HomeMy WebLinkAbout0102689-Plumbing (water heater)OSHKOSH
ON THE WATER
.lob Address 811 GREENWOOD CT
Contractor KOCH 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 CHARLES A/MARIL PERRY
Category 411 - Residential-Water Heaters
0 Ejector/Grind 0 Dip Well 0 F Prep Sink 0
0 WaterSoftner 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 102689
Create Date 07/08/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature
of Work
IApartment complex/Replace
gas water heater.
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
$425.00 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 07/08/2003
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 2005 DOTY ST OSHKOSH WI 54901 - 0000 Telephone Number
BUTCH (C)379-8753
B7~07/2003
City of Oshkosh
inspection Services Division
P O Box 1130
Oshkosh~ WI $4903-! 130
i'hos~e: (920) 236-5050
I,'2x: (920) 236-5084
9282358282 KOGH PLUMING INC PAGE Bi
O/HKO/H
iPlumbinR Permit,,,Application
h¢~'cby apply £o¢ a permit tO do and in~lail Ibc folk)wing plumbing on Ibc ptcnuses hereinaflcr described, thc work ~o coliform
Wisconsin Sial<: Plumbing (:ode, m thc pet fora~ncc of which all panics hereto agree to and arc bound by said
Own=r ........ Co.tra=.or
[~Single Family F'~Duplex [~]M ulti-Family [~]Renlal [-]Commercial
n~Industri'~!
Number of Fixtures:
Electric Contractor
Use / Nature of Work
OR D EIV form attached (If Replacement)
Sanitary Sewer
Sizt Material Type # Conn. Type
Applicalion(s) and fee(s) can be brought to Cit~ Hall, Room 205 or mailed to Inspection Services. PO Box 1128, Oshkosh WI
54903-1128. Commencing work without permit(s) will result in fees being doubled or $I00.00 plus ~h¢ normal pertmt lee,
which ever is greater.
OR