HomeMy WebLinkAbout0122791-Plumbing
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OSHKOSH
ON THE WATER
Job Address 754 W 20TH AVE
Contractor GARTMAN MECHANICAL SERVICES
PLUMBING PERMIT - APPLICATION AND RECORD
CITY OF OSHKOSH No 122791
Owner DEAN E OCHOWICZlJ M BURNS Create Date 12/05/2006
Plan
Category 411 - Residential-Water Heaters
Bathtub Shower Water Softner Wait. St. Shamp Sink
Whirlpool Floor Drain Local Waste Ice Chest Flr/Wst Sink
Lavatory Lndry Tray Clothes Wshr Exam Sink Catch Basin
Toilet Disposal Bidet Sculry Sink Wash Ftn
Res. Sink Dishwasher Beer Tap Hand Sink Urinal
Bar Sink Sump Pump Lab Sink Plaster Sink Standp Rec
Water Heater Classrm Sink Sterilizer Surgeons Sink Ice Maker
Site Drain Breakrm Sink Dip Well F Prep Sink Gar Drain
Roof Drain Ejector/Gri nd Drink Ftn Serv Sink Soda Disp
Misc.
Fixtures
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
~FR / REPLACE GAS WATER HEATER **debt acct
.
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
1408600800
Use/Nature
of Work
Valuation
$650.00
Plan Approval _____$0.00
$25.00 0 Permit Voided I
Permit Fees
Issued By ~I.....}
Date 12/05/2006
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
Address 520 W SOUTH PARK AV
Agent/Owner
OSHKOSH
WI 54902 - 0000 Telephone Number 920-231-5530
Date
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (Le. 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.
~C-O:0:f:;:: ~;, "~~"
::: Tll8pectioD. Services Divisiou
POBox 1130
~ Ollhkosh, W15490J.1130
r \ Phone: (920) 23&-50S0
Fu: (920) 236-5084
DEe \\ 5 2Q06 vl
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P.Ol/0l
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OTI!Q!B
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. Plumbing Permit Appl~cation
I hereby apply fOr ill permit to do and ilUtall the followina plumbing 011 the pre.roiBea bercmattCl' dtacn'hcd, thtit wotic: to conform to the
WiscOl\llm State Plumbing Code, in the performanco ofwbich all pa:rti.es hereto fiFe to and are bound by 31110 81'tute6.
. Application(s) and fee(s)can bo brought to City Hall, Room 205 or mailed to Inspection Services, PO 50,,1128,
Oshkosh WI S4903-l12S. Commen,ing work without pennit(s} will result in f4:ClS being doubled or $100.00 plus the
normal permit fee. which ever is arCi\.ttr. .
OR
;7~ ~n: ~~::;:;;:"d':~::::;.t; ~:,~:;~~.. A"'u~, Sy,t." ..4 ~... ad'Quat<< (nds, <Mom
Job Ad.dr'" 1":1-\ (0 C!O~ Val.. (!oob.d........r'..........) 1..o<sO.oo nate \ 0\5. l~
Owner ~.n l"')'SN")lOUV\ Contractor ~~
~SiDgle Famny DDnplex DMul!i-Famlly []Rental DComrnerciaJ []bdllstrlal
Number ofFixtpres:
(\ Bathtuh DlSpOAAI OrinkfiCri CQICh ~
WhIrlpool 1)whwa,bllr WJ1t. 51:. Wnsh Fin
lavalDr}' Slimp Pump rQl; Chc:s1 Urinlil
T gilDl IijcctorlOrincl B)I;llmSillk Oar Drain
Ra&.l>mk w~~ Sutlnllf SO\lII}' Sin1\: SolJll Dilp
ear Slnl( lAlcal WWlt~ Ham! Sink CoJI'ilD Milker
Walar Hl;lIlQ" -L-. Clol.bDK Wlthr F Prep Sink Cumm. ICll rvl.i<<lr
~ Ona U Elect D J'wrVnt Bidlll SClV SinK ~iltl Dniin
Shci~ _ 9wrill1l Int GNlsc Trap R\lUt DT.ill
f/loar DTatn ClllMlTl Sin1c. 5xt Clmw~ TI1IP SIUluP Reel
Utdry Tray Surgl!llftlt Sink R.P.Z. VAl.... ll)'D WNh Sin
1..a\1 Sin); 9l'1!IIkmt Sink. Shall~ Sink Wtr Sewer Mll'$
PlastCf Sink Dip Wall FlrlWst Sink Deducl Me=ni
SlIlnligQ' loIou aibK WIr Usasc Mtr,
Mise.
FIXture!
Electric COhtractor . OR DEJeetrlc Installation Verification form attached
.. . . (If RrtpI_oemant)
U'./Nal1lr..fW.rk~ ~.<CD) roA-~. l ~-I.J ^- \0. \l.~ '\
Sjze MMerlal Type #:.. Conn. Type
SanitlU}' Sewer
Storm Sewer
r
Water Service
;l.1/05