HomeMy WebLinkAbout2003-Plumbing (water heater)OSHKOSH
ON THE WATER
.lob Address 1050 PIERCE AVE
Contractor WATTERS 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 JERRY LEE WEIGAND
Category 411 - Residential-Water Heaters
0 Ejector/Grind 0 Dip Well 0 F Prep Sink 0
0 WaterSoffner 0 Drink Ftn 0 ServSink 0
0 Local Waste 0 Wait. St. 0 ShampSink 0
0 ClothesWshr 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 102443
Create Date 06/25/2003
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 #
$540.00 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 06/25/2003
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 1303 MIDWAY RD, PO BOX 118 MENASHA WI 54952 - 1129 Telephone Number
800-801-8125,733-81
Ci~ oi'Oshkosh
inspection Services Division
POBox 1130
Oskkosh, WI $4903-1130
Phone: (920) 236-$050
Fax.'. (920) 236-$054
06/24/2 3 13:59 P.O02
Plumbing Permit Application
I h~reby apply for a permit to do and ms,all Ibc following plumbing on the premises hereinafter deszfibe~ ~e work to confo~ to ~e
Wisconsin State Pl~biug Code, m ~e p~ffo~ce of which all pa~es h~o a~ee to and ar~ bound by said s~amie~.
· Application(s) and fcc(s) can be bro~gh~ to Ci~ Hall, Room 205 or mailed to ~o~on S~iccs, PO Box 1 I28,
Oshkosh WI $4903-112~. Co~cing work without pe~it(s) will result in fees being doubled or ~100.00 plus
no.al pe~it fern, which ev~ is ~eat~,
OR
If you are a ~ontractor parttclpatine in tl~e ~erm/r Fee Account ~¥stem and hove adeauate fund~, checi here
if vqlI want this ~roces$ed th,'ou~t~ ~our account '~
Owner C~ ~Z~!~'~ Contractor ~~
~ingle Family ~Dnplex ~ulii-Family ~Ren~l ECommercial ~Indastrial
Number of Fixtures:
Bmthtub L~d~ Standp D~nt. Op~r, Shamp Sink
Electric Contractor
Use / Nature of Work
O~R [--[Electric Installation VerificatiOn form attachec
(If Rcplacemcm)
Sanitary Sewer
Storm Se~r ,
Size
Material Type # Conn. Type
3/02