HomeMy WebLinkAbout0126775-Plumbing (water heater)
G
OSHKOSH
ON THE WATER
Job Address 545 ALGOMA BLVD
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
No 126775
Owner SHOREWOOD RENTAL LLC
Category 411 - Residential-Water Heaters
Contractor GARTMAN MECHANICAL SERVICES
Shower Water Softner Wait. St.
Floor Drain Local Waste Ice Chest
Lndry Tray Clothes Wshr Exam Sink
Disposal Bidet Sculry Sink
Dishwasher Beer Tap Hand Sink
Sump Pump Lab Sink Plaster Sink
Classrm Sink Sterilizer Surgeons Sink
Breakrm Sink Dip Well F Prep Sink
Ejector/Grind Drink Ftn Serv Sink
Bathtu b
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature Duplexl (lower unit) Replace gas water heater. "DEBIT ACCT".
of Work
L___..._._._._____.
Shamp Sink
FlrlWst Sink
Catch Basin
Wash Ftn
Urinal
Standp Rec
Ice Maker
Gar Drain
Soda Disp
Create Date 09/14/2007
Plan
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Size
Material
Sanitary Sewer
Storm Sewer
Water Service
Type
#
Conn. Type
Issued By
Valuation___$.650.00 Plan Approval ___.~.:QQ Permit Fees
Parcelld #
0102950000
~
$25.00 0 Permit Voided'
____~_~____ "~~_~_____._---.J
Date 09/14/2007
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.
!' )' \/lml JI"'"''''
II~ e, . 2UUB /: V~M}yj
City of Oshkosh
InspectiQl:l Services Division
POBox 1130
omkosh, Vv154903-113C '
Phone: (920) 236-$050
Fax: (920) 236.5084
/Ospecllon servIces
M ~/jl r. I ;)S"ou
~
Q{t!~Q1E
Plumbing Permit ApplicatIon
I hereby apply for It permit to do IlI\d insta.ll thi:: following plumbing Oil the prmliMcs hacin.after dellcn"hed, th~ worl( to conform to tM,
Willcowm State Plumbing Code, in the performaDce ofwhir;h all pe.tties hereto agree l.'O &.tlu an: bound by !laic IltAft.ltes,
· Application(s) and fee(s) can be brought to City HaU, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without pemrit(s) will result in fees being doubled or $100.00 plus tho
normal pel'T.l'\it fee, which ever is greater.
O~ ,
;i;~~ r::.:: ,~~:~::::;:.~':~~~::~";.~~ :::.~;;"~.~ A"D."I $:1""'/ and hm ad'q.a(, mud,. .hock am
.rob Addr"!.li!S ~ Value (In,,,,.. "",,-:-r;:"=: DateS ki I, ~ 01
Owner ~~__. CODtra~tor ~~~ - _
OSingle FamnyjBDuplex DMultl-Fam11y ~eDtaI OCommerciaJ OodllstriaJ [~l
Number of FixtufCS:
Bathtub
Whirlpool
Llvlll/;II")'
1Clilllt
R.c:s.!;ink
aar Sink
~~~ Hellwr ~
.9\.OtlH.I nlcut 0 PwrV1l1
St\Q1Wr _
jllaor ~111
Lndr}' Tray
Lah Sink
P1Alju;!!" Sink
S~rl11~
Mie=.
Ftxturos
Eleetr1c Contractor QE.
'(Jael Nature OrWOrk~ ~
Size Material Type
DiSpOMl
Dishwashar
SlIml'Pu/l1ll
!;jcclor/Otilld
WulClT Su[lmll'
Lo~l W~lt'
C\OlhC5 Wshr
Bidot
BClW Tllp
Clasrnn Sink
SIlTgaOnli Sink
8n!llktm Sink
PipWllJl
HeBe Bib~
!)rink FI:n
WI1t. Sl
1\lIlCh,c.:n
S~mSlnk
Sculry Sink
H.aod Sink
F Prep Sink
SCTV SInk
Int tJ~~o Trllp
Bxt GrelUC Tl'llp
1\..1' .z:;, VII1Vt
shOmp Sln1c
PlrlWm Sink
C:llch Basin
WagbFIn
UrinllJ
anr !)miD
ScUll Dbp
CoLfall Mllkar
Camm. lUll M.~r
Sile Drain
Rout Drain
SLanl!p Rcc
I!yc Wllih Sin
Wtr Sower M lT5
Deduct Me=lI:rO
Wrr UPSI: Mlrn
, DElectric Installation Verification form attached.
(If ItIlpIIlCllfl11!l11)
~Vutol~
Sanitary S~Wt'r
#
Conn. Type
Storm S~wer
([6
(J ~ 1
(/"
Water Service
n/os