HomeMy WebLinkAbout0123295-Plumbing (water heater)
., e'~ CITY OF OSHKOSH No 123295
OSHKOSH PLUMBING PERMIT-APPLICATION AND RECORD
ON THE WATER
Job Address 455 W WAUKAU AVE Owner KINGSBURY INC Create Date 01/24/2007
Contractor GARTMAN MECHANICAL SERVICES
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
Category 441 - Industrial-Water Heaters
Plan
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
INO/ Replace gas water heater. **OEBIT ACCT**.
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
1413620100
Valuation
Issued By
Shower Water Softner Wait. St. Shamp Sink
Floor Drain Local Waste Ice Chest FlrlWst Sink
Lndry Tray Clothes Wshr Exam Sink Catch Basin
Disposal Bidet Sculry Sink Wash Ftn
Dishwasher Beer Tap Hand Sink Urinal
Sump Pump Lab Sink Plaster Sink Standp Rec
Classrm Sink Sterilizer Surgeons Sink Ice Maker
Breakrm Sink Dip Well F Prep Sink Gar Drain
Ejector/Grind Drink Ftn Serv Sink Soda Disp
$1,100.00 Plan Approval
~
$0.00 Permit Fees
$25.00 0 Permit Voided I
Date 01/24/2007
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 (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.
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.. . City of Oshkosh
Inspection Services Division
POBox 1130
OlfhlcQsh, WI 54903~1130
Phone:: (920) 236-5050
.
Fax; (920) 236-5084
11I~~ML'llun SerViCes
P,01101
I~o. ~n/ . p, .1
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Plumbing Permit Application
I h~reby apply for a permit to do and install the following plumb.ll:1g on rht ptcmllle& hcn::inaiter d::rilcnbed. the work to oonform t~ the
Wisc;oosiu State Plumbing Code, in the pcrformanc~ of which till parties ht:reto 19ree to and are bound by sllir;i stlltl.lteli.
· Application(s) and fte(s) can be brought to City Hall, Rootrl 205 or mailed to Inspection Servicest PO Box 1128,
Oshkosh WI 54903-1128. Com.m~ncing work without pennit(s) will result in fees being doubled or $100.00 plus the
normal permit fecI which ever is grea.ter.
OR
~::: :::.: ~~;~:::~;~jr:~~~::~.;O~.t ~:.:;~<' A.....! Syrtom .od hm .d....1! (."s, ch.qA om
Job Addre!ls L\~j:J wG~~)Ull.1 Value C!lIl:llJdiIlllI.wor~~T1lIltl':Ti.,~ \\Oo..() U Date \~~\ 0-)
Owner \/v~ b.~JJ1'~L~ Contractor ~."J\*~k~..DJ\
DSingle Family DDuplex DMulti-Family OR.ental DCommercial ~Ddllstrial
Number of Fixtures:
8llrhtuh
Whirlpool
uvatmy
Toilllt
RctI;. Sink
t:J1tT Sinl( _.~__
W~~ HClltor -l-.
~ LJ nlcat 0 l'wt\lnt
llhawrr
Ploor Drain
Lnttry TrIy
Lab SInk
Pl~ Sink
Steri1i~
Misc..
FlXtIl*
DilipOSAl
DillhW:lsber
SlImll Pump
Ejllctor/Orind
W~Ill1' Suflnllf
LaCIII W;Uitt:
Cbllle~ Wlihr
Bidet
9__ Tap
ClallmM Smlt
SlIrwtEllUi Sink.
Bnmkrm Sink.
DipWoU
I-IOIU:: ai b~
Drln~1'1l'I Cateh Blulill
Wlllt.Sc. W~h Fin
Il;'C <"llcst Urinal
Exam Sink Oar ~n
Sculry Sink SoLi~ Disp
HJl.n" Sill\( CoJJ~" Milker
, Prep SInk Ccnmn. 1M M.~
Sl:'IVliinl<: Sile Dmin
1M 0t1:u~ Tnlp lW",f Draill
Bxt O~~g Tmp Stan<.lp kcc
- R..P.Z. VAlv. By<! WllI'.h Sin
Shamp Sink W cr SeWllr M h1I
FlrlWm Sink' DllCI~CI Mdl:r!i
Wr.r U&agc MtrJ
Electric Contractor
OR . DElectriclnstallotion VerificatJoJl form attached
(If RcpIBcemcrll)
Use I Nature OfWOrk~'-f1~_u.c.jI '.-75 ~o.._Q VLOJ (':P_~.b l,JjO-~'r~
l,,~.::t-Y.;"~/\
~\C~ ~r5
\\ ~~
. \ :f.
Size
Marerial
Type
II
Conn. Type
SWtary Sew~
Storm Sew~
Water ServIce
UfOS