pp,2 m•l>tr,.d,,, Value(Including labor and materials) 73 . o Date gl",44140 A Owner 1920,-/ ,4,r„ YdPe Contractor ger,',P-S-a,t74-6-4 c E.:Single Family Duplex ❑Multi-Family Commercial Y ❑R ental ❑ ❑Indnstrltal Number of Fixtures: Bathtub __ Sterilizer $reakrm Sink Whirlpool Ladry Standp Dent.Oper. Shamp Sink Lavatory -- Disposal Dip Well Flr/Wst Sink Toilet Dishwasher Drink Fm Catch Basin F:es.Sink Sump Pump Wait.St. Wash Ftn Bar Sink Ejector/Grind Ice Chest Urinal Water Heater __t_ Water Softner Exam Sink Gar.Drain 3as ❑Electric ❑Power Vent Local Waste Shower Scuhy Sink Soda Disp Clothes Wshr Hand Sink Coffee Maker Floor Drain Bidet F Prep Sink Ice Maker Lndry Tray Beer Tap Sery Sink Site Drain Lab Sink Classrm Sink Int Grease Trap Roof Drain Plaster Sink Surgeons Sink Ext Grease Trap Standp Rec Electric Contractor OR ❑ Ely form attached(If Replacement) Use/Nature of Work _ ♦t - - Size Material Type # Conn.Type Sanitary Sewer Storm Sewer Water Service •o 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 greater. OR Check here if you want this processed through your account 0