HomeMy WebLinkAbout0098111-Plumbing (water heater) ,.. .
� CITY OF OSHKOSH No 98111
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 457 W 7TH AVE Owner JONATHAN A WITT Create Date 10/21/2002
Contractor M P KELLY Category 411 -Residential-Water Heaters Plan
Bathtub 0 Shower 0 EjectoNGrind 0 Dip Well 0 F Prep Sink 0 Gar Drain 0
Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 Serv 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 FINWst 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 Sculry 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 FR/Replace gas water heater.
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 $387.00 Plan Approval $0.00 Permit Fees $20.00
Issued By Date 10/21/2002
� Permit Voided I
In the performance of this work,I agree to perform all work pursuant to rules governing the described construction.
Signature Date
AgenUOwner
Address 665 N MAIN ST OSHKOSH WI 54901 -4431 Telephone Number 231-1750
c�ri ofost�xosh " � � �
Inspecrion Services Division � � �
P O Box 1130 �
Oshkosh,WI 54903-1130 OCT 21 2UO2
Phone: (920)236-5050 HK f�
Fax: (920)236-5084
DEP�RTMENT OF ON THF WHTER
CJMf�9U�l`TY DEVELOPMENT
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.
• 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.
OZ
If vou are a contractor participating in the Permit Fee Account Svstem and have adeguate funds. check here
if vou want this processed through vour account n
Job Address '��� /1°. ri� �(� Va�Ue(Including labor and materialsJ__�� �Q Date � �- / ���
Owner ��a��n/ !/V/�'�' Contractor //r /.`• ��� '� ,
�ingle Family ODuplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial ;
Number of Fixtures:
Bathtub Lndry Standp Dent.Oper. Shamp Sink
Whirlpool Disposal Dip Well Flr/Wst Sink
L,avatory Dishwasher Drink Fm Catch Basin
Toilet Sump Pump Wait.St. Wash Fm
Res.Sink Ejector/Grind Ice Chest Urinal '
Bar Sink Water Softner Exam Sink Gar Drain
Wat�Heater � Local Waste Sculry Sink Soda Disp
..�Gas 0 Elect�PwrVnt Clothes Wshr Hand Sink Coft�e Maker
Shower Bidet ___ F Prep Sink ___ Tce Maker __
Floor Drain Beer Tap Serv Sink Site Drain
I'"dr�'TraY Classrm Sink Int Grease Trap Roof Drain
Lab Sink Surgeons Sink Ext Grease Trap Standp Rec
Plaster Sink Breakrm Sink
Sterilizer
Electric Coatractor OR ❑Electric Installation Verification form attached
(If Replacement)
Use/Nature of Work
Size Material e # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
�
3/oz