HomeMy WebLinkAbout0101386-Plumbing (water heater)OSHKOSH
ON THE WATER
,Job Address 2737 HARRISON ST
Contractor M P KELLY
Bathtub 0 Shower 0
Whirlpool 0 Floor Drain 0
Lavatory 0 Lndry Tray 0
Toilet 0 Lndry Stndp 0
Res. Sink 0 Disposal 0
Bar Sink 0 Dishwasher 0
Water Heater 1 Sump Pump 0
Site Drain 0 Classrm Sink 0
Roof Drain 0 Breakrm Sink 0
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner LEACH CO
Category 441 - Industrial-Water Heaters
Ejector/Grind 0 DipWell 0 F Prep Sink 0
Water Softner 0 Drink Ftn 0 Serv Sink 0
LocaIWaste 0 Wait. St. 0 Shamp Sink 0
CIothesWshr 0 Ice Chest 0 FIr/Wst Sink 0
Bidet 0 Exam Sink 0 Catch Basin 0
Beer Tap 0 Sculry Sink 0 Wash Ftn 0
Dent. Oper. 0 Hand Sink 0 Urinal 0
Lab Sink 0 Plaster Sink 0 Standp Rec 0
Sterilizer 0 Surgeons Sink 0 Ice Maker 0
No 101386
Create Date 05/09/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature COMM/Replace electric water heater.
of Work
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
$617.00 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
05/09/2003
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 665 N MAIN ST OSHKOSH WI 54901 - 4431 Telephone Number
231-1750
City of Oshkosh
Inspection Sen, ices Division
P O Box 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-$050
Fax: (920) 236-5054
R CE vE ZH
NAY 0 9 2003
Plumbing Permitc _ ,_
Wisconsin State Plumbing Code, in the perforn~nce of hich a pa ' gr und 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. Co..mmencing work without permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
If you .are a contractor participating in the Permit Fee Account System and have adequate [und~,...¢heck here
if you want this.processed through,your account ~']
Job Addres,~ 2~2//~,~~ ~ ,Value ,in¢,udins labor and
Owner LO 0-_~__~ ~t'O Contractor
["']Single Famib' I="]Duple~ I'"lMultM*amily r"hlental ~commerda!
[==llndustrlal
Number of Fixtures:
.,:-, -..,,, -.,*::
...... '" "'~ u,d,Y St,,d, tX. nt. OW. ' '~': S~ Sink
Bathtub
Whirlpool Disposal Dip Well -~ Flr/Wst Sink
Lavatory Dishwasher Drink Fm . . Catch Basin -
Toilet Sump Pump Wail St. Wash Ftn
Res. Sink Ejector/Grind Ice Chest Urinal
Bar Sink Water Softner Exam Sink Oat Drain
Water He~er / Local Waste Sculry Sink Seda Disp
Cms~Eleet~ cl PwrVn! Clothes Wshr Hand Sink CotlL. e Maker
Shower Bidet F Prep Sink _. lee Maker
Floor Drain Beet Tap Serv Sink Site Drain
Lndry Tray Clasarm Sink Iht Grease Trap Roof Drain
Lab Sink
, , Surgeons Sink Ext Grease Trap Stendp Re~
Plastar Sink , BmaJa'm Sink
Sterilizer , '
.f , /
Electric Contraea~/~ ~'i~?ffO(-~'' '/~..~_ aElectric Installation Ve,.enfl,n '= attached
, . . ..... ; ..../ I :.. .... (If R~c~t) . .
Type
Mater/al
# Conn. Type
Sanitary Sewer
Storm Se~er
Water Service
3/02