HomeMy WebLinkAbout0101387-Plumbing (water heater)OSHKOSH
ON THE WATER
,Job Address 3965 SHARRATT DR
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 CHARLES/THERESA BECKER
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 ClothesWshr 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 101387
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 #
$899.00 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 S4903-I 130
Phone: (920) 236-5050
Fax: (92O) 236-50S4 HAY 0
Plumbing Permit
· Application(s) and fee(s) can be brousht m Ci~ Hall, ~oom 205 or mailed to ~spection S~ces, PO 9ox 1128,
Oshkosh ~ 54903-1128. Co~encing work without ~it(s) ~]] result in fees ~ing doubled ~ $100.00 plus the
ao~al p~it fee, which ever is ~eater.
O~
l[~ou are a contractor part~cJpat~ng Jn the Permit Fee ~ccou~t System and ha~e adeq~at¢ [und$,..~hec~ here
~[ you want thJ~ proce~d through your account ~
~gle Family ~Duplex ~Multi-Family ~Rental ~Commemlnl Dlndastrlal
Number of Fixtures:
Bathtub , Lnd~ Standp Dent. Oper. Shamp Sink
Whirlpool Disposal Dip Well Flr/Wst Sink
Dishwasher Drink Fm Catch Basin
Lavatory ,,
Toilet Sump Pump Wait. St. Wash Fm
Res. Sink Ejector/Grind Ice Chest t~inal
Bar Sink Water Soflner Exam Sink Gat Drain
W~eater / Local Waste Sculry Sink ~ Disp
13 Elect 13 PswVnt Clothes Wshr , Hand Sink Cofl~ Maker
Shower Bidet F Prep Sink , .... lee Maker
Floor Drain Beer Tap Serv Sink Site Drain
Ladry Tray Cla~rm Sink Iht Grease Trap Roof Drain
Lab Sink Surgeons Sink ,. Ext Grease Trap Standp
plaster Sink Brenkrm Sink
Sterilizer ,,
Electric Contractor
ISanitary Sewer
Storm Sewer
Water Service
-Use/Nature of Work
Size Material
r-]Electric Installitlon Verlfleafl6n form attached
Conn. Type
Type #
3/02