HomeMy WebLinkAbout0102596-Plumbing (water heater)OSHKOSH
ON THE WATER
Job Address 646 GRAND ST
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 1 Sump Pump
Site Drain 0 Classrm Sink
Roof Drain 0 Breakrm Sink
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner THOMAS/BARBARA EDWARDS
Category 411 - ResidentiaPWater 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 Bhamp 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 102596
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 GreaseTrap 0
0
0
0
0
Use/Nature SFPJ Replace gas water heater.
of Work
Valuation $300.00
Issued BY~fV~'
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
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 t~, I ag[ee to perform all work pursuant to rules governing the described construction.
Signature ~k~~ '~'/ '~' '¢'/' j~.~,~ --"~ Date
/~' ~' Agent/Owner
Address 1111 Minnesota Oshkosh WI 54902 - 0000 Telephone Number
232-7270
City of Oshkosh
Inspection Services Division
P O Box 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
O/HKO/H
ON THE WATER
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-t 128. 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 b ~ 6/~,~oa~
Owner
[~Single Family [--]Duplex
Value (Including labor and materials)
Contractor A/~'/-~
~--]Multi-Family [-]Rental [--]Commercial
/
Date ~'~ ~ ~°2
[-]Industrial
Number of Fixtures:
Bathtub Lndry Standp
WhiflpooI Disposal
Lavatory Dishwasher
Toilet Sump Pump
Res. Sink Ejector/Grind
Bar Sink Water Softner
Water Heater I Local Waste
~.Gas ~ Elect ~ PrwVnt
Clothes
Wshr
Shower Bidet
Floor Drain Beer Tap
Lndry Tray Classrm Sink
Lab Sink Surgeons Sink
Plaster Sink Breakrm Sink
Sterilizer
Dent. Oper. Shamp Sink
Dip Well Flr/Wst Sink
Drink F~ Catch Basin
Wait. St. Wash Fm
Ice Chest Urinal
Exam Sink Gar Drain
Sculry Sink Soda Disp
Hand Sink Coffee Maker
F Prep Sink Ice Maker
Serv Sink ' Site Drain
Int Grease Trap Roof Drain
Ext Grease Trap Standp Rec
Electric Contractor
Use / Nature of Work
dR ~]Electric Installation Verificati6n form attached
(If Replacement)
Sanitary Sewer
Storm Sewer
Water Service
Size
Material
T~e # Coun. T~e
3/02