HomeMy WebLinkAbout0098720-Plumbing (water heater)OSHKOSH
ON THE WATER
Job Address 57 BAY ST
Contractor GARTMAN MECHANICAL
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner DANIEL H KRIZ
Category 411 - Residential-Water Heaters
Bathtub 0 Shower
Whirlpool 0 Floor Drain
Lavatory 0 Lndry Tray
Toilet 0 Lndry Stndp
Res. Sink 0 Disposal
Bar Sink 0 Dishwasher
Water Heater I Sump Pump
Site Drain 0 Classrm Sink
Roof Drain 0 Breakrm Sink
0 Ejector/Grind 0 DipWell 0 F Prep Sink 0
0 Water Softner 0 Drink Ftn 0 Serv Sink 0
0 Local Waste 0 Wait. St. 0 ShampSink. 0
0 CIothesWshr 0 Ice Chest 0 FIr/Wst Sink 0
0 Bidet 0 Exam Sink 0 Catch Basin 0
0 Beer Tap 0 SculrySink 0 Wash Ftn 0
0 Dent. Oper. 0 Hand Sink 0 Urinal 0
0 Lab Sink 0 Plaster Sink 0 Standp Rec 0
0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0
No 98720
Create Date 11/19/2002
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
0
0
0
O:
0
Use/Nature
of Work
IFPJ Replace water heater with
power vented heater. *ElY
form from Beez Electric.
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 $985.00 Plan Approval $0.00 Permit Fees $20.00
Issued By
Date 11/19/2002
[] 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 520 W SOUTH PARK AV OSHKOSH WI 54902 - 0000 Telephone Number
920-231-5530
City of Oshkosh
Inspection Services Division
P O Box 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
OJHKO/H
ON THE WATER
I hereby apply for a permit to do and install thc following plumbing on thc premises hereinafter described, thc work to conform to thc
Wisconsin State Plumbing Code, i~ phc performance of which all parties kereto agree to and arc bound by said statutes.
Job Address ,.~'~ ~ Value (Including laborandmatcfials) q'~.~2 ~
~Sin~le Family ~D.plex ~,,ulti-Family ~Rental ~Commercial
Date
r-~Industrial
Number of Fixtures:
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink : ~ ~-,~,.
Water Heater
Shower
Floor Drain
Lndry Troy
Lab Sink
Plaster Sink
Sterilizer
Lndry Standp Dent. Oper. Shamp Sink
Disposal Dip Well Flr/Wst Sink
Dishwasher Drink Ftn ' Catch Basin
Sump Pump Wait. St. Wash Fm
' Ejector/Grind . Ice Chest ~. .. .Urinal,.
- ' ......... ~WaterSofiner, ' ' '. '. ~, , ExamS[nk~ ~ , ,: ' G~rDrain .: '~ ,-: .... ',,
Local Waste Sculry Sink Soda Disp
Clothes Wshr' . . Hand Sink . .: Coffee Maker
Bidet F Prep Sink Ice Maker
Beer Tap Se~v Sink Site Drain
Classrm Sink lnt Grease 'Imp Roof Drain
Surgeons Sink Ext Grease Trap Standp Rec
Breakrm Sink
Electric Contractor
Use / Nature of work~-'~~, ~ ¢
OR
~x~EIV form attached (If Replacement)
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type # Conn. Type
· Application(s) and fee(s) can be brough~ to City Hall, Room 205 or mailed tc- Inspection Services, PO Box 1128, Oshkosh WI
54903-1128. Commencing work .w. itb:q~,t permit(s) will result in fees being doubled or $100.00 plus the.normal permit fee,
which ever is greater ......
OR
Check here i~f' you want this processed 'tt~r.3ugh your account ~