HomeMy WebLinkAbout0098743-Plumbing (water heater)OSHKOSH
ON THE WATER
Job Address 201-207
E CUSTER AVE
CITY OF'OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner WINNEBAGO COUNTY HOUSING AUTH
Contractor GARTMAN
MECHANICAL Categow
411 - Residential-Water Heaters
Bathtub 0 Shower 0 Ejector/Grind 0 DipWell 0 F Prep Sink 0
Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 Serv Sink 0
Lavatory 0 LndryTray 0 Local Waste 0 Wait. St. 0 Shamp Sink 0
Toilet 0 LndryStndp 0 Clothes Wshr 0 Ice Chest 0 FIr/Wst Sink 0
Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0
BarSink 0 Dishwasher 0 BeerTap 0 SculrySink 0 Wash Ftn 0
Water Heater 1 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 98743
Create Date 11/20/2002
Plan
Gar Drain 0
Soda Disp 0
Coffee Maker 0
Int Grease Trap 0
Ext Grease Trap 0
Use/Nature SFR/203~ Replace gas water heater.
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 $450.00 Plan ApProval $0,00 Permit Fees $0.00
Issued By
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 520W SOUTH PARKAV OSHKOSH WI 54902 - 0000 Telephone Number
920-231-5530
City of Oshkosh
Inspection Services Division
P O Box 1150
Oshkosh, WI 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 permit to do and install the following plumbing on the premises hereinafter described, the work to conform to the
Wisconsin__, in ~e performance of which all parties hereto agree to and are bound by said statutes.
Job Add~gsg X?~~, Value (Including lab°r ired materials)~~~A ~ (~Y''~ Date [/ ./[ ~ ,/O~
Ow. r
Sing]e Family [--]Duplex k.) [-]Multi-Family ['-]Rental [--]Commercial [-hnaustrial
Number of Fixtures:
Bathtub lmdry Standp
Whirlpool Disposal
Lavatory Dishwasher
Toilet Sump Pump
Res. Sink Ejector/Grind
Bar Sink Water Softner
Water Heater i 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 Int Grease Trap
Plaster Sink Surgeons Sink Ext Grease Trap
Sterilizer Breaknn Sink
Electric Contractor ,(_~ OR
Use / Nat. re of Work , _ . ~.--~x~.~ ~ '--q ~x ~-~ L
RECEIVED
Dent. Oper. Shamp Sink
Dip Well
DrinkFm ~ 0-200~ FIr/WstSink
Catch Basin
..... _~_ash. Ftn
Ice Chest
Exam Sink
CO~ai,id~DEYELO?~r~,,~'
Soda Disp
Coffee Maker
Ice Maker
Site Drain
Roof Drain
Standp Rex
[] EIV form attached (If Replacement)
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-I 128. 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 ~,ou want this processed th.r~ouqh your account