HomeMy WebLinkAbout0102068-Plumbing (water heater)OSHKOSH
ON THE WATER
,Job Address 971 PARK RIDGE AVE
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 PATRICK/MARCY HAUER
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 102068
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 #
$500.00 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
Ci~
I~ Services
P O~1130
Plame: (9~)
Fax: {9'20) 736-50g~
RECEIVED
JUN 0 6 2005
DEPARTMENT OF
Plumbing Peri¢f gENT
O/HKO/H
I he~b3, apply for a pearm/t to do and install the following p~mbing on the premises hcseiaaftex described, the work to conform to the
W~sconsin Sm:re PIumbing Code, in the performance of which all parties hereto agree to and are bound by said statutes.
· Application(s) ~-~n~t fee(s) can be brought to C/fy 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 5;100.00 plus the
~ormat perm~ ~e-, which ever is greater.
If ~*~ are a core,actor participating in the Perr~it Fee Account System and have adequate funds, check here
if v~;~ ~a~t tJii~ ~rocessed through you r accoune [']
Job,Aatdress 97[ ~ Vahte(~,l,d,si~ho, andm~,ma~) ~00,°° Date~/3t/O~d
~le. Fami~- ~Duplex ~Mul~F~fly ~Rental ~Commercial ~Industrial
Nm~er of F'Lxlatres:
~ Lndry Slandp Dent. Oper, Sharap Sink
~ Disposal Dip Well FIr/Wst Sink
Lav~ Dishwasher Drink Fm Catch Basin
Tm~ Sump Pump Wait. St. Wash Fm
l}.~ :~/k Ejector/Grind Ice Chest Urinal
B~-~i~le Water Soffner Exam Sink Gar Drain
Wae~e~rae~tear [ Local Waste Scuh3' Sink Soda Disp
~{~; Z ~ Z I~,'~ t Clothes Wshr Hand Sink Coffee Maker
~ Bidet F ~rep Sink Ice Maker
Flora- Y.~min Beer Tap Serv Sink Site Drain
~,T~y Classrm Sink Iht Grease Trap Roof Drain
Lab~ Surgeons Sink Ext Grease Trap Standp Rec
~S&ak Breakrm Sink
EI~ Contractor
Uae C l~lal~re of'Work
O-R ]--]Electric Install:ilion Verfficatidn form attached
(If Replacerrmat)
S~ Se~er
Size
Material Type # Conn. Type
3/02