HomeMy WebLinkAbout0101024-Plumbing (water heater) CITY OF OSHKOSH
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1021 BONG CT Owner ELMER J STEINHILBER
Contractor M P KELLY Category 411 - Residential-Water Heaters
Bathtub 0 Shower 0 Ejector/Grind 0 DipWell 0 F PrepSink 0
Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 Serv Sink 0
Lavatory 0 Lndry TraY 0 Local Waste 0 Wait. St. 0 Shamp Sink 0
Toilet 0 Lndry Stndp 0 Clothes Wshr 0 Ice Chest 0 FIr/Wst Sink 0
Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0
Bar Sink 0 Dishwasher 0 Beer Tap 0 Sculry Sink 0 Wash Ftn 0
Water Heater 1 Sump Pump 0 Dent. Oper. 0 Hand Sink 0 Urinal 0
Site Drain 0 Classrm Sink 0 Lab Sink 0 Plaster Sink 0 Standp Rec 0
Roof Drain 0 Breakrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0
Use/Nature ~FPJ Replace gas water heater.
of Work
1
No 101024
Create Date 04/25/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Valuation $532.00 Plan Approval $0.00 PermitFees $20.00
Issued By
Date 04/25/2003
[] Permit Voided J
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature Date
AgentJOwner
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) 236-5054
RECEIVED
APR 2 5 200}
DEPARTB NT OF
Plumbing PermR Application '
O/HKQ/H
ON THF WATER
I hereby apply for a permit to do and install the followi.ng plumbing on the premises hereinafter described, the 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. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is ~eater.
OR
If you are a contractor participating in the Permit Fee Account System and have adequate funds, .check here
([ you want.this processed through your account ['~
~ngle Family [-']Duplex ['-]Multi-Family [-']Rental I ICommercial F-llndustrial
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 Softner Exam Sink
ter / Lo~al Waste Sc,l~y Si.k
Elect ~ PwrVnt Clothes Wshr Hand Sink
Shower Bidet F Prep Sink
Floor Drain Beer Tap Serv Sink
Lndry Tray Classrm Sink Int Grease Trap
Lab Sink Surgeons Sink Ext Grease Trap
Plaster Sink Breakrm Sink
Sterilizer
Shamp Sink
Flr/Wst Sink
Catch Basin
Wash Ftn
Urinal
Gnr Drain
Soda Disp
Coffec Maker
lee Maker
Site Drain
Roof Drain
Standp Rec
Electric Contractor ~ ['-]Electric lnstallfition Verificatidn form attached
Use/Nature of Work~~' ~~)~- (If ~ep~acen~nt)
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type # Conn. Type
3/02