HomeMy WebLinkAbout0102066-Plumbing (water heater)OSHKOSH
ON THE WATER
,Job Address 417 W 11TH 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 DEAN R K DUEHRING/CARRIE KOSE
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 102066
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 Oshknsh
Inspection Services Division
p OBox 1130
Oshknsk WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
RECEIVED
o 6 oo3 OJHKOjH
DEPARTNIENT OF
Plumbing Pe IIT a i'[II]OPMENT
I hereby apply for a permit to do and install the £o~owiag p~nbiag on the premises hereinafter described, the work to conform to the
Wisconsin State Plumbing Code, in lixe gerf~ ,v~anee of which all parties hereto agree to and are bound by said statutes.
· Application(s) and fee(s) can be brought te City Hall, Room 205 or mailed to Inspection Services, PO Box 1 !28,
Oshkosh WI 54903-1128. Commenei~g'~rk without permit(s) will result m fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
If you are a contractor participatin~ ix tie Permit Fee Account System and have adequate funds, check here
if you want this processed through vo~tr a~ounr ['3
JobAddress q17 V,/
/~gl ~ ~ ~ ff05~/~ Contra.or
e Famdy ---~x [~I~lti-F~ rally. V-]Rental [--~Commercial
Date 5/09/0,3
[-]Industrial
Number of Fixtures:
Bathtub Lndry Standp Dent. Oper.
WMrlpcot Disposal Dip Well
Lavatmy Dishwasher Drink Fm
TinTer Sump Pump Wait. St.
Res- Sink Ejector/Grind Ice C~est
Bar Sknk Water Sofmer lLxam Sink
Water Heater T Local Waste Sculry Sink
~C.~s ~ Elect Z pwrV~t Clothes Wshr Hand Sink
Sho~n~ Bidet F Prep Sink
Flos~ ~ Beer Tap Serv Sink
Lndry Tray Classrm Sink Iht Grease Trap
Lab Sink Surgeons Sink Ext Grease Trap
plaster Sink Breakrm Sink
Sten~r
Shamp Sink
Flr~Wst Sink
Camh Basin
Wash Fm
Urinal
Gar Drain
Soda Disp
Coffee Maker
Ice Maker
Sim Drain
Roof Diain
Standp
Electric Contractor
[-']Electric Installation Verificati6n form attached
(If Rsplac~aent)
Use I Nature of Work
Storm Sewer
Water Service
Size
Material
# Conn. Type
3/02