HomeMy WebLinkAbout2003-Plumbing (rework drain)OSHKOSH
ON THE WATER
.lob Address 515 N SAWYER 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 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 EFRAIN J LOPEZ LLC
Category 440- Industrial-Interior
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 102155
Create Date 06/12/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature COMM/Delta Restaurant/LATE PERMIT - Reworking of drain piping.
of Work
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
$720.00 Plan Approval $0.00 Permit Fees
Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
$120.00
Date
06/12/2003
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
" " ba.
City of Oshkosh
Inspection Services Division
POBox 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
O,/HKOJ'H
Plumbing Permit Application
I hereby apply for a permit to do and inst~ll 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
/~,'o~: are a contractor participE~_.xD~g in the Perm't~Fee Account S;'stern and have adequate funds, check here
if vou want this processed through your account
Job Address ~\~ ~.x~. ~,~. }_ ~ ~ ~ Value (Including ,abqr and materials)
Owner Cou.actor
[--]Single Family [--[Duplex F-lMulti-Famdy [-']Rental ~Commercial
[--]Industrial
Number of Fixtures:
Lndry Standp Dent~ Oper; Shamp Sink
Whir~ool -- Disposal . Dip Well Flr/Wst Sink
Lhvatnry Dishwasher Drink Fm Catch Basih
Toilet Sump Pump Wait. St.
Res. Sink Ejector/Grind Ice Chest Urinal ....
Bar Sink Water Sofmer Exam Sink Gar Drain
Water lfeater Local Waste Sculry Sink Soda Disp
E Gas [] Elect [] PwrVnt Clothes Wshr Hand Sink Coffe~ Maker
Shower Bidet F Prep Sink Ice Maker
Floor Drain Beer Tap Serv Sink Site Drain
D~dty Tray Classrm Sink lnt Grease Trap Roof Drain
Lab Sink Surgeons Sink Ext Grease Trap Standp Rec
Plaster Sink Breakrm Sink
Electric Contractor O~R [-]Electric Instalhition Verificatidn form attached
(If Replacement)
Us~/, ~ture of Wor '~ A~3~ .
' Size M~i~erial Type
Sanitary Sewer ~ ' .
Storm Sewer
water Service
3/02
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