HomeMy WebLinkAbout0123635-Plumbing (water heater)
.'.'.
OSHKOSH
ON THE WATER
Job Address 1850 BOWEN ST
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
No
123635
Owner OSHKOSH HEALTH PROPERTIES L TD PRTNS Create Date 02/28/2007
Plan
Contractor GARTMAN MECHANICAL SERVICES
Category 441 - Industrial-Water Heaters
Bathtub Shower Water Softner Wait. St. Shamp Sink
Whirlpool Floor Drain Local Waste Ice Chest FlrlWst Sink
Lavatory Lndry Tray Clothes Wshr Exam Sink Catch Basin
Toilet Disposal Bidet Sculry Sink Wash Ftn
Res. Sink Dishwasher Beer Tap Hand Sink Urinal
Bar Sink Sump Pump Lab Sink Plaster Sink Standp Rec
Water Heater Classrm Sink Sterilizer Surgeons Sink Ice Maker
Site Drain Breakrm Sink Dip Well F Prep Sink Gar Drain
Roof Drain Ejector/Grind Drink Ftn Serv Sink Soda Disp
Misc.
Fixtures
Use/Nature
of Work
Valuation
Issued By
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
COMMI Replace 120 gallon electric water heater. EIV provided by Slim's Electric, "DEBIT ACCT".
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
1519410000
$5,500.00 Plan Approval
~
$0.00 Permit Fees
$25,00 D Permit Voided I
Date 02/28/2007
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the
easement holder(s) and to secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address 520 W SOUTH PARK AV
OSHKOSH
WI 54902 - 6470 Telephone Number 920-231-5530
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
FEB-28~?007 OS:20 AM
p, 02/02
0&
Ch~or~
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Electric InstallatloD Verlflcatlon
I (We)
The.nature of the work conti.t, of: (Check One or DeRcribe tile Nature of Work)
_ Reconnecti.on or new ciJ'cuit for rlilpllCClnmt Heating Plant anellor A/C Condcmcr.
~ Rcconnec:tion or new circuit for replacement Eleclrlc Water Heater or power VlllI1tcd
water heater.
Rcconncction oftbe Service Entrance Cable. Meter Box, altemtions to receptacles
an.dlighting fixtures due to siding / &GRit installation. Note: New Smvice
'Entl'1UJCe Cablca will require a separate permit.
_ Reconnection or new circuit for the repiaoom&m.t of other peanancntly wired
applilnces I fixtures.
New circuit for the ad4ition of AJC 10 antndwtduat dwtdling unit (house or tb=
individual .)'Items in a duplex or condomiDium). includiDg required service
electrical outlets.
OOn:r
The value of this work is$ \SC..IDQ
I hereby verify this worle wilt be performed by an employee of this company IU.ld tiuther verify
the reconnecdon I instaUation will be done in compliance with manufa::tum and Electric code
J'Clqwmncnu.
'-z&. ~vlL/A YR:J~/yf4
(Print Name of om
~a~Lm
(Date)
5102
YEB-28":2'007 .09: 19AM
.m., ,. "
__:_-_.-.-.-. .Y. - -
V City ofOBhkosh '
y' ,Inspection Services Diviaion
y POBox 1130
Oshl<oel\ Wl54.90J-IJ30
, P40ne: (920) 2.36-5050
Pax; (920) 236-5084
~.... '
J
'.
'. p.,' '01/02
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Q{B~9t8
Plumbing Permit ApplicatIon
thereby apply for a permit to do and intta11 the following plumbhlg onrhe premises he:relufu:r dellcn'bed, the work to ~onfarm to thci
Will~onsin Slate Plumbing Code, in the pC7:fo1Tl1llnc.e of which all parties hereto agree t\:lllnd en bound by said sta'tUtcG. .
· Application(s) and fce(s) can bo brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
.., Oshkosh WI '54903-1128. Commencing work without pennit(a) will Z'Osult in fece being doubled or $100.00 pILlS the
normal permit fee, 'Which evct is greater. .
OR , ,
ig;~ ~~~:,~~::;~;:.~~t~"~~; ~:,:~.. Ace'":' $xmm "N";av. ad"."" rUNdl. ,h,,~ om
Job Add.ress [gsn f.x:J\ovt-, Value ~ltJdiJIg blblll'lDUUIIlmlll.) S5tJCl' n.:> 'Date ~~""7
Owner >>t."..J.hp.~\ ~.i.. ' l1'Lt.ci :ct.,,{ Contractor G-fn'SL In. c .
OSingle Family ODuplex' OM~lti-FRmJly ORel1taI Wcommercial OIDdustrial
Number of Flli:tures;
BlIllullb
WhirIpoI)I
L.varory
Tgflll!
ReI. Slnk __...
Sat SInl:; __-.;
w..tm- He&~t -L
o 0tISl w1llCll:ltO PwrVnt
8hoW!!i'
PUll!!' Oniln
Uldry Tny
I..ab Sink
Pla$r Slnk ,
$tarlll~
Miic.
FtxMta
E~ctric Contractor
DIQj)DlII\l Drink I'm Catch Ba&iD
Pitlhwm:her WS.1lSt Wnllh Fin
Sump Pump l;~ C\l~5t Urinal
!je~torlOrlDcI . e.~lIITl Sink Oar Oniin
WlllllT SLll\:nclt SOIlIT}' Sin;; &l1l~Dirp
Lcelll W 1lMll: J-I4na slgk Com,~ MaMr
Clolhllll Wllhr 1t PI'llp SInk: Comm. IGel Maker
. Bidill Sm' Sink SHe Drain
B~TlIp IntGI'CU~ Tl'lIp Ruo! Drlill
CloHllTm Sink Bxt Ol":GIar.> Trap alMa;. ~
SIITJIIlO!1OlSink R.P.Z. 'VQJv, BY!' Wuh Sin
I:lTllllkrrn Sinlc' Shnlllp Sink Wtr ~wer MItrJ
Dip Willi FlrlWSI Sink DllduCl Metl!rl
Hofte aibK WtrUuF Mira
..s II t'l-'I s Ek.e..k,.
OR . DElectric lutaUation Verification form attacbed
elf RcpIBOmnonl)
Use I Nature of W orlc ' ~r k..u ~N! ~).-J- '
Sanitary Sewct
Stornl Sewer
Water Service
..
/bLO l/C,Ift... F /.cl' ..4'7 C- /4~.'r{I-.
,
Size
Material
Type
'Conn. Tj'p@
o
'6
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#
Ulos
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