HomeMy WebLinkAbout0097320-Plumbing (water heater) 1
' /� CITY OF OSHKOSH No 97320
. OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 616 W 7TH AVE Owner THOMAS P/MARY M HENDRICKS Create Date 09/16/2002
Contractor MERTEN PLUMBING 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
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 $577.86 Plan Approval $0.00 Permit Fees $20.00
Issued By �1'' Date 09/16/2002
❑ Permit Voided I
In the performance of this work,I agree to perform all woric pursuant to rules goveming the described construction.
Signature Date
AgenUOwner
Address 1087 COZY LANE OSHKOSH WI 54901 -0000 Telephone Number 231-6795
.
City of Oshkosh
Iaspection Services Division
P O Bo:1130 �
Oshkosh,WI 54903-1130 -
Phone:(920)236-5050 O �O �
Faz:(920)236-5084
ON THE W11TER
Plumbing Permit Application
I hereby apply for a pernut to do and install the following plumbing on the premises hereinafter described,the work to conform to the :
Wisconsin State Plumbing Code,in the perforn�ance of which all parties hereto agree to and are bound by said statutes.
Job Address l0I � � � 6 v`� VaIUe(Including labor and materials) . U b Date D v�.
Owner � Contractor
❑Single Family �Duplex OMulti-Family QRental ❑Commercial Industrial
Number of Fixtures:
Bathtub Lndry Standp Dent.Oper. Shamp Sink
VVh;rlpool Disposal Dip Well FU/Wst Sink
Lavatory Dishwasher Drink Ftn Catch Basin
Toilet Sump Putr� Wait.St. Wash Ftn
Res.Sink EjectorlGrind Ice Chest Urinai
Bar Sink Watcr SoRner Exam Sink Gar Drain
Water Heater � Local Waste Sculry Sink Soda Disp
Shower Clothes Wshr Hand Sink Coffa Maker
Floor Drain Bidet F Prep Sink Ice Maker
Lndry Tray Beer Tap Serv Sink Site Drain
Lab Sink Classrm Sink Int Grease Trap Roof Drain
Plaster Sink Surgeons Sink Ext Grease Trap Standp Rec :
Sterilizer Brealvm Sink
Electric Contractor OR 0 EIV form attached(If Replacement)
Use/Nature of Work
Size Material Type # Conn.Type
Sanitary Sewer � /I`�Q�
Storm Sewer v" r
C�
Water Service
• Applicarion(s)and fee(s)can be brought to City Hall,Room 205 or mailed to Inspecrion 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
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