HomeMy WebLinkAbout0101662 POSHKOSH
ON THE WATER
.lob Address 555ALGOMA BLVD
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 SHOREWOOD RENTAL LLC
Category 411 - Residential-Water Heaters
Ejector/Grind 0 DipWell 0 F Prep Sink 0
Water Softner 0 Drink Ftn 0 Serv Sink 0
LocalWaste 0 Wait. St. 0 Shamp Sink 0
ClothesWshr 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 101662
Create Date 05/21/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature MULTI-FAMILY/Replace gas 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 OBox 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
O.A--tKO/H
ON THC WATER
Plumbing Permit App!ication
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 Sei-vices, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without p~rmit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
][ ¥ou are a contractor participating in the Perrn~.ee Account System and have adequate funds, check here
i-[you want this processed throu£h your account gM
Value (Including labor and materials} ~.~).
F-lRental [-]Commercial
VateT , ./,q [ O:5
F-llndustrial
Number of Fixtures:
Baih~ub' ' " Lndry Standp Dent. Oper. Shamp Sink
Whirlpool Disposal Dip Well Flr/Wst Sink
Lavatory Dishwasher Drink Ftn Catch Basin
Toilet Sump Pump Wait. St. Was~tn
Res. Sink Ejector/Grind Ice Chest Urinal ,..
Bar Sink Water Softner Exam Sink Gar Drain
WRGer Heater Local Waste Seulry Sink Soda Disp
as I/3 Elect [] PwrVnt Clothes Wshr Hand Sink Coffee Maker
Shower Bidet 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 Tr,ap Standp Rec
Plaster Sink Breakrm Sink
Sterilizer
Electric Contractor O-R
(If Replacement)
u~e'?NatureofWork 0,.~}(~ ¢~9.~, ~k.~~L L,!~,
Sanitary Sewer
['-]Electric Installation Verificatidn form attached
Size Material Type # Conn. Type
Storm Sewer
Water Service
3/02