HomeMy WebLinkAbout0101418-Plumbing (water heater)OSHKOSH
ON THE WATER
.lob Address 1928 HUBBARD ST
Contractor GARTMAN MECHANICAL
Bathtub 0 Shower
Whirlpool 0 Floor Drain
Lavatory 0 Lndry Tray
Toilet 0 Lndry Stndp
Res. Sink 0 Disposal
Bar Sink 0 Dishwasher
Water Heater 1 Sump Pump
Site Drain 0 Classrm Sink
Roof Drain 0 Breakrm Sink
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner LINDA L STEINHILBER
Category 411 - Residential-Water Heaters
0 Ejector/Grind 0 Dip Well 0 F Prep Sink 0
0 WaterSoftner 0 Drink Ftn 0 ServSink 0
0 Local Waste 0 Wait. St. 0 ShampSink 0
0 ClothesWshr 0 Ice Chest 0 FIr/Wst Sink 0
0 Bidet 0 Exam Sink 0 Catch Basin 0
0 Beer Tap 0 SculrySink 0 Wash Ftn 0
0 Dent. Oper. 0 Hand Sink 0 Urinal 0
0 Lab Sink 0 Plaster Sink 0 Standp Rec 0
0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0
No 101418
Create Date 05/12/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature SFR/Replace gas water heater.
of Work
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
$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
05/12/2003
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
City of Oshkosh
plnSpecti°n SerVices DivisiR E C E I VE DO Box 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084 ~Ax~ ~ 2 2003
O/HKO/H
ON THE WATER
DEPARTA ENT O.F '_' ..
rm It ApPlication
I her:by 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 Sci-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 area contractor participating in the Permit Fee Account System and have adequate funds, check here
if you want this processed through your account ~
Job Addr~e~ ]~a ~ ~_,~/~ Value (Including labo~d materials) ,_)~'C~> -- Date~/~[C~
Owner ~qmc~O._. ?~ ~ Contractor_ ~_. ~)~ LI ~'T~(L~J~ ~ ~
~ ~;ngle~ Family [--[Duplex [--]Multi-Family [-]Rental [-]Commercial ~Indu~trial
N~,_mber of Fixtures: .....
Bathtub Lndry Standp Dent. Oper. Shamp Sink
Wl~irlpool Disposal Dip Well FldWst Sink
Lavatory Dishwasher Drink Ftn Catch Basin
Toilet Sump Pump Wait. St. Wash Ftn
Res. Sink Ejector/Grind Ice Chest Urinal
Bar Sink Water Sofmer Exam Sink Gar Drain
Water Heater ~ Local Waste Sculry Sink Soda Disp
XGas Clothes Wshr Hand Sink Coffee Maker
n l~w~vn
Elect
t
Shower Bidet F Prep Sink Ice Maker
Floor Drain Beer Tap Serv Sink Site Dram
Lnclry 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
[--]Electric Instaihition Verificatidn form attached
(lf Replacement)
Sanitary Sewer
Storm Sewer
Size Material Type #
Conn. Type
Water Service
3/02