HomeMy WebLinkAbout0101349-Plumbing (water heater)OSHKOSH
ON THE WATER
Job Address 641 SCHOOL AVE
Contractor SOPER 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 LORI J SCHNEIDER
Category 411 - Residential-Water Heaters
0 Ejector/Grind 0 Dip Well 0 F Prep Sink 0
0 Water Softner 0 Drink Ftn 0 Serv Sink 0
0 LocaIWaste 0 Wait. St. 0 Shamp Sink 0
0 Clothes Wshr 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 101349
Create Date 05/08/2003
Plan
Gar Drain 0
Soda Disp 0
Coffee Maker 0
Int Grease Trap 0
Ext Grease Trap 0
Use/Nature
of Work
SFP,/Replace gas water heater.
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Valuation $400.00 Plan Approval $0.00 Permit Fees $20.00
Issued By
[] Permit Voided
Date 05/08/2003
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature ~~_.¢..~.-~ Date
Agent/Owner
Address 2225 BURNWOOD DR Oshkosh WI 54902 - 0000 Telephone Number 426-2151
City of Oshkosh
Inspection Services Division
POBox 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
O/HKO/H
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 alt 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 greater.
OR
1~£ ¥ou are a contractor participating in the Permit Fee Account System and have adequate_funds, check here
(£ you want this processed through Four account
Job Address ~,///~~ ~" Value (Including labor and materials) ~.~g:~O Date ~mOP'-tg>.~
Owner ~?,~- ~'?~,_,./..~,~. Contractor. ~.~_,~.~ ~'t~,~_~/~.,t~
J~Single Family ~--]Duplex [--]Multi-Family [-]Rental [-']Commercial [-]Industrial
Number of Fixtures:
Bathtub Lndry Standp Dent. Oper. Shamp Sink
Whirlpool Disposal Dip Well Flr/Wst Sink
Lavatory Dishwasher Drink Ftn Catch Basin
Toilet Sump Pump Wait. St. Wash Ftn
Res. Sink Ejector/Grind Ice Chest Urinal
Bar Sink Water Softner Exam Sink Gar Drain
Water Heater ff Local Waste Sculry Sink Soda Disp
Gas [] Elect [] PwrVnt Clothes Wshr Hand Sink Coffee Maker
Shower Bidet F Prep Sink Ice Maker
Floor Drain Beer Tap Serv Sink Site Drain
Lndry Tray Classrm Sink Int Grease Trap Roof Drain
Lab Sink Surgeons Sink Ext Grease Trap Standp Rec
Plaster Sink Breakrm Sink
Sterilizer
Electric Contractor
Use / Nature of Work
OR
Sanitary Sewer
Size
[--]Electric Installation Verification form attached
(If Replacement)
Material Type # Conn. Type
Storm Sewer
Water Service
3/02