HomeMy WebLinkAbout0127431-Plumbing (water heater)
e CITY OF OSHKOSH
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1217 W SOUTH PARK AVE Owner ROBERT T/KIMBERLEY A BEST
Contractor GARTMAN MECHANICAL SERVICES
Category 411 - Residential-Water Heaters
-- - -
No 127431
Create Date 10/23/2007
Plan
Shower Water Softner Wait. St. Shamp Sink Coffee Maker
Floor Drain Local Waste Ice Chest FlrlWst Sink Int Grease Trap
Lndry Tray Clothes Wshr Exam Sink Catch Basin Ext Grease Trap
Disposal Bidet Sculry Sink Wash Ftn RPZ Valve
Dishwasher Beer Tap Hand Sink Urinal Eye Wash Statn
Sump Pump Lab Sink Plaster Sink Standp Rec Wtr Sewer Mtrs
Classrm Sink Sterilizer Surgeons Sink Ice Maker Deduct Meters
Breakrm Sink Dip Well F Prep Sink Gar Drain Wtr Usage Mtrs
Ejector/Grind Drink Ftn Serv Sink Soda Disp
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
ISFR TReplace gaswaterheater.~';;bEBIT At'cf"':
I
I
I
Size
Material
Type
#
Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Valuation __.___J~.~2:00 Plan Approval ~_.__.lO-,-QQ Permit Fees _._~_ $25.0Q D_r:'::'~'2:l~t..\i'.~~de~J
Issued By ~
____J
Parcelld #
1307220300
Date 1 0/23/2007
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
Date
Address 520 W SOUTH PARK AV
Agent/Owner
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 (Le. 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.
~CT-23-2007 09:52 AM
I~U v, I. LUUO II: V'ttiIVI
City of Osbkollh
TnspectiQ!:l Sorvices Divisi(,)JJ
POBox 1130
Oshkosh, WI 54903.1130
Phone: (920) 236.50S0
Pax: (920) 236.5084
P,Ol101
InspeCl Ion services
No,y/j/ ~,l
~aSQ)
O!ti~Qf8
Plumbing Permit Application
I lweby apply for a permit to do and install th~ following plumbing an the prcm1ses hen:inaft:cr deflCIlDed, the work to conform to thllI
WiIlconsm State: Plumbing Code, in the performance ofwbiob. dl pllrtics hereto agree l'O and !In': bOtmd by said statll~.
· Applioation(s) and fee(s) can bo brought to City Hall. Room 205 or mailed to Inspection Servioes, PO Box 11281
Oshkosh WI 54903-1128, Commencing work without permit(s) will I'C:Jult:in fees being doubled or $100.00 plus the
normal pennit fee, which ever is greater.
OR
~~:~: ~:6,,; r~~:~;:!;;~;':/:~~~ua:k7t;o~nt t::c::;;~ee ACC{l~nl~Y~'If!m and nava adequate! fU7Ids. check ~Brq
Job Address \~ \1 vU ~alue (InrJuding labar ,nd TnIIll:r1I1IN) ~losQ" Date~
Owner ~:h~~ Contracto.. )/J~
~ingle Family DDupJex DMulti-FamUy []Rental DCommerCial
DIndllstrlal
Number of Fb:tures;
Bathcull
Wb!rlpool
Lavlltm'y
Toilet
Res. Sink
BIn'Slnll:
T-
WatCll' Hcae;r _
")tl Gu u Eleut 0 PwrVnt
~~wer ~
PIQm' Drain
Lndry tray
l..an SInk
Plaster Sink
Strlrili~
Mis~_
Di8pollll DrinlcFIl'l Catch Basin
Dishwashllr WILle. St. WlUlhl1lr1
Sump Pllmp Ice t."hest Urinnl
EjectorlOrirltJ 8x!Lm Sink Oar l>nlin
WU!llf SUnm11' SOlllry Sink SolJu Dillp
I..ollill WiIJIW HallD Sink CoJ:fa; Makar
Ch>!bCl; Wllllr 17 Prep SInk Comm. I~ M.lccr
BiQot Sl;1V Sink Site Drsin
B__ Tap Int Ol'CMe I'l'llP Roof Drain
Cln~ilrm Sink 5XlGm5c TI'llP Slandp Rec
Sllt3cQn~ Sink. R.P,Z. Valva Eye WW Sin
Brtttdcrm Sink. Shamp Sink Wtr $;\Wr M IT1
DipWc:ll FlrlWst Sll\lc , Deduct M~trr1j
-
HClIm laib. Wtr lIsa8~ Mtr,
Ftxturo.
Electric Contraetor Q.R.. . DElectric Installation Veriflcation form attached
(If RcplacmnoTn)
Use I Nature of Work ~~ \o~l t. l-~~ A, \r\.Q.Q ~
Size
Ma.terial
Type
#
Conn. Type
Swta:r)' Sewer
Storm Sower
c.\~\
\~1
Water Service
UfoS