HomeMy WebLinkAbout0098732-Plumbing (2nd fl)OSHKOSH
ON THE WATER
,;ob Address 2700 W 9TH AVE
Contractor TWEET-GAROT
Bathtub 0 Shower 0
Whirlpool 0 Floor Drain 0
Lavatory 0 Lndry Tray 0
Toilet 0 Lndry Stndp 0
Res. Sink 1 Disposal 0
Bar Sink 0 Dishwasher 0
Water Heater 0 Sump Pump 0
Site Drain 0 Classrm Sink 0
Roof Drain 0 Breakrm Sink 0
CITY OF OSHKOSH
PLUMBING PERMIT* AI~Pi' ICATION AND RECORD
Owner MERCY MEDICAL CENTER OSH INC
Category 440 - Industrial-Interior
Ejector/Grind 0 DipWell 0 F PrepSink 0
Water Softner 0 Drink Ftn 0 Serv Sink 0
Local Waste 0 Wait. St. 0 Shamp Sink 0
ClothesWshr 0 Ice Chest 0 FIr/Wst Sink 0
Bidet 0 Exam Sink 11 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 0
No 98732
Create Date 11/20/2002
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature .~ommerciai/2nd floor N.-Mercy Oakwood Suite
of Work
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
Valuation $20,700.00 Plan Approval $0.00 Permit Fees $72.00
Issued By
[] Permit Voided
Date
11/20/2002
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
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
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 54903-1128. 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 Fou 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 Address2..~ 4~. ~ Value (Including labor and materials) ~ O, 7~}O.'~' Date
,/
[-]Single Family [-]Duplex
[-]Multi-Family
[-']Rental
j
[~]Commercial [-']Industrial
Number of Fixtures:
Bathtub Lndry Standp Dent. Oper. Shamp Sink
Whirlpool Disposal Dip Well FlffWst Sink
Lavatory Dishwasher Drink Ftn Catch Basin
Toilet Sump Pump Wait. St. Wash Ftn
Res. Sink I Ejector/Grind Ice Chest Urinal
Bar Sink Water Softner Exam Sink ~ ~ Gar Drain
Water Heate~ Local Waste Sculry Sink Soda Disp
r- Gas -- Elect 2 Pva'Vnt Clothes Wshr Hand Sink Coffee Maker
Shower Bidet F Prep Sink Ice Maker
Floor Drain Beer Tap Serv Sink Site Drain
Lndry Troy Classnu Sink Int Grease Trap Roof Drain
Lab Sink Surgeons Sink Ext Grease Trap Standp Rec
Plaster Sink Breakrm Sink -.-
Electric Contractor
Use / Nature of Work
OR
Sanitary Sewer
Stoma Sewer
Water Service
[--]Electric Installation Verification form attached
(If Replacement)
Size Material Type #
Conn. Type ].
3/02