HomeMy WebLinkAbout0098944-Plumbing (water heater)OSHKOSH
ON THE WATER
.lob Address 300 GREENFIELD TR
Contractor MERTEN PLUMBING
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 SCOTTA/ANN P DECKER
Category 411 - Residential-Water Heaters
0 Ejector/Grind 0 Dip Well 0 F Prep Sink 0
0 WaterSoffner 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 98944
Create Date 12/05/2002
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 #
$605.54 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
12/05/2002
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 1087 COZY LANE OSHKOSH WI 54901 - 0000 Telephone Number
231-6795
City of Oshkosh
Inspection Services Division
P O Box 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
RECEIVED
DEC 0 5 2002
DEPARTMENT OF'
OO, MUNITY DEVELOPMENT
OJ"HKO/H
ON THE WATER
Plumbin Permit Application
Job Address
Owner
~]Single Family
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 ofwhich all parties hereto agree to and are bound by said statutes.
300 ~,r~_,~.-vf~eJl~. TI'-' Value(Inclodinglaborandmat~als) ~0~,,-~./~ . Date
..~C o .-~. ~ f,c ~f,l- Contractor ~3i~e,F-~..c~q
[~]Duplex [~]Multi-Family [--]Rental [-']Commercial [-]Industrial
Number of Fixtures:
Bathtub Lndry Standp Dent. Oper. Shamp Sink
Whirlpool Disposal Dip Well FlffWst Sink
Lavatory Dishwasher Drink Fm Catch Basin
Toilet Sump Pump Wait. St. Wash Fm
Ice Chest Urinal
Res. Sink Ejector/Grind
Bar Sink Water Softner Exam Sink Gar Drain
Water Heater 1 Local Waste Sculry Sink Soda Disp
Shower Clothes Wshr Hand Sink Coffee Maker
Floor Drain Bidet F Prep Sink Ice Maker
I. ndry Tray Beer Tap Serv Sink Site Drain
Lab Sink Classrm Sink Int Grease Trap Roof Drain
Plaster Sink Surgeons Sink Ext Grease Trap Standp Rec
Sterilizer Breakrm Sink
Electric Contractor
Use / Nature of Work
OR
[] EIV form attached (If Replacement)
Size Material
Sanitary Sewer
Storm Sewer ~ /~0 ,L .
Type # Conm Type
Water Service
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 m greater.
OR
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