HomeMy WebLinkAbout0084719-Plumbing (water heater) A �
� CITY OF OSHKOSH No 84719
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1012 E NEW YORK AVE Owner JACK E CHRISTENSEN Create Date 02/16/2001
Contractor SOPER PLUMBING Category 411 -Residential-Water Heaters Plan
Bathtub Shower Ejector/Grind Dip Well F Prep Sink Gar Drain
Whirlpool Floor Drain Water Softner Drink Ftn Serv Sink Soda Disp
Lavatory Lndry Tray Local Waste Wait.St. Shamp Sink Coffee Maker
Toilet Lndry Stndp Clothes Wshr Ice Chest FIrIWst Sink Int Grease Trap
Res.Sink Disposal Bidet Exam Sink Catch Basin Ext Grease Trap
Bar Sink Dishwasher Beer Tap Sculry Sink Wash Ftn
Water Heater 1 Sump Pump Dent.Oper. Hand Sink Urinal
Site Drain Classrm Sink Lab Sink Plaster Sink Standp Rec
Roof Drain Breakrm Sink Sterilizer Surgeons Sink Ice Maker
Use/Nature
of Work
REPLACE WTR HTR
Size Material Type # Conn.Type
Sanitary Sewer '
Storm Sewer
Water Service
Valuation $400.00 Plan Approval $0.00 Permit Fees $20.00
Issued By „/ Date 03/16/2001
❑ Permit Voided�
In the performance of this work,I agree to perform all work pursuant to rules goveming the described construction.
Signature Date
AgenUOwner
Address 2225 BURNWOOD DR Oshkosh WI 54902 -0000 Telephone Number 426-2151