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OSHKOSH
ON THE WATER
Job Address 2300 GOLDEN AVE
PLUMBING PERMIT - APPLICATION AND RECORD
CITY OF OSHKOSH No 126210
Owner BARBARA J LANGKAU Create Date 08/10/2007
Plan
Contractor GARTMAN MECHANICAL SERVICES
Category 411 - Residential-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
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 #
0618240000
Use/Nature
of Work
Valuation
$600.00 Plan Approval
~
$0.00
$25.00 0 Permit Voided I
Permit Fees
Issued By
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 08/10/2007
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.
~UH,~"~2 0,07 ,},:: ~,7 . ~~.
city of Oshkosh
Inspcction Servioes Division
POBox 1130
Oshkosh, WI 5490J~1130
Pb.cme: (920) 236-50:50
Fax: (920) 236.5084
~
O!~078
ON rlo( W^TIiiIl
P.Ol/0l
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Plumbing Permit Application
I boreby apply for a pennit to do and ilUt:a11 the fonowing plumbing on the pre:mlllCS hereinafter desrnbed, th~ wQl1cto conform to the
Wisl<otlSin State Plumbing Code, in the performance of which all pa:rt.i.e& hereto agr~e t'O bd are bound by 811\cI statl.lte6.
. Application(s) and fee(~) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box. 1128j
Oshkosh WI 54903-1128. Commencing work without pennit(s) will result in fees being doubled or $100.00 plus the
normal permit fce, which ever is greater.
OR
;~ ~~: :::. ~ ,/,~; ';~.~~;;;~r;~~~".i~".:~ ~ ";. ':-:,: =~.. ~ "'. .., Sf ,'.m .., h.yo ad.... II r~, d,. <,,,i h.,.
Job Addr~ ~ . Value (In<>>l,, ""'"'' ~.....,)LPc::o .ct.:) nat.2Js.Jm-
~.r ~ _~_c co.traCIo.~S>0
~1ngle Family DDuplex DMultl-Family [)Rental DCommercial [JIndqstrlal
Number ofFixtuns;
Local WillOL~
Clothes Wshr
Bider.
B=-Tllp
CIBIISml Sink
SlIrpollM Sink
Bn:1lk."" !link
Dip Well
Him Bib!
DrinkFcn
We.{t.St.
l~ C1'l..,t
Ex~m Sink
Soull)' Sinlt
tea-no Sln)(
F prep Sink
Scrv Sink
1m Grcue Trap
Bxt Oreal!: TI'llP
R..P .z. VQlv4
Shamp Sln~
FJrIWSl Sink
Cllu:h Bu$i11
Wa;h Ft.n
Urinal
Qar Dnlin
SOUl! Di~"fl
Calfdc Maker
Comm. 1m: M.IcL'Jl'
Si It! !>ram
aoof Drain
Slandpltcc
Ilye WiWl Sin
Wtc S~ M"
Dcd~cl Me~
Wrr \l~8\\ Mus
Bllthll.lb
WhIrlpool
u'ValOT)'
Tollfl~
Res.llln\c
9adiln):
~r'-"
~ Heater _
~ CilIi W nleet t:l PwrVn!
ShClWl!\" __
illllCl1' DraSn
UIdr)' Tray
l..-h SInk
Pl&ll~ Sink
$~nllm'
Misc.
F'hmll'tl
Electric Contrador
Use I Nature of Work ~ ~.Q.,C L. (1
Size MaterlAl
DispOSlll
Dishwa~hllr
Sump Pump
Ejcclor/Crind
WaldT SuIlnet
OR ,DE-leemc Insta.llation Verifi~adon form attached
(If Itlsplallomcml)
Jai:. 0 ^ '--'h Q of-P':.A
Type
#
Conn. Type
Sarrit.ary Sewer
Storm Sewer
\0
lQ~
I ~ ~l/OS
Water ServIce