HomeMy WebLinkAbout0101618-Plumbing (water heater)OSHKOSH
ON THE WATER
.lob .Address 442 W 11TH AVE
Contractor WATTERS PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner PHILLIP G MACHT
Category 411 - Residential-Water Heaters
Bathtub 0 Shower 0 Ejector/Grind 0 DipWell 0 F Prep Sink 0
Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 Serv Sink 0
Lavatory 0 Lndry Tray 0 LocaIWaste 0 Wait. St. 0 Shamp Sink 0
Toilet 0 Lndry Stndp 0 CIothesWshr 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 SculrySink 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
No 101618
Create Date 05/19/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature RENTAL/ Replace gas water heater.
of Work
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
$499.00 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 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 1303 MIDWAY RD, PO BOX 118 MENASHA WI 54952 - 1129 Telephone Number
800-801-8125,733-81
Frbm: 05/19/2008 18:81 #441P.O02
Ci~ o~'Os~osh
Inspection Scrviccs Division
P 0 Box 1130
O-ehkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
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 co the
Wisconsin State Plumbing Code, in the performance of which all parges, here~o 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-I 128. Commencing work without permit(s) will result in fees being doubIed or $I00.00 plus the
normal permit fee, which ever is greater.
OR,
[£ you al'.e a contractor z~arrtci~arin~e in the Permit Fe~ Account Svstem_a#d.hav_e adeauate£unds, check here
if you want this processed throu~gh ypur agcqttnt ~
Owner ~//¢ ~~ Contractor ~/~ ~ ~~~
~Single Family ~Duplex ~Multi-Family ~ental ~Commercial ~InduStrial
Number of Fixtures:
Bathtub Lndry Standp Dent. Olaf. Shamp Sink
Whirlpoo~ Disposal ~ Dip Well Fir/War Sink
Lavatory Dishwasher Drink Ftn Catch Basin
Toile~ Sump'Pump ........ Wait, Si. Wash Fm
Re~. Sink ~ectot/Ortncl Ice Che~ UHnal
Bar S~nk Water SePmer ...... Exam Sink ~ Oat Dr~tn
Warm' H~t~' /./ Lo~al ',,vast¢ $¢u1~ Sink Soda Disp
~l:'Oas C, Elect ,~ PwrVn! Clothes Wshr Hand Sink Coffee Maker
Shower Bidel F Prep Sink Ice Maer
r'loor Drain Be~r Tap Sere Sink Site Drain
Lndry Tray Classrrn Sink Iht Grease Trap Roof Drain
Lab $i~k Sufll~on$ Sink ~xt Grease Trap Standp Rec
Plaster S{nk Breakrm Sink
St~rillz~r
Electric Contractor
Use / Nature of Work
[~]Eiectric Installation VerificatiOn form attached
(If Replacement)
samtary Sewer
Storm Server
Water Service
Size
Material Type # Corm. Type
~ F?om: 05/19/2008 ]3:81 #441 P,OOI
~u..m~ bine
~~
Pages Cwicover): ~._
Our Phone; 920-733-8125
Our Pax: 920-733-2713
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