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OSHKOSH
ON THE WATER
Job Address 1219 MERRITT AVE
Contractor GARTMAN MECHANICAL SERVICES
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
No 123380
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
UselNature SFRI Remodeling the kitchen* to include new cabinets and countertops. **debt acct
of Work
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
EjectorlGrind
L
Water Softner
Local Waste
Clothes Wshr
Bidet
Beer Tap
Lab Sink
Sterilizer
Dip Well
Drink Ftn
Owner LANE R EARNS
Category 410 - Residential-Interior
Wait. St.
Ice Chest
Exam Sink
Shamp Sink
FlrlWst Sink
Catch Basin
Wash Ftn
Urinal
Standp Rec
Ice Maker
Gar Drain
Soda Disp
Create Date 01/29/2007
Plan
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Material
Type
#
Conn. Type
Sculry Sink
Hand Sink
Plaster Sink
Surgeons Sink
F Prep Sink
Serv Sink
Sanitary Sewer
Storm Sewer
Water Service
Size
"
Parcel Id #
1100840000
$25.00 0 Permit Voided i
Valuation . $4,1 OO':J Plan Approval
Issued By t:5'YYJ l
$0.00 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
WI 54902 - OOOp Telephone Number 920-231-5530
Address 520 W SOUTH PARK AV
Agent/Owner
OSHKOSH
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.
!AN-31 ~.~O.O:. 1.:~3 ~,P,~"",
City of OBhkosh
Inspection Services Division
PO 'Sox 1130
Ol4hkosh, Wl54903-1130
.Phone: (92D) 236-5050
Faxi (920) 236.5084
I II ~ vel l I U II ~ ~ r v I C ~ S
No.~n I
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Plumbing Permit Application
I1weby apply for a pt:m'lit to do III1d install the following plumbing: on the premises hereinafter descrIbed, the work: to Qonfonn to the
Wisconsin State Plumbing Code, in the: pctfonnanee ofwmch ,.11 pllI'tks herel:(l agree to and are bound by said s~~te6.
· Appliolltion(s) aud fce(~) can be brought to City Hall, ROOIn 205 or mailed. to Inspection Services, PO Box 1128,
Oshkosh Wl 54903-1128. Commencing work without permit(s) will result in feci being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
1;;:; ~:~~~:n~:;,::;~t~::l~:~.~, ~:n::;'~" Anc0iJ11 S""M ..d hove a.,ua(, f.~dl. ,,"4 h."
JObAddrit~ ~(~. v~.ev.__~. "-"".)~~0'('i) Date--l\&'\~1
~.r . bQ COD lrac tor ' n\*'0
~1ngle Family DDupJex DMulti-FllmJIy OR.ental DCommercial DudustrlaJ
Number of Fixtures:
a.throb
Whirlpool
L..vamry
Toilet
Dlspollll
Dish Wll~lltlr
Sump PII/TJp
. Ej~ctO/'/Or:ina
K~~hlr0 W~lc!r sunn~t
Laelll WlIMtr:
--L
DrinlcF!Il
Wait, St.
1Qr: C'11C51
S.~llm Sink
5culry Sink
Ha.flclslnk
F Prep SInk
, Scrv Sink
1m OI'tlllC 'I'np
6~' Orellsc Tmp
R.P.Z, Valve
Sllamp Sink
PlrlWst Sink
,..~.......
Catch Sll~m
Wllgh Fin
Urifllll
ClIlr Drain
Sol.IH Di!lp
CO[{III! MlIKcrr
Ctlmm. Ille Maker
Si Ie Dnlin
RoorDrain
Standp Rce
Eye Wl16h Stn
Wtr SIlwer MlrIl
Ddducl MdI::r!i
Wrr 1I&ll9l: Mil',
--
RM.!ll"l(
~1Il'.sin)::
WltllT Hc:r.lCr
o cn.s u Elect [l 1'wrVflt
Sho\ftt
PloD!" ~In
CIl)LbC5 Wshr
BidoL
Bt:dI"T~p
Cl/l~1lrm Sink
SIITICDIIli Sink
2Tll1llcrrn Sink
Dip Well
HllftC aibx
U1dry Tl'ay
/A Sink
PllISlI::r Sink
Sltlrili~cr
MiSt!.
.F1Xtw'ta
Electric Contractor
OR . DElectrit Inltallation VerifitR(ion form attached
(11' 1Wplacemcmt)
.Use I Nature orworkf"l ~UJr\ \..;\S ){y\()c\ ~ -1\j pR.CJ. ( ~
Size
Material
Type
#
dv~\tu('~\~. ~
~~
Sanitary Sewer
Storm Sewer
CoJlJl. Type
Water Service
11/0$