HomeMy WebLinkAbout0102606-Plumbing (water heater)OSHKOSH
ON THE WATER
.lob Address 1313 JACKSON 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 SHIRLEY B MATTOX
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 CIothesWshr 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 102606
Create Date 07/03/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature
of Work
Replace gas water heater.
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
$525.00 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
07/03/2003
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
Pax: (920) 236-5084
OffI-KOJ'H
Plumbing Permit Application
I hereby apply for a permit to do and imtall the following plmnbing on the premises hereinafter described, the work to conform to tho
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 Hatl~ 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
lf ¥o. are a contractor participating in the Perm~Fee Account System a~d have adeq~tat¢ fFnds, check here
i.~¥ott want this processed through your account
Job Adares~s /~a)i ~92D ~tC~L,r)(~'~ Value
Owner ~&WtC~ m~.(~ Contractor
~iagle Family ~Duplex ~Mnlti-Vamily ~Rental ~Commereial ~Indn~trial
Number of Fixtures:
Bathtnb Lndry Stendp Dent. Oper. Shamp Sink
Whirlpool Disposal Dip Well Flr/Wsl Sink
Lavatory Dishwasher Drink Fm Catch Basin
Toilet Sump Pump Wait. St. Was~m
Res, Sink Ejector/Grind Icc Chest Urinal ..
Bar Sink Water Sorrier Exam Sink Gar Drain
Water Heater [ Local Waste Sculry Sink S~da Disp
'~tGas ~ Elect [3 PwrVn~ Clothes Wshr Hand Sink Coffee Maker
Skewer Bidet F Prep Sink Ice Maker
Floor Drain B~er Tap Serv Sink Site Drain
Lndry Tray Classrra Sink Iht Grease Trap Roof Drain
Lab Sink Surgeons Sink ' Exl Grease Trap Slandp
Piaster Sink Breakrm Sink
Electric Contractor
(if Replacement)
Use/Nature of Work~.~OC-.~ [_~ ~ ~_
San:.tary Sewer
Storm Sewer
Water Service
O-R [-]Electric Installation Verificatidn form attached
Conn. Type
Size Material Type #
3/03