HomeMy WebLinkAbout0104527-Plumbing (water heater)OSHKOSH
ON THE WATER
Job Address 1221 GLEN AVE
Contractor SAMMONS 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 KlM D/CHERYL KINDERMAN
Category 411 - Residential-Water Heaters
0 Ejector/Grind 0 Dip Well 0 F Prep Sink
0 Water Softner 0 Drink Ftn 0 Serv Sink
0 Local Waste 0 Wait. St. 0 Shamp Sink
0 Clothes Wshr 0 Ice Chest 0 FIr/Wst Sink
0 Bidet 0 Exam Sink 0 Catch Basin
0 Beer Tap 0 SculrySink 0 Wash Ftn
0 Dent. Oper. 0 Hand Sink 0 Urinal
0 Lab Sink 0 Plaster Sink 0 Standp Rec
0 Sterilizer 0 Surgeons Sink 0 Ice Maker
No 104527
Create Date 10/01/2003
Plan
0 Gar Drain 0
0 Soda Disp 0
0 Coffee Maker 0
0 Int Grease Trap 0
0 Ext Grease Trap 0
0 RPZ Valve 0
0 Eye Wash Statn 0
0
0
Use/Nature
of Work
Valuation
Issued By
;FR/install gas water heater.
Sani~rySewer
Storm Sewer
Water Service
Size Material Type
# Corm, Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
$450.00 Plan Approval $0,00 Permit Fees
$20.00 [] PermitVoided
Date 10/02/2003
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the
easement holder(s) and to secure any necessary approva!$ boforc starting such
Agent/Owner