HomeMy WebLinkAbout0098741-Plumbing (water heater)OSHKOSH
ON THE WATER
.lob Address 1251 WESTERN ST
CITY OF OSHKOSH
PLUMBING PERMIT'- APPLICATION AND RECORD
Owner JOAN B STIFF
Category 411 - Residential-Water Heaters
Contractor GARTMAN MECHANICAL
Bathtub 0 Shower 0 Ejector/Grind 0 DipWell 0 F Prep Sink 0
Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 Sen/Sink 0
Lavatory 0 LndryTray 0 Local Waste 0 Wait. St. 0 Shamp Sink 0
Toilet 0 LndryStndp 0 CIothesWshr 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 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 9874'1
Create Date 11/20/2002
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
rFP,/
Use/Nature
of Work
Replace gas water heater.
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 $20.00
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 520 W SOUTH PARKAV OSHKOSH WI 54902 - 0000 Telephone Number
920-231-5530
City of Oshkosh
Inspection Ser,4ces Division
P O Box 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
OJt--IKO/H
ON THE WATER
lumb n Permit A ' 'hcatlon
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.
Owner ~2_~~ Contractor ~~
[-~ingle Family i-qDuplex I--]Multi-Family ['-]Rental [-]Commercial
Date
[']Industrial
Number of Fixtures: R CE VED
Bathtub Lndry Standp Dent. Open Shamp Sink
Whirlpool Disposal .,. Dip Well 'NOV 2 00~0,0 Flr/Wst Sink
Lavatory Dishwasher Drink Ftn Catch Basin
Wait. St. DEPART r Wash
Toilet ,.~..:.:. ....... .. Sump Pump ~;~'.~_,' ~'~'~~M~"-'~",~- .. , ,~'~:~,,,~.'.';, ,.::~i,; ........
Res. Sink . L-., :','[,,' t ',' "t~* ~*~';'-~'~"' ", ~EJect°tlGHfiS';J-xs:3~':;'':r~'~ ,":'-~fi .r.~.~..;:-:~% '!.~
Water Hinter j ~ml Waste Scul~ Sink S~a Di~
Shower -7; ~:~ O~this WsfiF ~a~d Sink" Coffee Mak~
Floor ~Jn Bidet F Pr~ Sink Icc Mak~
~d~ Troy Be~ Tap Se~ Sink Site ~in
~b Sink Class~ Sink In/~e~c Trap R~f ~in
Plaster Sink Surgeons Sink ~t ~e Trap S~ndp
St~liz~ Brea~ Sink
Electric Contractor ~'~ ~
Use / Nature of Work
EIV form attached (If Replacement)
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type # Conn. Type
o., Application(s) and fee(s) can be brought'to City Hall, Room 205 0i:i:/ihii~d to Inspection Services, V~)~'~0:~ i 128, Oshkosh WI
-- 54903-.1128. Commencing work withom permit(s) will result in feesbeing doubled or $100.00 plus the noml permit fee,
wan~ this
,..; which ever is greater.
OR
Check here if you
processed throuqh your account