HomeMy WebLinkAbout0102206-Plumbing (water heater)CITY OF OSHKOSH
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1553 CRYSTAL SPRINGS Owner STEVE P,/JODI J SWAIN
Contractor HOMEOWNER Category 411- Residential-Water Heaters
Bathtub 0 Shower 0 Ejector/Grind 0 Dip Well
Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn
Lavatory 0 Lndry Tray 0 Local Waste 0 Wait. St.
Toilet 0 LndryStndp 0 CIothesWshr 0 Ice Chest
Res. Sink 0 Disposal 0 Bidet 0 Exam Sink
Bar Sink 0 Dishwasher 0 Beer Tap 0 Sculry Sink
Water Heater 0 Sump Pump 0 Dent. Oper. 0 Hand Sink
Site Drain 0 Classrm Sink 0 Lab Sink 0 Plaster Sink
Roof Drain 0 Breakrm Sink 0 Sterilizer 0 Surgeons Sink
No 102206
Create Date 06/16/2003
Plan
0 F Prep Sink 0 Gar Drain 0
0 ServSink 0 Soda Disp 0
0 Shamp Sink 0 Coffee Maker 0
0 FIr/Wst Sink 0 Int GreaseTrap 0
0 Catch Basin 0 Ext Grease Trap 0
0 Wash Ftn 0
0 Urinal 0
0 Standp Rec 0
0 Ice Maker 0
ute
AFTER THE FACT PERMIT
iNSTALL NG WATER HEATER
Storm Water
Size Material Type # Conn. Type
0
Valuation
issued By
$425.00 Plan Approval $0.00 Permit Fees $20.00
[] PermitVoided I
Date 06/16/2003
The undersigned, in applying for a plumbing permit to install plumbing in a single family home owned and occupied as the
principle residence of the undersigned, hereby acknowledges, per Wisconsin State Statutes, ss 145.06, that other individuals
will not be employed to assist with the,~ork described by this permit. If an individual will be employed to install plumbing
the work involved must b~'~overed by~a)permit issued to a properly licensed Master Plumber.
Inthe erformanceofthi rk lagreel~performa work pursuant to rules goveming the described construction.
Signature ~~""~ Date
Agent/Owner
Address 1553 CRYSTAL SPRINGS AVE OSHKOSH WI 54902 6118 Telephone Number