HomeMy WebLinkAbout0102627-Plumbing (water heater)OSHKOSH
ON THE WATER
.lob Address 811 MERRITT AVE
Contractor SAMMONS PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner B KENT BAUMAN
Category 441 - Industrial-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 102627
Create Date 07/03/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature C-STORE/Install electric water heater. *EIV form from Slim's Electric.
of Work
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
$500.00 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
07/03/2003
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 522W. MURDOCKAVE OSHKOSH WI 54901 - 2298 Telephone Number
231-9880
~FROM ~SAMMONS PLUMBING FAX NO. :9202~18485 Jul. 02 2E~3 04:~4PM P4
F, lectric Installaflo. V'erF~ation
SLIM'S ELECTRIC INC.
¢~ ca~a~ ~=~)
2608 O,a.,kwood Circle,, Oshkosh
(0~7)
WI 54904
(state) Ctip c~)
hwt.~nmmmd:opa'h=~cint~hamw~ Sammon's Plum.,,,,
.............. (Name ofpa~.eomna~t to). '
55.00
I h~,~' ve~-y this wm'k will be I~nnn~d by m m~pioy~ of t~s ~.~ny and i~lh~- v~-~fy
David A. Youngw[rth
('Print Name of Offs')
06/23/03