HomeMy WebLinkAbout0099465-Plumbing (water heater)OSHKOSH
ON THE WATER
.lob Address 1012 TYLER AVE
Contractor GARTMAN MECHANICAL
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner R DUKE/LINDA M SCHNEIDER
Category 411 - Residential-Water Heaters
Bathtub 0 Shower 0 Ejector/Grind 0 DipWell 0 F Prep Sink 0
Whirlpool 0 Floor Drain 0 Water Soffner 0 Drink Ftn 0 Serv Sink 0
Lavatory 0 Lndry Tray 0 LocalWaste 0 Wait. St. 0 Shamp Sink 0
Toilet 0 Lndry Stndp 0 ClothesWshr 0 Ice Chest 0 FIr/Wst Sink 0
Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0
Bar Sink 0 Dishwasher 0 Beer Tap 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 99465
Create Date 01/16/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature DUPLEX/Replace gas water heater.
of Work
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
$450.00 Plan Approval $0.00 Permit Fees
Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
$20.00
Date
01/16/2003
Permit Voided
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address 520W SOUTH PARKAV OSHKOSH WI 54902 - 0000 Telephone Number
920-231-5530
City of Oshkosh
Inspection Services Division
P O Box 1130
Oshkosh, g'I S4903-1130
Phone: (920) 236-5050
Fax: (920) 236~5084
O/HKO/H
ON THE WATER
Plumbin Permit A : "lication
I hereby apply for a permit to do and install the following plumbing on the premises hereinafter described, the work to conform to the
Wisconsin State Plumbing Code, in the performance of which all parties hereto agree to and are bound by said statutes.
Job Ad4re$, iOJ,"'~ ~,,~%~& Value (mcludinglaborandmat~als)
Owner ~~. ~~j,_0_~ Contractor
~]Singfe Family ~Duplex [~]N~_. nlti-Family [--]Rental ~]Commercial
Date
E]Industrial
Number cf Fixtures:
Bathtub Lndry Standp Dent. Oper. Shamp Siak
Whirlpool Disposal Dip Well __~._ Fir/Wst Sink
Lavatory . Dishwasher TM ...... i Drink Ftu .,~ ~ ~~~ Catch Basin
Toilet ....... :~ SumpPump ' ~ ~~N ~- WashFtn
;'.,'-,-,¢~ ;:-~ 4 ,'.~ k ,, .~:/;:..,..r:..~.~ .* '. '- ..', b...,~.,,'.~.-'.',... ;,, · -,;- ~ ' ': , ' , , '' '
Bar Sin~'. . : '." ( . Water g0ft~ '...' ..... . ~xam Sink , ,-q[~% : . ...... - :::~ ¢ Gar Drain
Water Heater ' I Local Waste Seuh~l~
~laster Sink Surgeons Sin~ Ex~ ~se T~p S~dp R~
St~lizer Brea~
Electric Contractor
Use / Nature of Work ~ ~, ,k_~~'( )'~0~ O~ ,
OR FI EIV form attached (If Replacement)
Co.-tn. Type
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
* Appiicafion(s) and fee(s) can be br0U¢it to City Hall, Room 205 or mailed to Inspection Services, Po BoX1128, Oshkosh WI
..... ~21903- I 128. Commencing w6rk~w{thio~t permit(S) will result in fees being doubled or $100.00 plus the normal permit fee,
~liich ever is greater.
OR
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