HomeMy WebLinkAbout0128021-Plumbing (water heater)
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OSHKOSH
ON THE WATER
Job Address 251 W 12TH AVE
CITY OF OSHKOSH
No
128021
PLUMBING PERMIT - APPLICATION AND RECORD
Owner PAUL D BERGER Create Date 12/03/2007
Contractor GARTMAN MECHANICAL SERVICES
. Category 411 - Residential-~~ter ..H_~~~~~_~_ Plan
Shower Water Softner Wait. St. Shamp Sink Coffee Maker
Floor Drain Local Waste Ice Chest FlrfWst 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 rlSFR TReplace gas water heater. **DEBIT ACCT**
of Work
Size
Material
Type
#
Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
0901280000
$25.00
Valuation.~__._~20.00 Plan Approval _.._~~_.OO Permit Fees
Issued By a~
Date 12/03/2007
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
AgenVOwner
Address 5..29.'!!. ~2UTH '=~B~!-V__.._.___ ()_~'::I!<()_S.I:!._._.__. '!'!L 5~9_~_ - 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.
IEC-03-2007 03:03 PM
. I .,
CitY of Oshkosh
~ JnspectiOtl ServIces Division
POBox 1130
Oabkosh, WI S4903.11~O
Phone: (920) 2:36-5050
Fax: (920) 236-S084
P.Ol/o1
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IW. ~,:) I r.
(I) ~ro
OfHKOJB
Ol~ r>tE WN!R
Plumbing Permit Application
I hereby apply tor a permit to do and instan the ful10wing pJ\lmbing an the premiile8 berc:i.rlafter descnbed., t:h.e work to conform to the
Wisconsin State Plumbing- Code. in the pcrforman~e of wIDell all paniell hereto agree l'O and an bOlU1d by sl!it;llltntute6.
· Applioation(s) and fco(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 112&,
Oshkosh WI 54903-.1128. Commencing work without pennit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
Job Addres&~ W I abk. Value (ltl~uclinchlborlll)e!1TIIl1::riBIB) [(;/)0 It'D
Owner MJ.A...Q ~~ Contractor ~.()
~JnBle FamUy []Duplex DMulti-FaD1ily {]Rental DCommercial
DateJ {)-/~ /67
[]Ill d Dsmal
Number of Fixtures:
Bntluub
Whtrlpaol
untmy
TellClt
!>i$plll4l1
Dishw~$her
Sump Pump
Ejec.lor/Crincl
WUlll1' SwLmlr
l:..clcIlIW;jj;I~
CIl>ilic1sW!:hr
Bidet
B__ Tap
Clu&'Tm Sink
Sl.lTgc:ons Sink
Brcakrm Sink
DipWQIl
I-lll"e. alb~
Drll'lk Fin
Wlllt.St.
Ice t11l;,t
E.~.IT\ Sink
5~\Ilry Sink
Hll1Id Slnlc
F Prep Sink
Scrv Stille
Int am.&~ TI'i1p
Ex! al'CQ,~ Tmp
lU'.Z. Vlllv~
Shamp sink
FlrlWS! Sink
C~tch BAsin
W~~h Ftn
Urin~l
Onr DnaiIl
lias. ~Inl<
flar Siln'l(
Walllt Hc:elCr I'
t)tCills U E.lcl:!: CI PwrVnt
ShCl~
FIOIlI" Onin
LndryTray
l..ab Sink
PIR.llef Sink.
S~r111~~
MtSQ.
.FfXt1.lnlJ
Electric Contractor OR , OElectric Installation Verification form attacbed.
(If R.J:plllllt!TTllll'lt)
t1se/NatureofWork. ~.L ~~ ~h..'\.
SolluDi!lp
Cof[e~ MlIkllt
C",mm, 111= Milker
gil~ Dram
Roof Onin
Sllltll.lp kaa
Ilye Wuh SlI'I
Wb' !\ll~ MlJ'1l
D=d\Jct M~ll:I1;
Wrr tl:oagc Mers
Size
Material
Type
#
Conn. Type
Sanitary SewCT
Storm Sewer
Wl1ter Service
UfOS