HomeMy WebLinkAbout0104485-Plumbing (water heater)OSHKOSH
ON THE WATER
.lob Address 1161 ALGOMA BLVD
Contractor WATTERS PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner CHARLES CONRAD PLUEDDEMAN
Category 411 - Residential-Water Heaters
No 104485
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.
- Frc~: 09/30/200~ ]0:]4 ~52 P,O02
Ct~, o~Oshkosh ' '
Inspection Services Division
P 0 Box 1130
Oshkosh, WI $490;~-1 I;30
Phone: (920) 236-5050
· Fn×: (920) 236-$084
C)/HKO/H
Plumbing permit AppJication
I hereby apply for a permit to do and mS~all the following plumbing on the premises hereinafter described, the work to coitton'n to the
Wisconsin S~ale Plumbing Code, m the performance of which all parries h~-eto agree to and ar~ bound by said statutes.
· Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Service~, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without l~i-~;l(s) will result in fees being doubled or $100.00 plus the
normal pcrntit fee, which ev~ is greater.
OR
I~rvou are a contractor l~,artlclpatlne in the Permit Fee Account System and ht~ve adeouate funds, check here
if v~u want th'($, processed throu~ Four account
.j~$1ngle Family E]Duplex E~Vlultt-Family r-lRental J-]commercial J-]Industrial
Number of Fixtures:
Disposal .
£jet:lor/Ggnd
Lo~l Wasm
~m~ Sink
Eiectrlc Contractor
Use / Nature of Work
size
Sanitary Sewer
st~'~'S;wer '.'
Water Service
Mamrizl
D~t. OTet. $hamp
D/p WclJ FlrCt.Vst Sink
D~nk Fm Catch Balm
Wait. St. , ....... W~h Fm
Ice Ch~ . U~al
~ ~k Coff~
~ - ~Kiectrie lnstalPltion verification form attached ·
(If P. egl~t)