HomeMy WebLinkAbout0128090-Plumbing (water heater)
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OSHKOSH
ON THE WATER
Job Address 1495 W SOUTH PARK AVE Owner NOR-AM INC
CITY OF OSHKOSH
No
128090
PLUMBING PERMIT - APPLICATION AND RECORD
Create Date 12/07/2007
Contractor GARTMAN MECHANICAL SERVICES
Category 44 ~~n9~_s_tri~!-YV~ter He_~te!~~__________ Plan
Bathtub Shower Water Softner Wait. St. Shamp Sink Coffee Maker
Whirlpool Floor Drain Local Waste Ice Chest FlrlWst Sink Int Grease Trap
Lavatory Lndry Tray Clothes Wshr Exam Sink Catch Basin Ext Grease Trap
Toilet Disposal Bidet Sculry Sink Wash Ftn RPZ Valve
Res. Sink Dishwasher Beer Tap Hand Sink Urinal Eye Wash Statn
Bar Sink Sump Pump Lab Sink Plaster Sink Standp Rec Wtr Sewer Mtrs
Water Heater Classrm Sink Sterilizer Surgeons Sink Ice Maker Deduct Meters
Site Drain Breakrm Sink Dip Well F Prep Sink Gar Drain Wtr Usage Mtrs
Roof Drain EjectorlGrind Drink Ftn Serv Sink Soda Disp
Misc.
Fixtures
UselNature ICOMM (Americlnn) / REPLACE NG POWER VENTED WATER HEATER, EIV SIGNED BY WITZKE ELECTRIC '*debt acct -l
of Work
Size
Material
Type
#
Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
1307440200
Valuation $6,000_00 Plan Approval ____~.OO Permit Fees
Issued BY~
$25.00 0 Pe~~i~~~~cjJ
Date 12/07/2007
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 PARKAV
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.
~EC-07-2007 11:30 AM
clD e c. 7, 2007 9: 37 AM
Inspei;t\on Services Division
P 0 60x 1130
Oshkosh, Wl 54903.1130
Phone: (920) 236-5050
Fa: (920) 236.S0S.t
',."
''''~
~~QtD
P.01/02
I ~l)l_)
inspediJn &uv\,;es
Plumbing Permit Application
1 hereby apply for II plllfrnit to do lint! insIB.1I [he following plumbing on the premise~ hl:n:inaf't.er described, the work (0 conform to the
Wisconsin State rlumbin~ Codll, in the performance of which all parties hertlto a.!lfm: tl,) and are bOlmd by aald statutts.
. Appllc8tloJ1(s) and fee(s) can be brought lO Cif}' Hall, Room 205 or mailed to [nsp~clion Services, pO 130)( 1128, Oshkosh WI
54903-1128. Commencing work without permlt(s) will result in fees being doubled or $100.00 plus the normal permit fee, which
ever Is greater.
01\
~. ." '..EJ1J,Iru,,", pori" ,oa,ing jn r...p"m~.' A co, _oj $,,,,.. an4 '~d.wPJf!.JiJnd" .h,c..b.u<
iLJl.rJ..<<..'Yi.f.I.lll thi~ prOr;8~'3ed rhrollfh yo.ur g,'C~1.Jn( -.
w* Advisory _ For applicable pr:Ojcctll, an Electrical Installa.tion Verification (EIV) form, signed by the Electrical
Contractor or Hom,eowner (fot installations allowed to b~e performed by the homeowner) mU!it be supmitted
with the permit a.pplication. Applica.tions submitted wlthout an EIV when such is -required, will not be
processed for Permit Iuuancc and will be retnmed for completion.
Job Addre.. \,\0.6 '::''1!~vaJ'- V ,10. ('00"'" 1~"::X_~"'i:"IJt~,Cl)
Owner ~ I\.J. ~ l..i\.l/\ Contractor ~
DSinK1c Family DDuplex DMulti-f'amily DRental ~Commerdal
Dlle_BW-m-
~--
OlRdu8trial
Number of Fixtures:
aldl1lub DisPQI~1 Drink FII'I Catcb Buill
Whirlpool Disbwagh.r W~it.St. Wub Fm
Lallftrory Sump Pump [C~ ChC:$l Urinal
Toller Ejector/Grind Exam Sink Gar Drftln
It~, Sink WBltr Softll;r Sculry Sink Soda Disp
aar Sink Local WaslQ H\\ild Sink Coffee Maker
w~~r f.+~!o' -r-- CIOlllCS Wsllr F rrcp Sink Comm. Ice f-1ak;r
, Gas Ll E1e~t ;:J PYlrVnl Bid!:r " ,.
Scrv Slnlt Site Drain
Shower Bel:! 'T'~p Int Qr~~c Trllp Roof Drain
Floc>r Dt'I\ill Classrm SInk EX! Grme Tl'llP Stand p !l. co
Lndry Tray Sllrgeons SInk R.P.Z. Vallie eye Wash Sin
Lsb Sink D:a3krm Slnk Shamp Sillk WIr Sewcr Mtrs
Plaster Sink Dip Well FlrlWs' Sillk Deduct Mctcn: .
StoriUzet HOlle Bibs Wtr US81l~ Mtrs
Misc.
f~~\
Electric Contractor (for projects not requiring Iln [IV Form) \ U~ l
lJ..IN.I....orwork~t.l.CJ. r.ol+t1'QJ ~f2 ~.t.i/\ ~~".'G.:b.A~
Size MaterIal Type # Conn. T)'pe
Sanitary Sewer
Sttlrm S~wer
, ,,',
Water Service
O~ /01
DEC-07-2007 11: 30 AM
p, 02/02
DEC. 7.2007 10:~~AM WI1LK~ ~L~LI~L~
ala
City llfOlYcoJh
PiYilI~1\ !If ~CIII8IrVI."
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Electric Installation Verification
I(we)~i ~~k6 S!eort;6 ::r:nC..
(Blectrigal ContraCtor Name)
155 ~', 'Pa~ Avenue.. {)sr,~Sh
(Address) (City)
.
\pJf 5J.f10 (
(Stf'te) (Zip Code)
havo been contraCted to perform el=ctric irwtallat:l,)n work. for ~.. r : "-. X II\. ~.
(Name ofparty oontracted to)
1'1 Cf ~. c,j, s. ~_ . -rQ..tL ~~~.
(Address Where work will be performed)
at the fcllQ'\,vinS addresa:
The nature cfthe work consists of: (~eck One or Describe the Nature of Work)
.Jieccnnection or new circuit for replacement HeaUna Plant and/or Ale CondP"'" ,.,r.
~ R.econnection or new circuit for rep.lacament Electric Water Heater or power vcmted
water heater. '
Reconnection of tho Servioe Entrance Cablo, Me1'f'lr Box, 8.ltora:tioI"~ to reccptagloa
and li:a.1ting fixtures due to siding I soffit installation. Note: New Service
Entrance Cablea wHl require a. separate permit.
_ Reccmnection or new Q1 cuit for the replacement of other ponnanently wired
appliance. I fix:turea.
New circuit for the addition of Ale to an Individual dw.mng unit (hoWle or the
individuallystems in a duplex or condominium). includinl required service
eleotrical outlets.
Other
,
The ~elUI of this work is 5-26
t ., \.
I horcby verify this work will be perfotmecl by an employee of this oompany and further vmify
the recormection I installation will be dODe in eomplianc,= with manufacturer and Electric code
requirem~t8.
~~~ ~Q~
- ~
(Sisnaturo of Co~an1'Offlcer)
I.'r'\ a\~
(Print Name of Officer)
)~_ ?r-otr
17-Ll
(D$te)
5102