HomeMy WebLinkAbout0101564 POSHKOSH
ON THE WATER
.lob Address 524 E PARKWAYAVE
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 0 Sump Pump 0
Site Drain 0 Classrm Sink 0
Roof Drain 0 Breakrm Sink 0
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner ALL AMERICAN INVESTMENTS LLC
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 101564
Create Date 05/16/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature SFR/Install power vented water heater.
of Work
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size
$800.00 Plan Approval $0.00 Permit Fees
Material Type #
Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
$20.00
Date
05/16/2003
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
Inspection Services Division
P O Box 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
O/HKO/H
ON 'r}.,ll~ WATIH~
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~ices, 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
If you are a contractor participating in ihe Pb~mi4 Fee Ac'co'u'ni S¥~'tem ~tn'd'havb '/td~e~u-a?~e-fun~i~,' 'chedk here
if you want this processed through Four account ~
Job AddressY')~q ~3, ~'~!'~ ~D_~'L~ Value (Including ~9~ a:d materials) ~'~'-D--~ Date~/~t~9/~"~
Owner ' ,~,~t~.fi,.fD ~ Contractor )~h~
~ingle ~Family ~Ouplex ~Multi-Vamily ~Rental DCommercial DIndustriai
', ':..t.'~: , ~ ~--. :~ ,- ,..:. ~ . - ~
Numbe~'0f Fixtures:
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
El Gas D Elect~PwrVnt
Shower
Floo~ Drain
Lndry Tray
Lab Sink
Plaster Sink
Sterilizer
Lndry Standp Dent. Oper. Shamp Sink
Disposal Dip Well FIr/Wst Sink
Dishwasher Drink Fm Catch Basin
Sump Pump Wait. St. Was~.?m
Ejector/Grind Ice Chest Urinal .~ -,
Water Sofmer Exam Sink Gar Drain
Local Waste Sculry Sink Soda Disp
Clothes Wshr Hand Sink Coffee Maker
Bidet F Prep Sink Ice Maker
Beer Tap Serv Sink Site Drain
Classrm Sink In t Grease Trap Roof Drain
Surgeons Sink Est Grease Trhp Standp Ree
Breakrm Sink
Electric ContractorC~-h~,~x ~--.
/ Nature of Work
F--]Electric Instalhi'tion Verificatidn form attached
(if Replacement)
Sanitary Sewer
Storm Sewer
Water Service
Size
Material
Type
Conn. Type
3/02