HomeMy WebLinkAbout0101576-Plumbing (water heater)OSHKOSH
ON THE WATER
.lob Address 1350 W 5TH AVE
Contractor FIELDS PLUMBING
Bathtub 0 Shower 0
Whirlpool 0 Floor Drain 0
Lavatory 0 Lndry Tray 0
Toilet 0 Lndry Stndp 0
Res. Sink 0 Disposal 0
Bar Sink 0 Dishwasher 0
Water Heater 1 Sump Pump 0
Site Drain 0 Classrm Sink 0
Roof Drain 0 Breakrm Sink 0
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner TERRY E MOE
Category 411 - Residential-Water Heaters
Ejector/Grind 0 DipWell 0 F Prep Sink 0
Water Softner 0 Drink Ftn 0 Serv Sink 0
LocaIWaste 0 Wait. St. 0 Shamp Sink 0
CIothesWshr 0 Ice Chest 0 FIr/Wst Sink 0
Bidet 0 Exam Sink 0 Catch Basin 0
Beer Tap 0 Sculry Sink 0 Wash Ftn 0
Dent. Oper. 0 Hand Sink 0 Urinal 0
Lab Sink 0 Plaster Sink 0 Standp Rec 0
Sterilizer 0 Surgeons Sink 0 Ice Maker 0
No 101576
Create Date 05/19/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature
of Work
INSTALL 40 GAL NG WTR HTR
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size
$475.00 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
05/19/2003
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 1939 SOUTHLAND LN NEW LONDON WI 54961 - 0000 Telephone Number
262-982-5813
OSHKOSH
ON THE WATER
Job Address 1350 W 5TH AVE
Contractor FIELDS PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner TERRY E MOE
Category 411 - Residential-Water Heaters
No 101576
Create Date 05/19/2003
Plan
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
Use/Nature
of Work
0 Ejector/Grind 0 DipWell 0 F PrepSink 0
0 WaterSoftner 0 DrinkFtn 0 ServSink 0
0 Local Waste 0 Wait. St. 0 ShampSink 0
0 Clothes Wshr 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
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
INSTALL 40 GAL NG WTR HTR
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 $475.00 Plan Approval $0.00 Permit Fees $20.00
Issued By
Date
05/19/2003
[] Permit Voided j
In the performance~f this work, I agree to perform all work pursuant to rules governing the described construction.
Signature ~, , ,,~ Date
Agent/Owner
Address 1939 SOUTHLAND LN NEW LONDON WI 54961 - 0000 Telephone Number
262-982-5813