HomeMy WebLinkAbout2003-Plumbing (water heater)OSHKOSH
ON THE WATER
.lob Address 1237 LIBERTY ST
Contractor WATTERS PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner LOIS P/PATRICIA HODGELL LIFE ESTATE
Category 411 - Residential-Water Heaters
No 104465
Create Date 09/30/2003
Plan
Bathtub 0 Shower 0 Ejector/Grind 0 DipWell 0 F Prep Sink 0 Gar Drain 0
Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 Serv Sink 0 Soda Disp 0
Lavatory 0 Lndry Tray 0 LocaIWaste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
Toilet 0 Lndry Stndp 0 CIothesWshr 0 Ice Chest 0 FIr/Wst Sink 0 Int Grease Trap 0
Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0
Bar Sink 0 Dishwasher 0 Beer Tap 0 SculrySink 0 Wash Ftn 0 RPZValve 0
Water Heater 1 Sump Pump 0 Dent. Oper. 0 Hand Sink 0 Urinal 0 EyeWash Statn 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 SFR/Install gas water heater.
of Work
Size Material Type # Conn. Type
Sanitary Sewer 0
0
0
0
0
Storm Sewer 0
0
0
0
0
Water Service 0
0
0
0
0
Valuation $600.00 Plan Approval $0.00 Permit Fees $20.00 ~ Permit Voided
Issued By
Date 09/30/2003
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the
easement holder(s) and to secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address 1303 MIDWAY RD, PO BOX 118 MENASHA WI 54952 - 1129 Telephone Number
800-801-8125,733-81
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
Fro :
09/29/200 15:42 349 LO(I?
City of Oshkosh
InspectJoa Services Div/~ion
P 0 Box 1130
Oshkosh, WI 54903-1130
Pbon~: (920) 23~-5050
Fax: (920) 236-5084
Plumbing Permit Application
· 1 hereby apply for a permit to do end insu~ll the following plumbing on the premises hereinafter descr/bcd, the work to con.form to thc
Wisconsin $Iate Plumbing Code, in the pertorrtmnce of which all parries hereto agree to and are. bound by said stemtes,
Application(s) and fee(s) can be brought to City Hell, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh Vel 54903-1128, Corfu'acacias work without permit(s) will result in tees being doubled or $100;00 plus the
normal permit fee, which ·ever is ~reater.
OR
/?You ar~ a co.~tractor =artici~qtina in the Permit Fee Account $¥stern anti hRy~ ad~auate lands, check here
pou want this vrocesded through {,o~ account ~
Number of Fixtures:
Bathtub LnOry Sland!~ Dent. 0~'. Shartlp Sink
~t~ Di~h~ ~nk Fm Cs~h ~sin
ToJlel Su~ Pu~ · . Wait. it . W~sh
~a. Sink ~ecmr/G~nd [c~ Ch~l U~I
B~ S/aR / Wat~ 5~ ~m Sink
Electric Contractor
Use/NatureofWork
$am~r'y S~wer Siz~
Storm Sewer
Water Service
[]]ElecU'ic Installition Verffleatidn form a~ached
(it
' Martial Type # Conn. Type