HomeMy WebLinkAbout0100363-Plumbing (water heaters)OSHKOSH
ON THE WATER
.lob Address 1850 BOWEN ST
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 2 Sump Pump 0
Site Drain 0 Classrm Sink 0
Roof Drain 0 Breakrm Sink 0
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner HEALTH CARE PROPERTY PARTNERS
Category 411 - Residential-Water Heaters
Ejector/Grind 0 DipWell 0 F Prep Sink 0
Water Softner 0 Drink Ftn 0 Serv Sink 0
LocaIWaste 0 Wait. St. 0 Shamp Sink 0
CIothesWshr 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 100363
Create Date 03/24/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature COMM/Replace 2 water heaters. *ElY form from Beez Electric.
of Work
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
$8,000.00 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
03/24/2003
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 PARKAY 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
R CE V ED
O/HKO/H
ON THE WATER
Plumbing Permit. pplication
1 wm luna ?ARTM£ T OE described the work to confom to the
I hereby apply for a pe~t to do and Mstall ~e fol o ' g p ~~r~)~~ '
Wisconsin State Plumbing Code, M ~e perfomnce of which all pa~s ~~d~t are bo~d by smd statutes.
· 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
l~f_3ou are_ .a con_tractor participatin~._j__~n_th_e Per__mt_~_~F~c_~ dccount System and have adequate~funds, check here~
if you want this p/~Cessed through' ~our account [~\
Job Address ~,~_~ '~'~V~% Value (Including lab2n,,dmaterials) ~.~C.<*~.~f-~· (~ Date ~i[q~ tQ-~
Owner ~t'h ~(C~,.q ~r'~ Contractor ~ ~_,vf'L~_.t'Y"O.4~
]-']Single Family [--]Duplex r-]Multi-Family ['-]Rental '~Commercial [--]Industrial
Number of Fixtures:
Bathtub Lndry Smndp Dent. Oper. Shamp Sink
Whirlpool Disposal Dip Well Flr/Wst Sink
Lavatory Dishwasher Drink Ftn Catch Basin
Toilet Sump Pump Wait. St. Wash Ftn
Res. Sink Ejector/Grind Ice Chest Urinal
Bar Sink Water Softner Exam Sink Gar Drain
Water Heater c~ Local Waste Sculry Sink Soda Disp
XGas Clothes Wshr Hand Sink Coffee Maker
Elect
PwrVnt
Shower Bider F Prep Sink Ice Maker
Floor Drain Beer Tap Serv Sink ' Site Drain
Lndry Tray Classrm Sink Int Grease Trap Roof Drain
Lab Sink Surgeons Sink Ext Grease Trap Standp Rec
Plaster Sink Breakrm Sink
Sterilizer
Electric Contractor/~~/~ ~
Use / Nature of work ~~9~ ~
O-R [--]Electric Installation Verificatidn form attached
(If Replacement)
Sanitary Sewer
Storm Sewer
Water Service
Size Material
T~e # Co~.T~e
3/02
. · 03/i972003 23:51 9202317255 BEEZ ELECTRIC PAGE Bi
Electric Installation Verification
(I) (We) B~z Electrk:.J~._..
~21 W. 1.2.t:h Oshkosh WI
have been contracted to perform electric installation work for Oartman Mechanical,
at the following address: !850 BowenStr_e~!.
The nature of the work consists of: (Check One or Describe the Nature of Work)
Reconnection or new circuit for replacement Heating Plant and/or A/C Condenser.
Reconnection or new circuit for replacement Electric Water Heater.
Reconneetion oft, he Service Entrance Cable, Meter Box, alterations to receptacles and
lighting fixtures due to tiding / soffit installation. Note: New Service Entrance Cables
will require a separate permit.
Reconneetion or new circuit for other permanently wired appliances / fixtures.
The value of thiS work is S ! 5,,.0100
I hereby verify this work will be performed by an employee of this company and further verify the
reconnection / installation will be done in compliance with mamffacturer and Electric code
requirements.
(Signature of Company Officer)
.~ 03/20/03