HomeMy WebLinkAbout0102067 POSHKOSH
ON THE WATER
,Job Address 1312 LIBERTY ST
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 THOMAS J KELNHOFER
Category 411 - Residential-Water Heaters
0 Ejector/Grind 0 Dip Well 0 F Prep Sink 0
0 WaterSoftner 0 Drink Ftn 0 ServSink 0
0 Local Waste 0 Wait. St. 0 ShampSink 0
0 CIothesWshr 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 102067
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.
of Work
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
$450.00 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
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 1087 COZY LANE OSHKOSH WI 54901 - 0000 Telephone Number
231-6795
City of
Inspecfiot~ Ser~iees Division
P O Box
Oshkosh, ~I 54ffi3-1130
Phone: (920} ~,,6-5050
Fax: (920) 22-f~-5Og4
RECEIVED
JUN 06 2003
O/HKOJ'H
DEPARTMENT OF
?~':VNI~ O ~./ELOPMENT
Plumbing PerrnffA ppucDa mn
I hereby ap~~ fM a permit to do and install the £o~ p~mbing on the premises hereinafter described, the work to conform to the
xg,~-~/n State Plumbing Code, in the perfm of which all parties hereto agree to and are bound by said statutes.
Job Addr~ I '~ I~
Owner To P6
~ingle Farley
· Appti~o~s) and fee(s) can be brought to Oltylitall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshk~s~ WI 54903-1128. Commencingwo~k'd~tout permit(s) will result in fees being doubled or $100.00 plus the
normal ]~.~it fee, which ever is greater.
OR
If vou are a c~tractor participating in t~,e Per.it Fee Account System and have adequate funds, check here
if you *v~ .r~f$ processed through your t~ccco~ut
Date ~'/~, 0/0_~
Yf'-J h ~. er' C~.tractor
ODuplex F-Ill.Iii-Family ORental F-]Commercial [--]Industrial
Number of lqxtnres:
Bathtub Lndry Standp Dent Oper. Shamp Sink
Whirlpool Disposal Dip Well Flr/Wst Sink
Lavatory Dishwasher Drink Fm Catch Basin
Toilet Sump Pump Wait St. Wash Fin
Res. Sink Ejector/Grind lee Chest Urinal
Bar Sink Water Sofmer Exam Sink Gar Drain
Water Hea~ ~ Loc. al Waste Scut~ Sink Soda Disp
~Taas _- E~=Z ~¥nt Clothes Wshr Hand Sink Coffee Maker
Shower Bidet F Prep Sink Ice Maker
Floor Dr~ Beer Tap Sen, Sink Site Drain
Lndry Tr~y Classrm Sink Iht Grease Trap Roof Drain
Lab Sink Surgeons Sink Ext Grease Trap Stanap Rec
Plaster Sink Bmakrm Sink
Sterilize~
Electric C~mtractor
Use / Natm~ of Work
O_~ ['-]Electric Installation Verifieati6n form attached
(If Replacement)
Sanitary
Size
Material Type #
Comz Type
3/02