HomeMy WebLinkAbout0103019-Plumbing (water heater)OSHKOSH
ON THE WATER
.lob Address 750 EVANS ST
Contractor GARTMAN MECHANICAL
Bathtub 0 Shower 0
Whirlpool 0 Floor Drain 0
Lavatory 0 Lndry Tray 0
Toilet 0 Lndry Stndp 0
Res. Sink 0 Disposal 0
Bar Sink 0 Dishwasher 0
Water Heater 1 Sump Pump 0
Site Drain 0 Classrm Sink 0
Roof Drain 0 Breakrm Sink 0
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner DIANE L SMITH
Category 411 - Residential-Water Heaters
No 103019
Create Date 07/23/2003
Plan
Ejector/Grind 0 DipWell 0 F Prep Sink 0 Gar Drain 0
Water Softner 0 Drink Ftn 0 Serv Sink 0 Soda Disp 0
LocaIWaste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
CIothesWshr 0 Ice Chest 0 FIr/Wst Sink 0 Int Grease Trap 0
Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0
Beer Tap 0 Sculry Sink 0 Wash Ftn 0 RPZ Valve 0
Dent. Oper. 0 Hand Sink 0 Urinal 0 EyeWash Statn 0
Lab Sink 0 Plaster Sink 0 Standp Rec 0
Sterilizer 0 Surgeons Sink 0 Ice Maker 0
Use/Nature SFR/Replace power vented water heater.
of Work
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size
$800.00 Plan Approval $0.00 Permit Fees
Material Type #
Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
$20.00
Date
07/23/2003
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 520W SOUTH PARKAV OSHKOSH WI 54902 - 0000 Telephone Number
920-231-5530
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
City of Oshkosh
Inspection Services Division
P O Box 1130
Oshkosh, WI 54903-t 130
Phone: (920) 236-5050
Fex: (920) 236-5084
Q/H O/H
P!umbing Permit Application
I hereby apply for a permit to do and install the following plumbing on the pren,Jses hereinafter described, the work to conform to the
Wisconsin State Plumbing Code, in the performance of which alt parties hereto agree to and are bound by said statutes.
Application(s) and fee(s) can be braught to City Hall~ Room 205 or n~iled to Inspection Sci'vices, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without p6rmit(s) wil! result in fees being doubled or $100 00 plus the
normal permit fee, which ever is greater.
OR
If t,cu are a contractor participating in the Permit Fee Account System and have adequate f~nds, check h~re
i_~.EQtt want this processed throuL~ vour account ~
~!gle Family [~]Duplex r-]Multi-Family [~]Rental [-~Commercial [--]Industrial
Number of Fixtures:
B~thmb Lndry Slan~p Dent. Opcr. Shamp Sink
Whirlpool Disposal Dip Well Fk/Wst Sink
Toilel Sump Pump Wait. St. Was~m
~b Sick Surgeons S[nk Ext Grca~ Trap Slandp Roe
Electric Contractor ~--~Lo__~Z<~-~. O~ ~--]Electric Installation Yerifieati6n form attached
.~._) (If Rep!aeement)
Use/~ Nature of Work
Sanitary Sewer
Size Material Type # Conn. Type
Storm Sewer
Water Service
3/02