HomeMy WebLinkAbout0123435-Plumbing (water heater)
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OSHKOSH
ON THE WATER
Job Address 539 ALGOMA BLVD
CITY OF OSHKOSH
No
123435
PLUMBING PERMIT - APPLICATION AND RECORD
Owner SHOREWOOD RENTAL LLC
Create Date 02/07/2007
Category 411 - Residential-Water Heaters
Plan
Contractor GARTMAN MECHANICAL SERVICES
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher'
Sump Pump
Classrm Sink
Breakrm Sink
. Ejector/Grind
Water Softner
Local Waste
Clothes Wshr
Bidet
Beer Tap
Lab Sink
Sterilizer
Dip Well
Drink Ftn
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn..
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Wait. St.
Ice Chest
Exam Sink
Sculry Sink
Hand Sink
Plaster Sink
Surgeons Sink
F Prep Sink
Serv Sink
Shamp Sink
Flr/Wst Sink
Catch Basin
Wash Ftn
Urinal
Standp Rec
Ice Maker
Gar Drain
Soda Disp
SFRI Replace gas water heater. **DEBIT ACCT**.
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
0102960000
Valuation
Issued By
$650.00 Plan Approval
~
$0.00 Permit Fees
$25.00 0 Permit Voided I
Date 02107/2007
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the
easement holder(s) and to secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address 520 W SOUTH PARK AV
OSHKOSH
WI 54902 - 0000 Telephone Number 920-231-5530
To schedule inspections please call the Inspection Request line at 236-5128 nhting the Address, Permit Number, Type of
Inspection (Le. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
W- E~-07-}OO: O,3} 9, ,:.M",,,
City of Oahkosh
Inspection Sorviccs Division
POBox 1130 _
O$hkosh. WI 54903-1 no
Phone: (920) 236-$050
Fax: (920) 230..$084
1 113 vel l I U II S n V Ice s
P.Ol/0l
No. Y/j/ ~. 1
~
Q[ffQ18
as ()c)
Plumbing Permit ApplicatIon
I hereby apply for I. pmnit to do IllId install the foUowing plumbing on the ~ell b~t:ina.fter cU:gcribed, the wot'k tQ oonform to the
Wisconsin State Plumbing Code. in the perforrnanc" ofwwch all parties hereto ll.~ee to ~d are botmd by ~icl statutes.
· Applioation(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO .Box 1128.
Oshkosh WI 54903-1128. Commencing work without permit(s) will I'Cleult in feelS being doubled or $1 00.00 plus the.
normal permit fee, which ever is greater.
OJt
;~::: ~~: I~~;~::::;;:,':!~~?ti.~";o~; ~:c~7Ire A,ce'~' Sy",,, "nd 1m od'o.ote fM.d~, ~b~,~ h",
:'-::di~X~ ~~:;~::"~~SJt) Date ~l (~
DSingle FamUy DDupJex DMulti-FamIJy ~entaI DCommercial OrudqstrlaI
Number of Fixtures:
RalhrlJll
Whirlpool
t.valOl)'
ToflClt
Rao. sInk
8m Sln)e
EtCT Heater -1-
_ au u mllClt C PwrVm
8 _
PIoor Drain
!..nary Tray
Lab SInk
P~rSlnk
Slcrl1l!Cl'
Mise..
Fixtures
Electric Contractor
Dillpoilll
DiahWll$het
Sump.Pump
EjectOl'lOrllld
Wil1Alr Slillnlll'
Looal W IIA'!=
Clothll& W~ht
Bidet
Boon- Till'
Clll4lll1m Sink
Slll'Jlcgn~ Sink
Bnntlorn Sin"
DipWeU
l-IOIIC Bib~
DrfnleFII1
WI-Ie. Sr.
Ice Chl:8C
eXam Sink
SQulry Sink
Ha.nd Sink
F Prep Sink
s~ Sink
In! GNlUJe Trap
CK\ Oml!c Tl'llP
R.f.Z, VAlve
ShllJlIp Sink
fllrlWSl Sink
Cllleh BAsin
Wllih Fin
Urinal
Oat Drain
SQllllDi~
Clllr=c MH.km-
Cumm. loci M.I<:~r
Site Drain
Ruuf Drain
Standp Roc
Ilyo WlI!;h Sin
WIf SaM:'(" M Irll
Ollduct Mcl.l:r$ .
Wtr Usage Mlu
OR
. DElectrie Installation Verification lorm attached
(U ~r.MmllTlt)
Use / Nature ofWor
..
Size
Material
Type
#
Conn. Type
6
~t?J
1'o-1J
Sanitary Sewer
Storm Sewer
Water ServIoe
u/os