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Home My WebLink About2003-Plumbing (water heaters)OSHKOSH ON THE WATER ,Job Address 927 WASHINGTON AVE Contractor DRUCKS PLUMBING 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 2 Sump Pump 0 Site Drain 0 Classrm Sink 0 Roof Drain 0 Breakrm Sink 0 CITY OF OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD Owner JESSE D/TORI S LAIN 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 102146 Create Date 06/12/2003 Plan Gar Drain Soda Disp Coffee Maker Int Grease Trap Ext Grease Trap Use/Nature DUPLEX/Replace 2 gas water heaters. of Work Valuation Issued By Sanitary Sewer Storm Sewer Water Service Size $1,000.00 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 06/12/2003 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 PO BOX355 MENASHA WI 54952 - 0000 Telephone Number 426-2654 OSHKOSH ON THE WATER Job Addrese 927 WASHINGTON AVE Contractor DRUCKS PLUMBING CITY OF OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD Owner JESSE D/TORI S LAIN Category 411 - Residential-Water Heaters Bathtub 0 Shower 0 Ejector/Grind 0 Dip Well 0 F Prep Sink __ Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 Sen/Sink Lavatory 0 Lndry Tray 0 Local Waste 0 Wait. St. 0 Shamp Sink __ Toilet 0 Lndry Stndp 0 Clothes Wshr 0 Ice Chest 0 Fir/Wet Sink __ Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin -- Bar Sink 0 'Dishwasher 0 Beer Tap 0 Sculry Sink 0 Wash Ftn Water Heater 2 Sump Pump 0 Dent. Oper. 0 Hand Sink 0 Urinal Site Drain 0 Classrm Sink 0 Lab Sink 0 Plaster Sink 0 Standp Rec __ Roof Drain 0 Breakrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker No 102146 Create Date 06/12/2003 Plan 0 Gar Drain 0 0 Soda Disp 0 0 Coffee Maker 0 0 Int Grease Trap 0 0 Ext Grease Trap 0 0 0 0 0 Use/Nature DUPLEX/Replace 2 gas water heaters. of Work Valuation ~seued ~.~_ln/~ Sanitary Sewer Storm Sewer Water Sen/ice Size Material Type # Conn. Type 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 $1,000.00 Plan Approval $0.00 Permit Fees $20.00 [] Permit Voided Date 06/12/2003 In the performance of this work, I agree to~erform all work pursuant to rules governing the described construction. Signature ~_ ~ f~ l~AgentJOwner Date Address PO BOX355 MENASHA WI 54952 ~ 0000 Telephone Number 426-2654 City of Oshkosh Inspection Services Division POBox 1130 Oshkosh, WI 54903-1130 Phone: (920) 236-5050 Fax: (920) 236-5054 O/HKO/H 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 to the Wisconsin State Plumbing Code, in the performance of which all parties hereto 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 54903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the normal permit fee, which ever is greater. OR If you are a contractor participating in the Permit Fee Account System and have adequate funds, check here if you want this processed through your account JobAadress O>zO Wt::~/.~v~;.~t Value (Including labor and materials) ~j ~'"P~-~ Date &--]J--O3 Owner ,2~'%~,~,~ /~-,W Contractor ~)D-o,<.,l~=~"o tO"*/~ -~- ?.~-~ ~Single Family [~]Duplex r-]Multi-Family [-]Rental r-~Commercial V-]Industrial Number of Fixtures: Bathtub Lndry Standp Dent. Oper. Shamp Sink Whirlpool Disposal Dip Well Flr/Wst Sink , Lavatory Dishwasher Drink Ftn Catch Basin Toilet Sump Pump Wait. St. Wash Ftn Res. Sink Ejector/Grind Ice Chest Urinal Bar Sink Water Softner Exam Sink Gar Drain Water Heater ~ Local Waste Sculry Sink Soda Disp ~IGas B Elect I~ PwrVnt Clothes Wshr Hand Sink Coffee Maker Shower Bidet F Prep Sink Ice Maker Floor Drffm Beer Tap Serv Sink Site Drain Lndry Tray Classrm Sink lnt Grease Trap Roof Drain Lab Sink Surgeons Sink Ext Grease Trap Standp Rec Plaster Sink Breakrm Sink Sterilizer Electric Contractor Use / Nature of Work OR [~Electric Installation Verification form attached (if Replacement) Sanitary Sewer Storm Sewer Water Service Size Material Type # Conn. Type 3/02