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o CITY OF OSHKOSH No 123381
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 920-926 GREENWOOD CT Owner OSHKOSH HOUSING AUTHORITY Create Date 02/01/2007
Contractor GARTMAN MECHANICAL SERVICES
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Category 411 - Residential-Water Heaters
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
Plan
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Use/Nature RENTAL (924 GREENWOOD) / REPLACE POWER VENTED WATER HEATER .'debt acct
of Work
I
Valuation
Issued By
Size
#
Conn. Type
Material
Type
Sanitary Sewer
Storm Sewer
Water Service
$850-.:2Q \ Plan Approval
~\;V
$0.00
$25.00 D Permit Voided I
Parcelld #
1522910000
Permit Fees
Date 02/01/2007
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
AgenUOwner
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.
i YAN-31-200.1 D.~}~,~.~:",
City of Oahlrosh
Jnspoct:ion ServIces Division
. 'P 0 Box 1130
Oshkosh, Wl 5490:)-1130
Phone: (920) 236-5050
. .
Fax: (920) 236-5084
1 11 " ~ elL I U II ~ C I i I ~ C ~
P.Ol/01
I~C. Y/j/ r. I
~ (7.\-C:>::)
~ -
OCB~Q!B
Plumbing Permit Application
I hereby apply for a permit to do and irutB.ll tOO following plumb.lng on the premises hereinafter dCJ>CIlbed, the work; to conform to the
Wiscollllm. State Plumbing Cede, in the pcrfoITnlUl~ ofwbich &llpartie:s hereto agree to and 8I'~ bOWld by said statuteii.
· Application(s) and fec.l(s) can bo brought to City Hall, hom 205 or mailed to Inspection Services, PO Box 1128j
Oshkosh WI 54903-1128. Commencing work without permit(a) will result in feelS being doubled or $100.00 pll.lS the
normal permit fee, which ever is grcat!;f.
OR
~::: :~; ,'tt~::;~;:;~r;~~~~~"ffo~; ~:c~~~" Am""! $""" and have ad'q,a" f.,d" ""k b,,,
Job Addr... ~Oc\. ~UXj()Jcm' Val.. On<><d;"" "':nj~."*'.) l.'?,5n Q() Dat. I \V, \ m
Owner D~~ ~-~o~~lA..Q. Contractor "'{j).l.i\. ~n
DSlngle FamOy []Duplex) []Moltl-FamUy ~tltl []commerdal []Iodustria!
Number of Fixtures;
Bathtub
Whirlpool
l.t.....taT)'
Tlllhlt
Ra.llink
.9I11'Slnl1:
Wa!l:lr Hcal<::r "~
o OIlS U El~ PwrVnc
Sho~
FIIKW' Drain
Uidry Tray
l..all Sink
. PlaetQr Sink
S\llrfllll:~
Misc.
/illnures
Electric Contractor
Disposal
Di&hwllllh~r
Slimp Pump
Ejeclor/Or:ind
Wlll~r SuilnClI
I...acal WllJll~
C1QlM~ Wlthr
Bidol
9__TlI:p
ClflllmrJ Sink
Surgtlllnl Sink
Bratlkrm !link
Dip Willi
J.:lIlSC ajb~
DrllllCFm
W..IC. Sc.
lee c."CIR
Bx'lT\ 5111k
S"IlI\')' Sink
HAnd Sink
F t'rc:p SInk
Scrv Sink
1m G~41 Tr.Ip
EX! 0mI5C Trap
ltf .e:. Valve
Shalllp Sink
FlrlWfl Sink
Ci1cch BlII5in
Wllllh Fin
Urinal
Gar Dnlill
SoUIl CUp
ClliLlltl Mllkm-
Comm. Ice Milker
gj\ll DnIill
Rout Drain
Slandp Rile;
B)'ll WlI5h Sill
Wtr Sewer M 111
DedUCE MI:ll!:nl
Wtr l/SAS= MlrIl
Use / Nature of Work
Q ~_.pe Qc 1
QJ1. . DEJectriclnstallation Verifitlltion Corm attached
(11 ~lllol!t'l'lenl)
..
fJ )\ A W) ~J\ U 01 l-l )Qlli~ '--.~'- Q Ci;lc., _'1,
Size
Ma.terial
Type
#
Conn. Type
Sanitary Sewer
Storm Sewer
W~tl!lr Sf!t"\f!ce
11/05