HomeMy WebLinkAbout0101264-Plumbing (water heater)OSHKOSH
ON THE WATER
,Job Address 1005 DEVONSHIRE DR
Contractor RAPID SOFT LLC
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 OMAR L/MARILYN KUTZ
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 101264
Create Date 05/05/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature SFR/Replace gas water heater for Sears.
of Work
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size
$350.00 Plan Approval $0.00 Permit Fees
Material Type #
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 P.O. BOX4052 APPLETON WI 54915 - 0052 Telephone Number
920-757-6432
City of Oshkosh
Inspection Services Division
P O Box 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
OffH OffH
Plumbing Permit Application
I hereby apply for a permit to do and install the following plumbing on the premises hereinafter described, the work to conform to the
Wisconsin State Plumbing Code, in the performance of which all parties.hereto ag!ce to and are bound by said statutes.
· Application(s) and fee(s) can be brought to City Hail, Room 205 or mailed to Inspection Services, PO Box 11'28,
Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees being doubled or $I00.00 plus the
normal permit fee, which ever is greater.
OR
If you are a contractor participating in the Permit Fee Account System and have adequa.t.e_funds, check here
if you want this processed through your account [~]
Job Address/Do3~' ~,~,,~$A -~-~ Value (Including laborand materials) _$~ c.9c~'
Owner ~,~,~._ /e-.~ ~ ~ Contractor ~~~ ~ ~
~ingle Fa~ly ~Duplex ~Muiti-Family ~Rent~ ~Commercial
Date
['"]Industrial
Number of Fixtures:
Bathtub Lndry Standp Dent. Oper.
Whirlpool Disposal Dip Well
Lavatory Dishwasher Drink Ftn
Toilet Sump Pump Wait. St.
Res. Sink Ejector/Grind Ice Chest
Bar Sink Water So£mer Exam Sink
Water Heater / Local Waste Sculry Sink
fi~Gas ~ Elect E PwrVnt Clothes Wshr Hand Sink
Shower Bidet F Prep Si~k
Floor Drain Beer Tap Sexy Sink
Lndry Tray Classrm Sink Iht Grease Trap
Lab Sink Surgeons Sink Ext Grease Trap
Plaster Sink Breakrm Sink
Sterilizer
Shamp Sink
Flr/Wst Sink
Catch Basin
Wash Fin
Urinal
Gar Drain
Soda Disp
Coffee Maker
Ice Maker
Site Drain
Roof Drain
Standp Rec
Electric Contractor
Use / Nature of W°rk
Sanitary Sewer
Size
Material
dR [-]Electric Instalhiiion Verificati6n form attached
(If Replacement)
Type # Conn. Type
Storm Sewer
Water Service