HomeMy WebLinkAbout0125915-Plumbing (water heater)
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OSHKOSH
ON THE WATER
Job Address 1102 W NEW YORK AVE
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner VIRGINIA M SANDERS
Contractor GARTMAN MECHANICAL SERVICES
Category 411 - Residential-Water Heaters
Bathtub Shower Water Softner Wait. St. Shamp Sink
Whirlpool Floor Drain Local Waste Ice Chest Flr/Wst 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
No
125915
Create Date
07/23/2007
Plan
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
SFR / Replace gas water heater. **DEBIT ACCT**.
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
1204130000
Use/Nature
of Work
Valuation
$650.00 Plan Approval
~
$0.00
$25.00 D Permit Voided I
Permit Fees
Issued By
Date 07/23/2007
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 - 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.
!u L - 2 3 - 2 0 0 7 . 1: ,: ,~ 6 ,,~~ I "II'
City of OshJcosh
1nspeotion Services DivisiOtl
p 0 Bo~ 1130
Oshlcosh, WI 54903-1130
Phone: (920) 236.,50$0
Fax; (920) 236-5084
I II J ~ t; .. l I V II ~ ~ , v I t e s
P,01/01
I~o, ~/:JI r. 1
~. as:OL
O[N~9f8
Plumbing Permit Application
I hereby apply for a permit to do and install the following p1umbin2 on the premises bexe1natter dcscnbcd,. the WOn:t9 c;oDform [0 ~
Wisc;omb Srate Plumbing Code, in the prnoI1nlUlce of which &11 parties beteto agree tOlltitf on: bound by snid statU~.
· Application(s) and fee(s) can be brol.lght to City Hall, Room 205 or ma.iled to Inspection Services, POBox 1128)
Oshkosh Wl 54!103-1128. Commencing work without perrnit(,9) will result in fees being doubled orSIOO.OO plus the
nOl"IIl1l1 permit fee, which ever is greater.
OR
fJ::: ~r~ a c~;~:.ctor ~~rt~clD*~"ff.in tho P"~. "Jl..e Accollnt ~lIsttJm "11 d. kava atlft(/UiltflLU"d.!, Ch.SC!htlra
() at/II oCtJ,,;. t "';1( aur a~cou~1 .
. . .
. .
JDb Adcb-... i \~ <:~ Ml , ~ Value (!m......~-=l"? Dat~ .
~ne.. ~ ~ ~ ~~ CObt..actor..
lingle Family D:Ouplex []Multi-FamHy ORental DCommercial
OIndustriaJ
Number DfFbctllrcs:
8nlluLlh
WhltlpDDI
lirYUlTy
Toil"t
~.Slnk
BST Sink
~B~~&~~tokt
S~ __
PIClOr' Drain
I.ndr)! Tl'Iy
t..b Sink
PIQll;:r Sink
SIllr/liccr
Mlcc-
.JtIXtul'e1
Electric Contrattor
OispOAtll
Di&hwBdbllr
Sump Pump
E.ieG~orlOrind
Walat'SuIlner
Loclll Wll$ltl
CIOlhCG W~hr
Bi~l
Bcmr Till'
CIUIll'lTlSink
SIIfIlOOD.ll Sillk
Bmnlam SinK.
Dip Well
Hll~a albs
Drink Fill ClIlI:h B4sin
Wlltt.St WatlrFIrJ
Ice: Chc$1 Urinlll
Bum SInk a~r OnIin -
Scull')' Sinlt SOOu DiJltl
l1~nd Sill}; Caall~ Milker
F Prep SInk CCJITlm, lac MRkIll"
Slm' Sink Si I<! I>nlil\
lnt GrellSe Tl'ap itlll.1fDrsin
Ellt Gm,c Tl'l\p SlandpRcc
R...I'.Z. Valve IlYI! W~h Sin
ShAll'll' Sltlk Wtr ~ll_ MIt1l .
FlrlWm Sink Dlldllot Ml!lI!I"tl
Wit LJ~8g~ M Irs
OR . DElec:tJ'k Iutallfttion VeriflcatioD fDrm attached
(If ~1811emllnt.)
Use I Nature ofWorJ(
Size
Material
Type
II
Conn. Type
~\6
~0
\
SWfJlry SewCT
Storm Sewer
Water Service
U/05