HomeMy WebLinkAbout0098731-Plumbing (4th/5th fl)OSHKOSH
ON THE WATER
Job Address 2700 W 9TH AVE Owner
Contractor TwEET-GAROT Category
cI~Y OF'oSHKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
MERCY MEDICAL CENTER OSH INC
440 - Industrial-Interior
Bathtub 1 Shower 27 Ejector/Grind 0 DipWell 0 F Prep Sink 0
Whirlpool 0 Floor Drain 4 Water Softner 0 Drink Ftn 1 Serv Sink 3
Lavatory 32 LndryTray 1 LocaIWaste 0 Wait. St. 0 Shamp Sink 1
Toilet 31 LndryStndp 1 Clothes Wshr 0 Ice Chest 0 FIr/Wst Sink 0
Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 27 Catch Basin 0
Bar Sink 0 Dishwasher 0 BeerTap 0 SculrySink 0 Wash Ftn 0
Water Heater 0 Sump Pump 0 Dent. Oper. 0 Hand Sink 11 Urinal 0
Site Drain 4 Classrm Sink 0 Lab Sink 0 Plaster Sink 0 Standp Rec 0
Roof Drain 9 Breakrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0
No 98731
Create Date 11/19/2002
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap __
Use/Nature
of Work
I-EYE WASH, 2-DIALYSIS BOXES
4TH & 5TH FLOORS
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type
#
0
0
0
0
0
0
0
0
Valuation $297,000.00 Plan Approval $0.00 Permit Fees $990.00
Issued By
Conn. Type
Date
11/2012002
[] 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
GREEN BAY WI 54307 - 0000 Telephone Number
Address PO BOX 11767 /2545 LARSEN RD 414-498-0400
OSHKOSH
ON THE WATER
,Job Address 2700 W 9TH AVE
Contractor TWEET-GAROT
I[
CI~'Y OF OSHKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
Owner
Category
MERCY MEDICAL CENTER OSH INC
440 - Industrial-Interior
Bathtub I Shower 27 Ejector/Grind 0 DipWell 0 F Prep Sink 0
Whirlpool 0 Floor Drain 4 Water Softner 0 Drink Ftn 1 Serv Sink 3
Lavatory 32 LndryTray 1 LocaIWaste 0 Wait. St. 0 ShampSink 1
Toilet 31 LndryStndp 1 CIothesWshr 0 Ice Chest 0 FIrANst Sink 0
Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 27 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 11 Urinal 0
Site Drain 4 Classrm Sink 0 Lab Sink 0 Plaster Sink 0 Standp Rec 0
Roof Drain 9 Breakrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0
No 98731
Create Date 11/19/2002
Plan
Gar Drain
Soda Disp
Coffee Maker
Iht Grease Trap
Ext Grease Trap
Use/Nature t-EYE WASH, 2-DIALYSIS BOXES
of Work 4TH & 5TH FLOORS
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
$297,000.00 Plan Approval
Size
Material Type # Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
$0.00 Permit Fees $990.00
Date
11/20/2002
[] Permit Voided j
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature Date
Agent/Owner
Address PO BOX 11767/2545 LARSEN RD GREEN BAY WI 54307 - 0000 Telephone Number 414-498-0400
10/07/2002 16:31 FAX 9204988136 T~EET/GAROT ~ECHICAL ~002
C~ of Osh~0~
~spection Services Div/sio~
Box 1130
Os~os~ ~ 549~-11~0
~ (920) ~o5o
(920)
Plumbing Permit Application
I hereby apply tbr a pcnuit m do ~uid instnl! ~ follow,ns plttmbing on the pf~sc3 hcrcin,~L~ dc~n$cd, the work 1o conform to thc
Wisceasin Slate Plumbing Code, b thc l~fformonce ofwbkii tgi pmti~ hereto agrcc to m~i are bomxl by said s~am~.
· AppUcafion(s) and ~ee(s) can be brought to City Hall, l~oom 205 or ~il~ m ~on S~, PO ~x 1128,
Os~o~ ~ 54~3-1128. Co~~ wo~ ~ ~s) wffi ~s~t m f~ ~g do~led ~ $1 ~.~ pl~ ~e
no~ ~t ~e, w~h ~r ~ ~.
OR
I[ you are a contractor ~rtlcipatinX in the Permit Fee Account Sygtem and have adequat~ fund~, check herz
Job Addren2__ D
Owner
' [~qlnglc Family [~uplex
E1Multi-Fmmily [~Rental J~JComnerchl [~[ndostrhl
Electric Confractor
Use I Natm'e of Work
__L_ ~ s~
Dip Well __: .... l~r/W$~ Sink
~, w~c SC W~b Fm
~ G~ T~p S~ R~
Installation Verification form attached
Storm Sewer ~"- 4' P~'C
Wa~-~ Servlc~ ~ - ~
10/07/2002 16:31 FAX 9204988136
TWEET/GAROT MECHICAL
~001
FAX TRANSMITTAL
Subject.:.
Date
Page 1 of
please FAX Your i;~,ply
the Following=
g'Jx]~g8-~l~ - For Bid
~21¥4~8.813~ - For Mai,
g21¥498.1142 - For Sheet Metal Shop