HomeMy WebLinkAbout0102049-Plumbing (water heater)OSHKOSH
ON THE WATER
,Job Address 658 EVANS ST
Contractor RANSOM, JOHN D
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 RIA M PAULUS
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 102049
Create Date 06/09/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature SFR/Install gas water heater for Kitz & Pfeil.
of Work
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size
$300.00 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
06/09/2003
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 W5056 PARADISE LN FOND DU LAC WI 54935 - 9662 Telephone Number
922-1987
JUN-03-2003 TUE 02:0! Pi1 KITZ&PFEIL 920 236 3348 P. Ol
~s~e~on Servie~ Div~ion
Permit A Hcation
hd
/
I he.by apply f~ ~p~ *o do and i~ll
Wiae~ Pl~b~ Code, in ~e
~ingle ~a~ly ~Duplex ~Mul~F~y ~Renml ~Commerci~ ~Industnnl
Number of Fixtures:
Bathtub Lndry S~ndp _ D~t. O~n'. Shamp Sink
Electric Contrnctor
Si~e
goeimry Sewer
OR 0 EIV form attached (If Replacement)
Type # Conn. TYPe
Storm Sev~'
Water Service
Application(s) and fcc(s) can be brought to City Hall, Room 205 or marled to Inspection Services, PO Box 1128, Oshkosh WI
54903-1128. Commencing work without permit(s) will rcsult in fees bcing doubled or $100.00 plus the normal permit fcc,
which over is ~reater.
OR Check here if' you wane this processed, ~J~rough your account ,~ ( '0 .