HomeMy WebLinkAbout0127650-Plumbing (water heater)
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OSHKOSH
ON THE WATER
Job Address 823 BOWEN ST
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
No 127650
Contractor GARTMAN MECHANICAL SERVICES
Shower
Floor Drain
Owner BRIAN P BOUGHTON
Category 411 - Residential-Water Heaters
.._._..~_..._--------~--_.."-,.__.._------_._~--
Water Softner
Local Waste
Clothes Wshr
Bidet
Beer Tap
Lab Sink
Sterilizer
Dip Well
Drink Ftn
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature [SFR / Replace gas water heater. **DEBIT ACCT**.
of Work i
I
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
Wait. St.
Ice Chest
Exam Sink
Sculry Sink
Hand Sink
Plaster Sink
Surgeons Sink
F Prep Sink
Serv Sink
i
I
I
l_
Shamp Sink
FlrlWst Sink
Catch Basin
Wash Ftn
Urinal
Standp Ree
Ice Maker
Gar Drain
Soda Disp
Create Date 11/05/2007
Plan
Coffee Maker
I nt Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
----~------l
I
,
_ -.-...-.-,,----------.-...---... ._--)
Sanitary Sewer
Size
Storm Sewer
Water Service
Material
Type
#
Conn. Type
Pareelld #
1107070000
Issued By
$650.00 Plan Approval ____~:QQ
u_~____~
Valuation
Permit Fees
~___ $25.00 0 Pe!r:n~t..'!oid~~J
Date 11/05/2007
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
Date
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 (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.
~OV-05-2007 12:30 PM
IHV, I. .I.VVO II:V'tMI
City of OShkoBh
TmpectiQD. Sorvlces Divis1011
PO Bo" 1130
014blcosh, WI 54.9{)3-1130
Phone: (9.20) 236-5050
Fax; (920) 236-5084
In)pecllon services
P.Ol/0l
NU/(I)dS c::u
D{H~QlB
Plumbing Permit ApplicatIon
I hereby apply for a permit to do and in&ta.ll the: fellowing plumbing on ilie premillC'1I herdnafter drmen"bed, the worl< to I;onform to the
WiBc:onain State Plumbing Code, in the pmOITl1ll.nce of which all p~a hereto agt'l!:e LO end ere pound by gl1;d stotutes.
. Application(s) and fc:e(s) can be broLlght to City Hall.. Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128, Commencing work witbout permit(a) will result in fees being doubled or $100.00 pll.lS the
nonnnl permit fce, which ever ilj grea.teT.
OR
~;;: :::~: l'i.'i;~;:::;;::l:i~~u~~n:.~; t~:::~~~f ~CC"" $"1'" und bay, ad'gon(. fu.d', chocl h.,(
Job Address~ Value o-d"'''''nd~''''"' l 0"0 (X ) Dal.~
OwIler~ ~~ Contractor ~~~
~Single Famfly ODuplex DMulti-Family []Rental DCommercial DlndustrlaJ
Number ofFixt"..es;
9uthluh
Whirlpool
UVlItQry
Taill!lt
Rs.llln\(
allTlllnli:
WRiIlr licl~ I
~ Cl/l.a LJ Ela.:t ~l
Sho~ _
Pll107' Dram
Uu:l1y ltly
Lab Slnle
,.lqtorSInk
Slrlritb.:~
Misc.
Dlsp08111
nWlwa~her
Sump Pump
GjtJetorlOrind
WUlllr liW\ll11f
Lol.lal WlIlIL;
C\l>lhC5 Wllhr
Bidet
Billa' TAp
ClWiIlrn1 Sink
Sursogru; Sink
Bnllllarn Sink
DipWc:ll
HDlIC 13ib!
Orinkflm
Wll!t.St.
IDc Chest
Exam Stllk
5Qulry Sink
l'lallO Sink
FPrep Slnle
StTV SInk
lnL Grease TrIIp
OK\ Grease Tnlp
R.P.Z. Valve
Sbllmp Sink
Flr/Wn Sink
Calch BilIlin
Wllllh Ftn
Urlnal
Qar Dnlin
Si;lllu 1Ji~
CoITac Makar
CIlmm. 11lC Mlli:c:r
Sile Dmin
aoue Drain
9tandp R.lllI
Eye Wa&h Sin
Wlr $:,,,,,,,, Ma,
Ocducl Mc:lI:'I'l
Wtr Usage MtrB
ll1ttlllU
Electric Contractor
t.Jse I Nature of Wot'k ~ r1- ~
OR . DElectrlc Installation Verification form attached
(If Rllp IacDmMll)
\ U Q.J,~ t~ Q }-r,>,
Samtary SewCT
Size
Material
Type
#
Conn. Type
Storm Sewer
Wllter Service
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