HomeMy WebLinkAbout0103239-PlumbingOSHKOSH
ON THE WATER
.lob Address 550ALGOMA BLVD
Contractor GARTMAN MECHANICAL
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner THOMAS P NESBITT
Category 410 - Residential-Interior
No 103239
Create Date 07/18/2003
Plan
Bathtub 0 Shower 0 Ejector/Grind 0 DipWell 0 F Prep Sink 0 Gar Drain 0
Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 Serv Sink 0 Soda Disp 0
Lavatory 1 Lndry Tray 0 LocaIWaste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
Toilet 0 Lndry Stndp 0 CIothesWshr 0 Ice Chest 0 FIr/Wst Sink 0 Int Grease Trap 0
Res. Sink 1 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0
Bar Sink 0 Dishwasher 1 Beer Tap 0 SculrySink 0 Wash Ftn 0 RPZValve 0
Water Heater 0 Sump Pump 0 Dent. Oper. 0 Hand Sink 0 Urinal 0 EyeWash Statn 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
Use/Nature SFR/Remodeling the kitchen- Replace kitchen sink, dishwasher & wash basin.
of Work
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
$1,500.00 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
07/31/2003
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 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
JUL 5 1 200J
O01 IMUNiTY D£VELOOpZE T
Offl O/H
ON THE WATER
P!umbing 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, ip 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~ Rogm 205 or mailed to Inspection Sci'vices, PO Box 112g,
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 ~eater.
OR
If gott are a contractor participating in the Perm~.~F~ee Account System and have adequafe f. nds, check here
i_~Qtt want this processed through?our account I\.Y
Job Address
Owner ~7'0,~
r-{iihgle Family ~]Duplex
Value (Including labor and maJerials)./-b'"-~) 0
Contractor
E]Multi-Family [-']Rental [~]Commerciai
Date
[--]Industrial
Num~ber of Fixtures:
Bahinh Lndry Standp
Whirlpool Disposal
l~vatory Dishwasher
Toilet Sump Pump
R~s. Sink ~ Ejector/Grind
Bar Sink Water Sofmer
Water Heater Local Waste
D Gas G Elect D PwrVnt Clothes Wshr
Skower Bidet
El~or *a'ain Beer Tap
L~dry Tray Classrm Sink
Lab Sink Surgeons Sink
Plaster Sink Breakrm Sink
Sterilizer
Dent. Oper. Shamp Sink
Dip Well Flr/Wsi Sink
Drink Fin Catch Basin
w.it. st. w.%~in
leo Chest Urinal ., .
Exam Sink Gar Drain
Sculry Sink Soda Disp
Hand Sink Coffee Maker
F Prep Sink lee Maker
Serv Sink Site Drain
Iht Grease Trao Roof Drain
Ext Grease Trap Standp R¢c
Electric Contractor
Use / Nature of Work
Sanitary Sewer
Size
Material
O-R V-]Electric Installation Verificatidn form attached
(if R-"J~cemen0
/
T~e ~ Co~.
Storm ~wer
Water Service
3/02