HomeMy WebLinkAbout0102164-Plumbing (water heater)OSHKOSH
ON THE WATER
Job Address 1420 W BENT AVE
Contractor CJ PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner JASON L SMITH
Category 410 - Residential-Interior
No 102164
Create Date 06/12J2003
Plan
Bathtub 0 Shower 0 Ejector/Grind 0 DipWell 0 F Prep Sink 0 Gar Drain
Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 Serv Sink 0 Soda Disp
Lavatory 0 LndryTray 0 LocaIWaste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker
Toilet 0 LndryStndp 0 Clothes Wshr 0 Ice Chest 0 FIr/Wst Sink 0 Iht Grease Trap __
Res. Sink 0 Disposal 0 Bidet 0 Exam Sink .... ~0 Catch Basin 0 Ext Grease Trap __
Bar Sink 0 Dishwasher 0 Beer Tap 0 SculrySink 0 Wash Ftn 0
Water Heater 1 Sump Pump 0 Dent. Oper, 0 Hand Sink ...... ~0 Urinal _____0
Site Drain 0 Classrm Sink 0 Lab Sink 0 Plaster Sink 0 Standp Rec 0
Roof Drain 0 Breakrm Sink 0 Sterilizer 0 Surgeons Sink 0 ice Maker 0
Use/Nature
of Work
DuplexJlnstall Electric water heater. Repipe to copper & flex pipe.
INSTALL WTR MTR TO SEPARATE APT. *Electric Permit requ red for Water Heater.
Valuation $1,600.00
Issued By ~
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type
# Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Plan Approval $0.00 Permit Fees $20.00
[] Permit Voided i
Date 06/12/2003
In the performance oJct'~is .work, I a~ree to perform all work pursuant to rules governing the described construction.
AgentJOwner
Address 117 DIVISION ST NEENAH WI 54956 - 9569 Telephone Number
751-8992
City of Oshkosh
Inspection Services Division
P O Box 1130
Oshkosh, WI 54903-1 t30
Phone: (920) 236-5050
Fax: (920) 236-5084
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 54903-1t28. 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 participatin~ in the Permit Fee Account Sl~stem and have adequate funds, check here
if you want this processed through your account N
Job Address !1~_~)~ ~J 5~_/~-~
Owner
[~]Single Family
uplex
Value (,ncluding labo~ a,d materials) ,/~) Date/"//C~ ~
[--]Multi-Family [~Rental [--]Commercial [--]Industrial
Number of Fixtures:
Bathtub Lndry Standp Dent. Oper. Shamp Sink
Whirlpool Disposal D/p Well Flr/Wst Sink ·
Lavatory Dishwasher Drink Ftc Catch Basin
Toilet Sump Pump Wait. St. Wash Fen
Res. Sink Ejector/Grind Ice Chest Urinal
Bar Sink Water Sofmer Exam Sink Gar Drain
Water Heate~,~ ~P~Vn Local Waste Sculry Sink Soda Disp
E Ga,~,~*ct__ t Clothes Wshr Hand Sink Coffee Maker
Shower Bidet F Prep Sink Ice Maker
Floor Drain Beer Tap Serv Sink Site Drain
Lndry Tray Classrm Sink Iht Grease Trap Roof Drain
Lab Sink Surgeons Sink Ext Grease Trap Standp Rec
Plaster Sink Breabrm Sink
Sterilizer
Electric Contractor
Use / Nature of Work
OR [--]Electric Installation Verification form attached
Sanitary Sewer
Storm Sewer
Size
(If Replacement)
Water Service
Material Type # Corm. Type
3/02