HomeMy WebLinkAbout0102595 POSHKOSH
ON THE WATER
,Job Address 526 MERRITTAVE
Contractor JNL PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner JAMES A GRALL
Category 411 - Residential-Water Heaters
Bathtub 0 Shower 0 Ejector/Grind 0 DipWell 0 F Prep Sink 0
Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 Serv Sink 0
Lavatory 0 Lndry Tray 0 LocaIWaste 0 Wait. St. 0 Shamp Sink 0
Toilet 0 Lndry Stndp 0 CIothesWshr 0 Ice Chest 0 FIr/Wst Sink 0
Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0
Bar Sink 0 Dishwasher 0 Beer Tap 0 SculrySink 0 Wash Ftn 0
Water Heater 1 Sump Pump 0 Dent. Oper. 0 Hand Sink 0 Urinal 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
No 102595
Create Date 07/02/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature
of Work
A/Replace gas water heater.
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
$300.00 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
07/02/2003
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 1111 Minnesota Oshkosh WI 54902 - 0000 Telephone Number
232-7270
OSHKOSH
ON THE WATER
Job Address 526 MERRITT AVE
Contractor JNL 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 I Sump Pump
Site Drain 0 Classrm Sink
Roof Drain 0 Breakrm Sink
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner JAMES A GRALL
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 LocaIWaste 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 Udnal
0 Lab Sink 0 Plaster Sink 0 Standp Rec
0 Sterilizer 0 Surgeons Sink 0 Ice Maker
No 102595
Create Date 07/02/2003
Plan
0 Gar Drain 0
0 Soda Disp 0
0 Coffee Maker 0
0 Int Grease Trap 0
0 Ext Grease Trap 0
0
0
0
0
Use/Nature ~,pt N Replace gas water heater.
of Work
Valuation $300.00
Issued By ~[~/~
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type Cf
Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Plan Approval $0.00 Permit Fees $20.00
[] Permit Voided
Date 07/02/2003
In the performance of this~k, I agree to perform all work pursuant to rules governing the described construction.
Signature~- ~ Date
Agent/Owner
Address 1111 Minnesota Oshkosh WI 54902 - 0000 Telephone Number
232-7270
City of Oskkosh
Inspection Services Division
P O Box 1130
Oshkosh, Vii $4903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
.O./HKO/H
Plumbing Permit Application
I hereby apply for a permit to do and install the following plumbing on the premises hereinafter described, the work to conform to the
Wisconsin State Plumbing Code, in the performance of which all parties hereto agree to and are.bound by said statutes.
· Application(s) and fee(s) can be brought to City 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 $100.00 plus the
normal permit fee, which ever is greater.
OR
If you are a contractor participating in the Permit Fee Account System and have adequate funds, check here
if you want this processed through your account [-~
Job Address
Owner
[--]Single Family [--]Duplex
Value(Includinglaborandmaterials) ~) ~
Contractor ~ l/lJ L /0/~ ,,~ ~ ,,~ f
[--]Multi-Family [~Renta~ [~Commercial
Date
['"]Industrial
Number of Fixtures:
Bathtub Lndry Standp
Whirlpool Disposal
Lavator~ Dishwashec
Toilet Sump Pump
Res. Sink Ejector/Grind
Bar Sink Water Sofiner
S~o~Heater . ! Local Waste
s E Elect [] PwrVnt Clothes Wshr
r Bidet
Floor Drain Beer Tap
Lndry Tray Classrm Sink
Lab Sink Surgeons Sink
Plaster Sink Breakrm Sink
Sterilizer
Electric Contractor
Use / Nature of Work
Size
Sanitary Sewer
Storm Sewer
Water Service
Dent. Opec. Shamp Sink
Dip Well FIr/Wst Sink
Drink Fm Catch Basin
Wait. St. Wash Fin
Ice Chest Urinal
Exam Sink Gar Drain
Sculry Sink Soda Disp
Hand Sink Coffee Maker
F Prep Sink Ice Maker
Serv Sink Site Drain
Iht Grease Trap Roof Drain
Ext Grease Trap Standp Rec
Material
Type
[--]Electric Installation Verificatidn form attached
(If Replacement)
# Conn. Type
S/02