HomeMy WebLinkAbout0100016-Plumbing (water heater)OSHKOSH
ON THE WATER
.lob Address 500 S OAKWOOD RD
Contractor GARTMAN MECHANICAL
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner MERCY MEDICAL CENTER OSH INC
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 100016
Create Date 02/28/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature COMM/Replaced gaswater heater.
of Work
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
$3,880.00 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
02/28/2003
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 Oshko-!.
Inspection Se~-~ :,:es Divis~an
P O Box 1130
'Oshkosh, WI :~'~ !i 'JO3-1130
Phone: (920) :, ;:. 5050
Fax: (920} 23d ~!;~84
..Plumbing Permit ApPlication
OJI. IKO/H
ON THE WATER
I hereby ~:.:jy for a permit to do and install the following plumbing on the premises hereinafter described, the work to conform to the
W;:,~ 'ansin State Plumbing Code, in the performance of which all parties hereto agree to and are bo. und by said statutes.
~Single F~aily ~Duplex ~Muiti-Family ~Rental ~ommercial
[-']Industrial-
Number of ~;Ixtures:
Bathtub Lndry Siandp Dent. Open Shamp Sink
Whirlpoo~:.~ .: .... Disposal Dip Well FIr/WsI Sink
lavatory Dishwasher Drink Fin
'~,I~,~ ~,~.~c ~-.~',j .:.,;.: . , v,: ...... , ~: ' ~ ..... ~.'~' .CatcliBasin
~ , Sump Pump
Toilet, ~,~r~:: ~,:,~.~.,. .... ..,~ ~._,.~> _, x .,~,~, ::: ~,_,~-,i~?/~'; r~ ',~-~ ,~ Wait. St. ': -'. ".x"~ '--'r'~ ~ ~,'WashFtn:
Res. Sink Ejector/Grind lee Chest t/dna{
Bar Sink Water Softncr
· ' Exam Sink Oar Drain
Water Heatei:, j~ Local Waste Scu{ry Sink Soda Disp
Shower Clolhes Wshr Hand Sink Coffc~ Maker
Floor Drain Bidet F Prep Sink lc~ Maker
ladry Troy Beer Tap Serv Sink Site Drain
l. ab Sink Ciassrm Sink Iht Grease Trap Roof Drain
Plaster Sink Surgeons Sink Ext Grease Trap Standp R~'
Sterilizer Breakrm Sink
Electr.;e Co~ ~-ractor
Use / Nature of Work
OR
Sanitary Sewer
Size Material Type #
Storm Sewer
Water Service
[] EIV form attached (If Replacement) i
Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128, Oshkosh WI
54903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the normal permit fee,
Which ever is greater.
OR
Check here if .y'ou want this processed t~rough your acc, ount_ ~