HomeMy WebLinkAbout2007-Plumbing (water heater)
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OSHKOSH
ON THE WATER
Job Address 723 WRIGHT ST
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
No
123210
Owner SAM LLC
Create Date 01/17/2007
Contractor GARTMAN MECHANICAL SERVICES
Category 411 - Residential-Water Heaters
Plan
Shower Water Softner Wait. St.
Floor Drain Local Waste Ice Chest
Lndry Tray Clothes Wshr Exam Sink
Disposal Bidet Sculry Sink
Dishwasher Beer Tap Hand Sink
Sump Pump Lab Sink Plaster Sink
Classrm Sink Sterilizer Surgeons Sink
Breakrm Sink Dip Well F Prep Sink
Ejector/Grind Drink Ftn Serv Sink
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature Duplex! (lower unit) Replace gas water heater. **DEBIT ACCT**.
of Work
Shamp Sink
Flr/Wst Sink
Catch Basin
Wash Ftn
Urinal
Standp Rec
Ice Maker
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Valuation
Issued By
Size
Material
Type
#
Conn. Type
$650.00 Plan Approval
a~
$0.00 Permit Fees
Parcel Id #
0500100000
$25.00 0 Permit Voided I
Date 01/17/2007
Sanitary Sewer
Storm Sewer
Water Service
In the performance of this work, I agree to perform all work pursuant to rules goveming 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 520 W SOUTH PARK AV
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 (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.
:-:AN-17-2007 11: 25 AM
i.,. '.. " v v I I · V "/1111
. .. .
city of Oshkosh
Inspoction ServIces Division
POBox 030
OMhkosh, WI 54903-1130
.P~one: (920) 236-5050
Pix; (920) 236-5084
III~peCllon serVices
P,01101
No, ~ /"3 / P.. 1 0
~ SOJ
o{EQ[8
Plumbing Permit Application
r hereby apply for a permit to do IUld install thl!J foUowina plumbing on rhe premises h~dnaltcr descr.ibed, t:M wotk: to conform to the
Wisconsin State Ptumhinl! Code, in the performance of which all,pllrtks heoreto agree to a.nd 8rIl bound by !lBiclllllltutCS.
· Application(s) and feces) can be brol.lght to City Hall, Room 205 or mailed to Inspection Services. PO .sox 1118,
Oshkosh WI 54903-1128. Commencing work without pennit(s) will result in feelS being doubled or $100_00 plus the
nonna1 permit fcc, which ever i:3 greater.
OR
:7:: ~~~: ,~7::;:;;;,;~':~~:,o:;1';o;; ~,::~':'W" A'c~",1 Symtf1 and h." ...g.a" wed" ch". hw
.rob Addr... '1d~~1 ht V.I.. o.'''''ms """"",..<ai.I,) \0 ::'0 00 D.t.J.\ d I) L
OmIer ~Qn.::,_ _ _b CODtncl.r ~"'~. r, =:
Dsmgi. FamDy -ijIPupl.. OMulll-FamiIy ~tlll OCommerdal
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OIndustrial
Number of Fixtures:
Batbluh
WhIrlpool
UVIlttlT)'
Tal lilt
Ra./iink
QIT'Slnk
""{.jcr !i;:ctcr -L..
J{ Gna LJ nJCIIlt i:l PwrV"l
llhoWtt
~lllQT Drain
--
l)/IIpOIA!
Dicl1Wlll1i'1llr
Sump PUrTIIl
Ejector/Grind
W~ l~r SuLlndr
Loclll W;u;t~
Cle>Lbc5 Wghr
Bidol
~"IW
Cl8Allln'n Sin II
Surgcll!l.ll Sink
2Tllllkrrn Sink
DipWClII
liON: I:\lbK
Orinkflm
Wa1t.Sl
ICI: C!1c:st
axlm Sink
SQlIlT}' Sink
H~nd Sink
F Prep Slllk
Scrv Sll1k
I"t GreMO TI'ap
Exl Grea~c 'I'mI'
R..f .Z, Valve
Shlunp Sink
FlrlWrit Sink
Camh bin
Wuh Fin
Urilllll
Clllr Onlin
SotJAi Di6jl
CO!ClIll him
COIMl_ lOll Maker
Silll~in
Roul DrAin
SlIndp R~c:
Byo Wa.sh Sin
Wlr Se__ M ITS
OndUOI M~
WIT" lISllg~ M tl'l
l..IIdry Trry
L.h SInk
Plull;lt ,sink.
SIllMlt'le:r
MI".
fltxtura
Electric Contractor
Vse I Nature of Work ~~ Qr e
OR . OEledrie Installation Verificlltion form attached
(If .k.lprACr:m1cnt)
l_.-6oJ--~^", ~1 SJthA
, . ,
..
Si2e
Material
Type
/I
Conn. Typo
P
0-
J) "J
\11' .
Sanitary Sewer
Storm Sewer
Water Servlce
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