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OSHKOSH
ON THE WATER
Job Address 1322 POWERS ST
CITY OF OSHKOSH No 123695
PLUMBING PERMIT - APPLICATION AND RECORD
Owner SUSAN E ZABEL Create Date 03/06/2007
Plan
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
Use/Nature SFR/ REPLACE ELECTRIC WATER HEATER, EIV SIGNED BY SLIM'S ELECTRIC "check #8410
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
Size
#
Conn. Type
Material
Type
Sanitary Sewer
Storm Sewer
Water Service
$700.00 Plan Approval
~LJ
$0.00 Permit Fees
$25.00 D Permit Voided I
Parcel Id #
1507670000
Date 03/06/2007
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the
easement holder(s) and to secure any necessary approvals before starting such activity.
Signature
Address 520 W SOUTH PARK AV
Agent/Owner
OSHKOSH
WI 54902 - 6470 Telephone Number 920-231-5530
Date
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
~AR-06-2007 10:95 AM
City of OBhkosh
. 1......00 _ Dlvi,loo
:p 0 Box 1130
OllhkO$h, 'WI 5490.3~11~O
Phone: (920) 235--5050
Fax: (920) 236~5084
P. 0 1 /0 2 i
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Plumbing Permit Application
I he~by apply for l permit to do IWd install the folloWing plumb.lns on the ptemiAea be:rcinahe't d=acn'bed. t:M WQrk; to l;Onforro to the
. Wisconsm Shitc Plumbing Code. in the performance of which Elll pllttie& hereto agn:e to end or= bound by sllid statutes.
· Application(s) end fee(s) can bo brought to City Hall, Room 20S or mailed to I:nspection Services. PO .Box 1128.
OShkosh WI 54903-1128. Commencing work without pennit(s) will I'CIIUlt in fe~ being doubled or $100.00 pILlS the
normal permit fcc, which ever is greater.
OR
if;: ~~: ~~;~::;:;}},r:~~:;,;;~rr '!:.::;'Z!tfee 4"',,, S"',m .nn !m.d'q.." funds. eM '0"
. . $ ~,. t "J
J.bAddreo.\~<\POWtM VaI.e_~.r~)\OO-LXl D.t.~lQ,e
Owner &Clr\_ ~ Contractor ~ ~
pm,te Famny DDnple~ DMulti-Family []Rental OCommercia.l []Industrial
Number of Fixtures;
81lthwb
WtrIrlp(ll;ll
Ltvarmy
Tollo!
R.aI. Ninl<
ibrSlnlc ~~_..
Waltlr ~~ --.-!.--
CI Oll~ i\ ..Iecl I:l )'wrVn t
Shower _
Plom' Drain
-
Disposal
DishwlIShllr
SLlll1? .Pump
Ejec!ar/Orincl
Walm Su!\nllr
Lol:lll WCWtll
Clothl!w WI/hI-
Bidet
B=-Tlll'
C19.llllrTn Sink
S1lrfJOOIUj Sink
Bnllllarn Sink.
bip Well
HClRc alh~
CrlnkFm
Wlde-St-
IQ; CIlC8t
Sum Sink
SQlllrY Slnle
Hand Sink
F Prep SII\l(
Scrv Sln1<
Inl Grcu~ Tl'llp
Bxt CJfeQ4~ TIllIl
R.P .Z. VIlI...o
Shamp SinK
FlrfW51 Sink
Catch au.iA
Wa~b Tom
Urinal
Oar DnlLn
SOUl! Dill?
Colil!tl Milker
CClmrtl. 10= Makcr
Si!l: I:lrain
l'tolltDnrin
Sbrl4p k~~
E)'Cl Wun Sb'>
Wtr Scwa M tnI
Deduct Melrr.;
Wtr Usage Mil"
l...ndry TrI)'
I...ah Sink
PIas!Qr Sink
Sfol!rlll~
MisC!_
P1xtu1'Ol
Electric Conttaetor~..'~ ~
Use / Nature OfWor~a<,-~-"
.QE. Electric lnstallation Verification form a.tta.cbed
(If RaplaolllTlcnt)
oJJL~ C j ~A .~-P~
Size
Ma.terial
Type
#
Conn, Type
Setdmry Sewer
Stonn Sewer
Water Service
:ll/oS
MAR-06-~007 10:05 AM
P .02/02
;...' . .;. , .~
ale
CiI)I of'OdlIIoflo
DiYIdlm ofl.......lSIftoicIea
~li Cl\unIlI A_
J"O aoa 11;10
0IIlbIIh WI ~lJ]O
0IlIIe ~o.1)o.sMO
fa.. P~5Oi.
Electric InstallatJOD Verification
SLIM'S ELECTRIC INC.
(EJecirical Coutractor Nam~)
2608 Oakwood Circle Oshkosh WI 54904
(Address) (City) (State) (Zip Code)
) have been C01UraCted to perfann electric installation work for ~ ~ .0.n ~.1)
(Nameofpll1~o)
at the following addreas: \ "ho.9-~
(Address w.bcre work will be pctformed)
I (We)
!be nature of me work colUlists of: (Checlc One or De8cn"be the Nature of Work)
Reconneetion or new circuit for replacement Hea1ins Plant and/or AIC Condcmcr.
Rcoonnection or new circuit for replacement Blectric Water Heater or power vented. .
Wilier beater.
Recannection oftbe Serviu BDtraDce Cable. Meter Box, alterationlil to roceptacles
and lightms .fixtures duo to Biding IlOftlt inata1.la1ion. NGto: New Service
BntnmceCablCll wHl requtre a saparate permit.
Reconneetion or new circllit for me replacement of other permanently wired
~ appliances) fixtures.
New circuit for Ole a4c1itton of Ale to 811 tndMdtuJl dwelli.ng unit (house or the
individual iayatem8 in a duplex or condominium). mchuliq roquirt:d 8el'Yice
electrical outlets.
Olhc:r
..:l:-
-
The value oftbia work il S '00 ~-DO
I hereby verify this work will ~ perfonned by an employ"" of this company and fllrtber verify
the roconneotion I installation will be done in complilflCc with manufaoh1n!r lIl1d Electric code
roquircment.l!l.
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(Print Name ofOffi
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(Dat~ )
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