HomeMy WebLinkAbout0104466-Plumbing (water heater)OSHKOSH
ON THE WATER
.lob Address 1130 N WESTFIELD ST
Contractor WATTERS PLUMBING
Bathtub 0 Shower 0
Whirlpool 0 Floor Drain 0
Lavatory 0 Lndry Tray 0
Toilet 0 Lndry Stndp 0
Res. Sink 0 Disposal 0
Bar Sink 0 Dishwasher 0
Water Heater 0 Sump Pump 0
Site Drain 0 Classrm Sink 0
Roof Drain 0 Breakrm Sink 0
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner EVERGREEN MANOR INC
Category 411 - Residential-Water Heaters
No 104466
Create Date 09/30/2003
Plan
Ejector/Grind 0 DipWell 0 F Prep Sink 0 Gar Drain 0
Water Soffner 0 Drink Ftn 0 Serv Sink 0 Soda Disp 0
LocalWaste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
ClothesWshr 0 Ice Chest 0 FIr/Wst Sink 0 Int Grease Trap 0
Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0
Beer Tap 0 Sculry Sink 0 Wash Ftn 0 RPZ Valve 0
Dent. Oper. 0 Hand Sink 0 Urinal 0 EyeWash Statn 0
Lab Sink 0 Plaster Sink 0 Standp Rec 0
Sterilizer 0 Surgeons Sink 0 Ice Maker 0
Use/Nature MULTI-FAMILY/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.
, Fr :
09/29/2003 15:42 , 49 P,O03
City of Os~osh
~,'pection S~rvices Division
P 0 Box 1130
Oshkosh. WI 5a903.1130
Phone: (920) ~5050
Fax: (920) 236-5084
Plumbing Permit Application
t hereby apply for a permit to do and in,tall the following plumbing on the premises hereinafter deserib~d, the work to coaform to thc
WJseor~in State Plumbing Code, i~ the performance of which all parties hereto agree to end are.bound by sak~ ~lamtcs,
· Application(s) and fee(s) c~n be brought to City Hall. Room 205 or mailed to Inspection S.rvices, PO Box 1128,
Oshkosh Wl 54903-1118. Commencing work without l~mUt(s) will result in fees beins doubled or $100.00 plus the
~orrnal permit fcc. which ever is greater.
tf vp~ are a contractor particit~atfn~ in the l~ermit Fee Itceount SVs~trn find have atleouate £undr. c]~eck ITere
il'~,ou want this t~rocasxed throu_~h ~our account ~
Job Address .//~YO ,~. &//-.~7'~e/,'t. C7 Value (~,~t~inslal,~,a.a,~,ia~s~ ~.~ Date
~Single Family ~Duplex ~ul~Family ~Rental ~Commercial
' [~]lndustrial
Number of Fixtures:
Bathtub Lacl~ Sisn~lp Deal Oper. Sh~,m~ Sink
Electric Contractor
Use / Nature of Work
' Size 'MateriaI # '
Sanitary Sewer Typ~ Conn. Type
I Storm Sewer
Water Service
O~ [~Electric Installation Verlflcatign form at~ached
(1 f Repla¢~m~0