HomeMy WebLinkAbout0099297-Plumbing (water heater)OSHKOSH
ON THE WATER
.lob Address 442 W 5TH AVE
Contractor GARTMAN MECHANICAL
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner MARY J BEARDSLEY
Category 411 - Residential-Water Heaters
Bathtub 0 Shower 0 Ejector/Grind 0 DipWell 0 F Prep Sink 0
Whirlpool 0 Floor Drain 0 Water Soffner 0 Drink Ftn 0 Serv Sink 0
Lavatory 0 Lndry Tray 0 LocalWaste 0 Wait. St. 0 Shamp Sink 0
Toilet 0 Lndry Stndp 0 ClothesWshr 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 0 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 99297
Create Date 01/03/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature SFR/Replace direct vent high efficiency water heater. *EIV form from Beez Electric.
of Work
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
$985.00 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
01/03/2003
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 520W SOUTH PARKAV OSHKOSH WI 54902 - 0000 Telephone Number
920-231-5530
City of Oshkosh
Inspection Services Division
P O Box 1130
Oshkosh, ~I 54903~1130
Phone: (920) 236-5050
Fax: (920) 236-5084
O/HKO/H
ON THE WATER
Plumbin Permit A " :lication
I hereby apply for a permil 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.
Job Address q,~), (j,). ~-h~-~]2 Value (lncluding labor and materials)~, f~} ~ Date ]~?~(~5/~
Owner ~(y~c~ ~~ Contractor .MA ~lq
[~Single Family [--]Duplex r-[Multi-Family [--IRental [-]Commercial F'qIndustrial
Number of Fixtures:
Bathtub Lndry Standp
Whirlpool Disposal Dip Well
Lavatory Dishwasher Drink Ftn
Toilet Sump Pump Wait. St.
Res. Sink Ejector/Grind Ice Chest
Bar Sink Water Softner Exam Sink
Water Heater ! Local Waste Sculry Sink
Shower Clothes Wshr Hand Sink
Floor Drain Bidet F Prep Sink
Lndry Tray Beer Tap Serv Sink
Lab Sink Classrm Sink lnt Grease Trap
Plaster Sink Surgeons Sink Ext Grease Trap
Sterilizer Breakrm Sink
RECEIVED
Dent. Oper. Shamp Sink
2002 Fir/Wst Sink
Catch Basin
DETART~ENT 0~vash m
Gar Drain
Soda Disp
Coffee Maker
Ice Maker
Site Drain
Roof Drain
Standp Rec
Electric Centractor
Use / Nature of Work~~
OR .Bt/EIV form attached (IfReplacemen0
q,v h' d44c 0 4
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type # Conn. Type
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 $100.00 plus the normal permit fee,
which ever is greater.
Check here if you want this processed through your account
\.
1~/29/2002 2i: 37 9202317255 BEEZ ELECTRIC PAGE 01
2,15 ~liur~ A~
PO:Box 1130
Osb]m~W~
01~ 920.Z~.$o5o
F~
Electric Installation Verification
(I) (We) B_e~zElectric, Inc.
521 W. 12t._ __.h Oshkosh WI 54902 ~ ~ f%
have been contracted to perform electric installation work for Oartman Mechanical,
OEC 3 t
at the following addre~:
The nature of the work consists of:
DF-PARTM£NT OF
CO!¥? WU ITy
(Check One or Describe the Nature of Work)
Reconnection or new circuit for replacement Heating Plant and/or A/C Condenser.
Reconnection or new circuit for rcplacemcnt Electric Water Heater.
Reconnection of the S~rvice Entrance Cable, Meter Box, alterations to receptacles and
li§htin$ fixtures due to siding / soffit installation. Note: New Service Entrance Cables
will require a separate permit,
Reconnection or new circuit for other permanently wired appliances / fixtures.
Other
The value of this work is $150.00
I hereby verify this work will be performed by an employee of this company and further verify the
reconnection / installation win be done in compliance with manufacturer and Electric code
~ 12/30/02