HomeMy WebLinkAbout0101389-Plumbing (water heater)OSHKOSH
ON THE WATER
,Job Address 717 W 6TH AVE
Contractor M P KELLY
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 EUGENE J STECKBAUER
Category 411 - Residential-Water Heaters
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 101389
Create Date 05/09/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature SFR/Replace gas water heater.
of Work
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
$1,500.00 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 Services Division
P O Box 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
RE
CE, OJ'H
tqA'r' 0 9 2003
Plumbing Permit ~~r~T OF
hereby apply for a permit to do and install the following plumbing on the p ' ' -nvew, 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. Co,rnmencing 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 adeouate funds, check here
if you want this processed through Four account
~ingle Fa~iy ~Duplex ~Multi-Family ~Rentai ~Commercl,! BIndus~ial
Number of Fixtures:
Bathtub i. ndry Standp Dent. Ope~. Shamp Sink
Whirlpool , , Disposal Dip Well Flr/Wst Sink
Dishwzshe~ Drink Ftu CaSh Basin
l. nvntory ,
Toilet Sump Pump Wait. St. Wash Ftu
Res. Sink , Ejector/Grind Ice Chest Urinal
Bar Sink Wate~ Sof~e~ Exam Sink ~ I~ain
Wa~ l-lestet / Local Waste Sculry Sink Soda Dis~
)~Gns B Elect D PwrVnt Clothes Wshr Hand Sink Coffee Mak~
Showe~ Bidet F Prep Sink lee Maker
Floor D~in Beet Tap Sew Sink Site Drain
Lndry Tray Classrm Sink Im Grea~e Trap Roof l~ain
Lab Sink , , Surgeons Sink Ext Grease Trap Stendp Re~
Plaste~ Sink Bmnkrm Sink
Sterilizer ....
Electric Contractor
Wor
O'R ['"[Electric lnstall~tlon Verifleati6n form attached
Sanitary Sewer
Size Material Type
(If Replacement)
Storm Sewer
Water ServiCe
# Conn. Type
3/02