HomeMy WebLinkAbout0099593-Plumbing (water heater)OSHKOSH
ON THE WATER
.lob Address 2719 SHOREWOOD DR
Contractor GARTMAN MECHANICAL
Bathtub 0 Shower 0
Whirlpool 0 Floor Drain 0
Lavatory 0 Lndry Tray 0
Toilet 0 Lndry Stndp 0
Res. Sink 0 Disposal 0
Bar Sink 0 Dishwasher 0
Water Heater 1 Sump Pump 0
Site Drain 0 Classrm Sink 0
Roof Drain 0 Breakrm Sink 0
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner RONALD J GRABNER
Category 411 - Residential-Water Heaters
Ejector/Grind 0 DipWell 0 F Prep Sink 0
Water Softner 0 Drink Ftn 0 Serv Sink 0
LocalWaste 0 Wait. St. 0 Shamp Sink 0
ClothesWshr 0 Ice Chest 0 FIr/Wst Sink 0
Bidet 0 Exam Sink 0 Catch Basin 0
Beer Tap 0 Sculry Sink 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 99593
Create Date 01/27/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature SFR/Replace 50 gallon gas water heater.
of Work
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size
$525.00 Plan Approval $0.00 Permit Fees
Material Type #
Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
$20.00
Date
01/27/2003
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, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
O/HKO/H
ON THE WATER
Plumbing Permit AP$1ication
I hereby apply for a permit to do and install the folloWing plumbing on the premises hereinafter described, the work to conform t° the
Wisconsin State Plumbing Code, in the performance of which all parties heretO agree to and are bound by said statutes.
Job Address ~r)~t.q .~2;~"',,/L?,...K~ Value (lncluding labor and, nmterials)~'~<'~*-~ Date }/~/Q~
Owner ~ ~fL~9~ Contractor .~%~f~A)Q ....
.~Sing!e Family~ F-IDuplex .. ['],~a~ti2~a~ily~ ~Rental []Commercial l-]Industrial
Number of Fixtures:
Bathtub Lndry Standp
Whirlpool Disposal
Lavatory ' Dishwasher ·
Toilet ; Sump Pump
Dent. Oper. Shamp Sink
Dip Well Flr/Wst Sink
Drink Ftn' ' :' ' ' :;" Catch Basin
Wait. St. Wash Ftn
Res. Sink ;::
Bar Sink;'?";
,
Scul~ Sink S~a Di~
Shower ~ Clothes Wshr Hand Sink Coffee Maker
Floor Drain ' ': , Bidet F Prep Sink Ice Maker
Lndry Tray Beer Tap Serv Sink Site Drain
Lab Sink Classrm Sink lnt Grease Trap Roof Drain
Plaster Sink Surgeons Sink Ext Grease Trap Standp Rec'
Sterilizer Breakrm Sink
Electric Contractor
Use / Nature of Work
EIV form attached (If Replacement)
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type # Corm. Type
ApPlication(s) and fee(s) can be i~i~0~i~i to City Hall, Room 205/;r'~a~i~d to Inspection Services, pO Box 1128, Oshkosh WI
54903-'. 128. Commencing work:qvlihb'h't permit(s) will result in fe~s' being doubled or $100.00 plus the normal permit fee,
which ever is greater. ~" ' ": ':
Check here if you want this processed throu?h your account ~