HomeMy WebLinkAbout0101223-Plumbing (water heater)OSHKOSH
ON THE WATER
.lob Address 448 W 8TH AVE
Contractor GARTMAN MECHANICAL
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner KAREN Y HAWKINS
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 101223
Create Date 05/02/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature SFR/Replace power vented water heater. *EIV form from Beez Electric.
of Work
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
$800.00 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
05/02/2003
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
c O. c3 3
City of Oshkosh
Inspection Services Division
P O Box 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
OJ'HKO../H
ON THE WATER
Plumbing Permit Application
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.
· Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Se/vices, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without p6rmit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
If you are a contracto-r-parttctpattng tn the Pe~'i~ffee .~'~o~ni ~¥'~t'~' [,'n-d'[~a~,e ~d6'~U~t'~ le~nd~, ~'he~ h~'
Oe¥ou want this processed through your account III
[--]Single Family ["']Duplex
Value (Including labo~ and materials) ~
Contractor ~ -~~)r,~
[-]Multi-Family ['-]Rental I'-ICommercial
[-]Industrial
Number of Fixtures:
Bithtub Lndry Standp Dent. 0per.
Whirlpool Disposal Dip Well
Lavatory Dishwasher Drink Fm
Toilet Sump Pump Wait. St.
Res. Sink Ejector/Grind Ice Chest
Bar Sink Water Sofmer Exam Sink
Water Heater ~, ~ Local Waste Sculry Sink
Gas
Elect ~rwrVnt Clothes Wshr Hand Sink
Shower Bidet F Prep Sink
Floor ,Drain Beer Tap Serv Sink
Lndry Tray Classrm Sink Int Grease Trap
Lab Sink Surgeons Sink Ext Grease Trap
Plaster Sink Breakrm Sink
Sterilizer
Electric Contractor~,,~
Use/Nature of W0rk~~t~ (.A_~) } K_~~~O. ~'_,
Sanitary Sewer
Shamp Sink
FIr/Wst Sink
Catch Basin
Wash Fm
Urinal ,..
Gar Drain
Soda Disp
Coffee Maker
Ice Maker
Site Drain
Roof Drain
Standp Rec
O-R ([~Electric Installation Verificati6n form attached
\ %(If Replacement)
Conn. Type
Size Material Type #
Storm Sewer
Water Service
3/02
* 04/~/2003 21:13 9202317255 BEEZ ELECTRIC PAGE 02
Electric Installation Verification
(we) nc.. '___
52.1 W, 12th ,Oshkosh WI 5490_._~
have been contracted to perform electric installation work for Caamna~ Mechanie~_fl,
at the follow~ng address: 448 Sth StreW.
The nature of the work consists of; (Check One or Descr/be the Nature of Work)
[2
Re~onneotion or new ~ircuit for replacement Heating Plant and/or A/C Condenser.
tCeconneotion or n~w circuit for replacement Electric Water Heater.
Keconnection of thc Service Entrance Cable, Meter Box, alterations to receptacles and
llghtillg ftxtures due to sidir~ / soffit installation, Note: New Setwicc Bntrance Cables
will require a separate permit.
Reconnection or new circuit for o~her permanently wired appliances / fixtures,
The value of this work is $!50.0,0.
I hereby verify this work will be performed by au employee of this company and further verify the
recormection / installation will be done i~ compliance with manufacturer and Electric code
requirements.
(Sifll~ature of Company Officer)
~ 04/3010~