HomeMy WebLinkAbout0099789-PlumbingOSHKOSH
ON THE WATER
.lob Address 225 N EAGLE ST
Contractor GARTMAN MECHANICAL
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner BETHEL HOMEINC
Category 440- Industrial-Interior
Bathtub 0 Shower 0 Ejector/Grind 0 DipWell 0 F Prep Sink 0
Whirlpool 0 Floor Drain 1 Water Softner 0 Drink Ftn 0 Serv Sink 0
Lavatory 0 Lndry Tray 0 LocaIWaste 0 Wait. St. 0 Shamp Sink 0
Toilet 0 Lndry Stndp 0 CIothesWshr 0 Ice Chest 0 FIr/Wst Sink 0
Res. Sink 1 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 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 99789
Create Date 02/12/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature
of Work
Home / Remodel for pharmacy
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
$1,500.00 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
02/12/2003
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
F£B-12-2003 NEB 04:43
CiCy of Oshkosh
Inspection Services Division
P O Box 1130
Oshkosh, W! S4903-1130
Fax: (920) 236-5084
AI'I 61t5 Inc. c, "..'*' 9202310486 P, O1
Oj'HK H
O~ THE WATER .....
"'"' Plumbin Permit A lication
I hereby ai',ply for a ponnit to do and install 'lhe following plumbh:g on the premisc'a hereinafter described, the work to conform to the
Wisconsin Stale Plumbing Code, in the perfonmnce ofwhich all patties hereto agree to and are bound by said statutes.
Job Address
Value (~i-d~ I~or m~ mmr~a:sl I ,~'~.), C~.-.)
Contractor
r']Single Family ~]Duplex J-]Multi-Family
~]Rental ~Commercial r-Jlndastrlal.
Number of Fixtures:
Bathtub Lndry Standp D=nt. Opc~. ~lhamp Sink
Whirlpool __ Diapo~l Dip Well ~ FIr/W~ Sink
Lavatory Dishwasher ~ _ .... Drink Fin Cash Basin
Toilet Sump Pump Wail. gl, Wash Fin
Bas. Sink ~ Ej~.rlOrimt ~ Icc Ch~t Ur/hal
Bur Sink ~ Water Soflncr Exam Sink Oar Dcain
Wafer Hcawr I.o~ni Waste · Scut~ S~nk Soda Di~p
Shower Clothm~ Wshr Hand Sink Coffe~ Maker
Floor Drain ~ Bi4~t F Prvp Sink . Ice
Lndfy Tray D~r Tap ~rv Sink ~itt Drain
~ ,~ink _ __ Claasrm Sink inl Orea~e Trap .. Rc~f Drnin
Planlcr Sink Surge4ms Sin~k ~ Ext Grease Trap __ Slandp
Sterilizer Dr~lkrm gink
Electric Contractor
Use / Nature of Work \ ~.~
[3 EIV form attached (lfReplacemenO
Sizc Mat~iai TYt~ # Corm, Type
Sanita~7 Sewer
Stomz Sewer
App!ic.~tion(s) and fee(s) can be brought to City Hall, Room 205 or mailed 'lo Inspection Services, PO Box 112g, Oshkosh WI
54903-.112g. Commenoing work without permit(s) will reault m fees being doubled or $100.00 plus the normal permit fee,
which ever is greater.