HomeMy WebLinkAbout0101266-Plumbing (water heater)OSHKOSH
ON THE WATER
,Job Address 2341 GOLDEN AVE
Contractor MERTEN 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 DANIEL D/NATLIE STENSON
Category 410 - Residential-Interior
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 101266
Create Date 05/05/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature SFR/Install gas water heater.
of Work
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
$550.00 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
05/05/2003
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 1087 COZY LANE OSHKOSH WI 54901 - 0000 Telephone Number
231-6795
c~ ~os~
Inspemion ~'~ce~ Division
P OBox 1130 · '
~ ~I ~1130
Ph~: (92~} ~5050
F~ (920) ~084
O/HKO./H
ON THE WATER
Plumbing Permit Application
I hereby apply .f~ot' a permit to do and ~ the following plumbing on the premises hereinafter described, the work to conform to the
Wisconsin State Plumbing Code., ia the performance of which all parties hereto agree to and are bound by said statutes.
· Applicati~on(s) and fee(s) can be broaght to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh ~ 54903-1128. Co-,.,eacing work without permit(s) will result in fees being doubled or $100.00 plus the
~ormal permit fee, which ever is g~ma-.
OR
[f vau are a contractor particit~atir~g in the Permit Fee Account System and have adequate funds, check here
if you wamt g~ris processed through your account [-~
~(~ol~vh ~re. Value (Includinglabor and materials) 55 0-O0
~CF~SoYI Contractor ~.~lC3fe,~ DI~Di ~j
I']Duplex [--]Multi-Family [-']Rental I-']Commercial
['"llndustrial
Number oflFixtures:
Baff~b Lndry S~amtp Dent. Oper. Shamp Sink
Wbir~0o] Disposal Dip Well Flr/Wst Sink
Lavaazmd Dishwash~ Drink Ftn Catch Basin
Tml~ Sump Pump Wait. St. Wash Fca
R~. Sink EjectmCCa/m~ Ice Chest Urinal
Bar 5iak Water Sorrier Exam Sink Gar Drain
Wator Heater L--- Local W~st~ Sculry Sink
Soda
Disp
~li~Gas 'E Ele~rHPwrhtnt Clothes V/slur Hand Sink Coffee Maker
S~ Bidet F Prep Sink Ice Maker
FI~ Drain Beer Tap Serv Sink Site Drain
Lnd~ Troy Classrm S~k Int Grease Trap Roof Drain
Lab S/ak Surgemm Sink Ext Grease Trap Standp Rec
Plasl~ Sink Breakrm.~inlt
Electric Contractor
Use !Namm el'Work
~ S~w~r
StormSewet
Wat~ Serviiv~
[--]Electric Installation Verificatidn form attached
(If Replacemeat)
Size
Type
# Conn. Type
3/02