HomeMy WebLinkAbout0105081-Plumbing (water heater)OSHKOSH
ON THE WATER
.lob Address 2920 QUAIL CT
Contractor LARRY HANSEN PLBG
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 1 Sump Pump 0
Site Drain 0 Classrm Sink 0
Roof Drain 0 Breakrm Sink 0
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner THOMAS W/SUSAN STARK
Category 411 - Residential-Water Heaters
No 105081
Create Date 10/31/2003
Plan
Ejector/Grind 0 DipWell 0 F Prep Sink 0 Gar Drain 0
Water Softner 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 SFR/Replace gas water heater under warranty.
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 $300.00 Plan Approval $0.00 Permit Fees $20.00 ~J Permit Voided
Issued By
Date
10/31/2003
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 N-1044TOWER VIEW DR GREENVILLE WI 54942 - 8683 Telephone Number
(C)851-6863
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.
Plumbing Permit Work Card
Job Address ag (It ) (I'I l C A-, Permit Number 0000000 Create Date
Owner Contractor LARRY HANSEN PLBG.
Category Plan Value
Bathtub Shower Ejector /Grind Dip Well F Prep Sink Oar Drahr
Whirlpool Floor Drain Water Softner Drink Ftn S S Soda Disp
Lavatory Lndry Tray Local Waste Walt. St. o er
Toilet Lndry Stndp Clothes Wshr Ice Chest F r j'1
Res. Sink Disposal Bidet Exam Sink Catch Basin O
Bar Sink Dishwasher _ Beer Tap Sculry Sink Wash FtnOCT �
Water Heater S Pump Dent. 3 « `
unKr p taper. Hand Sink Urinal
Site Drain Classrm Sink Lab Sink Plaster Sink Stand
Roof Drain Breakrm Sink Serllizer Surgeons Sink C�'T;' " OF
Use/Nature � n } /� ,-+ Q � I, �1 , / Q LOP
of Work `Y YL o I Q L�._.. l.A� a Kt J 1' Q r I"` "����� �� r)'4-{' ,
Size Material Type # Conn.Type
Sanitary Sewer
/
Storm Sewer
Water Service
Date Type Inspector U A pPnved
•