HomeMy WebLinkAbout0103729 POSHKOSH
ON THE WATER
.lob Address 215 N WESTFIELD ST
Contractor GARTMAN MECHANICAL
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner GABRIELS VILLA INC
Category 441 - Industrial-Water Heaters
No 103729
Create Date 08/27/2003
Plan
Bathtub 0 Shower 0 Ejector/Grind 0 DipWell 0 F Prep Sink 0 Gar Drain 0
Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 Serv Sink 0 Soda Disp 0
Lavatory 0 Lndry Tray 0 LocaIWaste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
Toilet 0 Lndry Stndp 0 CIothesWshr 0 Ice Chest 0 FIr/Wst Sink 0 Int Grease Trap 0
Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0
Bar Sink 0 Dishwasher 0 Beer Tap 0 SculrySink 0 Wash Ftn 0 RPZValve 0
Water Heater 1 Sump Pump 0 Dent. Oper. 0 Hand Sink 0 Urinal 0 EyeWash Statn 0
Site Drain 0 Classrm Sink 0 Lab Sink 0 Plaster Sink 0 Standp Rec 0
Roof Drain 0 Breakrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0
Use/Nature COMM/Replace gas water heater.
of Work
Size Material Type # Conn. Type
Sanitary Sewer 0
0
0
0
0
Storm Sewer 0
0
0
0
0
Water Service 0
0
0
0
0
Valuation $4,000.00 Plan Approval $0.00 Permit Fees $20.00 ~ Permit Voided
Issued By
Date
08/27/2003
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the
easement holder(s) and to secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address 520W SOUTH PARKAV OSHKOSH WI 54902 - 0000 Telephone Number
920-231-5530
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
Cily of Oshkosh
InspeCtion Serviee~ Division
POBox il30
Oshkosl~, WI 54903-1130
i~hone: (920) 236-5050
Fax: (920) 236~5084
ON THE WATES
Plumbing Permit Application
I hereby apply fei' a ~e~mit io do and install the following plumbing on the premises hereinafter described, the work Io conform to the
WisconSin State Plumbing Code, in the performance of which all pan'ies hereto agree to and are bound by said staimes.
· Application(s) and fee(s) can be brought to City Hal~ Room 205 or mailed to Inspection Sci'vices, PO Box 1 ! 28
Oshkosh Wi 54903-1128. Commencing work withoul p~rmit(s) will res;alt in .fees being doubled or $10e.00 plus the
normal permit fee, Which ever is greater.
OR
If ~on ~ p bb, h~¢to~ partict~a~in~ tP thg Permt~..F. ee ~ccount S~ste~;t pad have adeauate funds, check here
if you Wqf~ thts processed through ye, ur accouht I)~ --
~Si~le ~mfiy ~Daplex ~Mulli-Family ~Ee.l~l ~Commerclal--
~lndustrlai
NUmbet~ Of FiX/di'~: ' :~ ~ ..... ~ ......
Bathtt:~ Lndry ~tandp Dent. Oper. Shamp Sink
~trlli~OI '" ' Dish,al Dip Well FE~sl Sink
~l~ Dish~sh~ ~nk Fm Catch Basin
Sump Pu~ Wail. St. Was~m
Rcs. s~k Ejcclor/G~nd icc Chcsl U~nal .. .
Bar Sink Wat~ So~er Exam Sink Gar ~ln
G ~ Hgat~ [ ~al Waste Sculw Sink ~a Disp
as ~ El=ct D P~Vnl Cloth~ Wshr Ha~ Sink Coif= Maku
Sh6~f Bidet F Pr~ Sink Ice Maker
~d~ Tny Cla~ Sink Int ~se Tr~p R~f ~in
~b $1a~ Su~ns Sink Exl G~ase T~p Standp Rec
Plast~r Sink Brcak~ Sink
Sto~lJz6r
Electric Contra~tbr O,~R [--]Electric Installation Veriflcatidn form attached
(if Replacement)
ga~t~r~ ge~ei
Sto Se Vey
Water Service
Material Type # Corm. Type
3/03