HomeMy WebLinkAbout0102175-Plumbing (water heater)OSHKOSH
ON THE WATER
,Job Address 1806 SIMPSON ST
Contractor RAPID SOFT LLC
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 DAVID C MUMMELTHIE/DEBORAH J
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 102175
Create Date 06/13/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature SFR/Replace gas water heater for Sears.
of Work
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size
$470.00 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
06/13/2003
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 P.O. BOX4052 APPLETON WI 54915 - 0052 Telephone Number
920-757-6432
POBox 1130
Oshkos~ WI 54903-I 130
Phone: (920) 236-5050
Fax: (920) 236-5084
I hereby lq~ply 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, hi the perforraance of which al! parties,h~reto agree to and are hound 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
ormal pernut fee, which ever is greater.
OR
~ cc u~ s~em a d hay adeouale u
i u wan this ocess Iht o r cco nds check here
i u wan this oces~
Number of Fixtures:
.... L, xtry S~andp ....... l~t. Op~, Simrm~ Sink
...... Ej~d ..... Ice Chest U~I "
Bida F ~ Si~k ....
......
~ T~y ~ S~k ' ' .....
~b Sink
P~ S~k
.... ~Sink ......
~1~ ........
Electric Contractor
Use / Nature of Work
O'R [~Electric lnstall~ition Veriflcatign form attached
(if geplacc~ ~,i~iit )
Size Martial Type ii
Sanitary Sewer Conn. Type
Storm Sewer
Water Service