HomeMy WebLinkAbout0101663-Plumbing (water heater)OSHKOSH
ON THE WATER
.lob Address 36 BROAD 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 1 Sump Pump 0
Site Drain 0 Classrm Sink 0
Roof Drain 0 Breakrm Sink 0
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner HOOPER COMMUNITY CENTER INC
Category 441 - Industrial-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 101663
Create Date 05/21/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature COMM/Replace electric water heater.
of Work
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size
$500.00 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
05/21/2003
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: (020) 236-5084
O/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.
Job Address'~
[--]Single Family [-"]Duplex
· 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
pormal permit fee, which ever is greater.
OR
.I_f :i,o,~ are a contractor participa.tin~ in the Perm(t Fee Account Sv?ern and have adequate_funds, check here
if you want this processed through Four account
Value (Including lab~an~d materials)~C'~'~..~.~
~L Contractor
[--[Multi-Family [---[Rental [~Commereial [--[Industrial
Number of Fixtures: [:'~'?~ ' ' :
Bathtub Lndry Standp .......... Dent. Oper. Shamp Sink
Whirlpool Disposal Dip Well FIr/Wst Sink
Lavatory Dishwasher Drink Ftn .. Catch Basin
Toilet Sump Pump Wait. St. Wash Ftn
Res. Sink Ejector/Grind Ice Chest Udnal
Bar Sink Water Softner Exam Sink Gar Drain
Waler ttxe~Ier ~ Local Waste Sculry Sink Soda Disp
Gas ~:lect~ [] PwrVnt Clothes Wshr Hand Sink Coffee Maker
Shower''~ Bidet F Prep Sink Ice Maker
Fl,,or Drain Beer Tap Scr¢ Sink Site Drain
L~dry Tray Classrm Sink Int Grease Tr~p Roof Drain
Lab Sink Surgeons Sink Ext Grease Trap Standp Rec
Plaster Sink Breakrm Sink
Sterilizer
Electric Contractor
Use~,~Natu e of Work
O-R [-]Electric Installation Verificatidn form attached
(If Replacement)
Sanitary Sewer
Size
Material Type # Coma. Type
Storm Sewer
Water Service
3/02