HomeMy WebLinkAbout0128296-Plumbing (water heater)
e CITY OF OSHKOSH No 128296
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1772 SOUTHLAND AVE Owner ROBERT E INGIALD Create Date 12/28/2007
Contractor GARTMAN MECHANICAL SERVICES
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
Category 411 - Residential-Water Heaters
Plan
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
SFR / REPLACE GAS WATER HEATER **debt acct
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id #
1611080000
Valuation
Issued By
Shower Water Softner Wait. St. Shamp Sink
Floor Drain Local Waste Ice Chest FlrlWst Sink
Lndry Tray Clothes Wshr Exam Sink Catch Basin
Disposal Bidet Sculry Sink Wash Ftn
Dishwasher Beer Tap Hand Sink Urinal
Sump Pump Lab Sink Plaster Sink Standp Rec
Classrm Sink Sterilizer Surgeons Sink Ice Maker
Breakrm Sink Dip Well F Prep Sink Gar Drain
Ejector/Grind Drink Ftn Serv Sink Soda Disp
$600.00 Plan Approval
funS
$0.00
$25.00 D Permit Voided I
Date 12/28/2007
Permit Fees
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.
~EC-27-2007 03:20 PM
ciDec. 7,2007 9:37AM
In,.octio, servi'''p.. lviSlun
POBox 1130
O::lbkQ5h, WT )4903-1 130
Phone: (920) 230-5050
Fax: (920) 236-5084
Ins~ict1on s~rvices
.P.Ol/0l
IO~ 1 d":),tJj
041918
, .; "I,
Plumbing Permit Application
L hereby apply for a permit to do !lnd lnsr.e.ll the (ollowlt\g ph.nnbing on the premil:4es hcr~lnllfter described, me work to conform 10 the
Wlsconsl.n State Ph.lmbing Code, in [he performance of which all parties hereto agree to and are bound by sald staMes,
. Appllcaclol\(s) and fee(s) can b@ brou8M Lo City Hall, Room 205 or mailed to Insplllction Services, PO 130)(. 1128, Oshkosh WI
54903-1128, Commencing work wilhout permlr(s) will result III fees being d{1~blli:l.l L1T $100,00 plus the normal permit fee, whlch
ever III grealer,
OR
/.iJ!.r;.1!....9.!.Lq confruC(QLt:larr/cirJafing in th/J..~~I1f! -d~cl!un' Svsrem and hll!.t.J!.4..e1l.MJJ.tl'f..1~d,~ chli:r:k hart!
1.f..::tJl1L:tiArl:.l thi~' proc.e.J'sed rhr9u'jh your ~,cco~
** Advisory - 'f'gr applicable projects, an ElecuicaI InstaIlatioD Verification {EJV) form, signed by the Electrical
Contractor or E'om,eowner (fof installations allowed to be perfonned by the homeown.er) must be supmitted
with the permit application. Applications submitted without an EIV when su.ch is required, wlll not be
processed for Permit Issuance a.t1d will be returned far comphtion.
Job Addressj'\ '/8 <;O~o....---cJ Vlllut (1l'Ioluaing lonor !Lull mD.lerlal&) lorx') (Y:J Dllte 1O-\OIlQ)
Owner ~ T 01 Conl1'aetor ~':::I",...,n ""'
~lnglC Fan'llly D plex OMulti-FQmily DRenu.l DCommerclAI Dlnduetrial
Number of Fixtures:
Bltthlub Dispoaftl Drink Ftn Caleb B3sin
Whirlpool Disnwashl:r WaitS\. WuhFtll
L.AVftIOl)' Sump Pllmp lea ChesI Urinal
Toilet EjtClOiJOrllld Iix.am Sink Gar Dr31n
R~8. Sink Waler sot'tn~r Sellll)' Sink Soda Oi.,!>
Bllr:link Local WASW Hand Sillk Coficc MRker
W~leT HcutClT -L...... Clothes Wahl F Prep Sink Comm, I;c t-f.k~r
~as u Elect C pwrVnt ' "
Sielet Sc.rv Sink Slfr:> Drain .
Sho cr _ 'Beer Tap ml CitCIIse nnp Mor Dtaln
Floor D",in CI6&l1rrn Sink Ext OrclISe; T1'8p StandI' I\ee
[.lldl)' T~y Surlleons Sltlk R.P.Z. Valve; eye Wash Sin
lab Sink Drtalc.rm Sink Sll1\.np SIn!< Wtr Sewcr Mtr5
Plulcr Sink. Dip Well FlrlWsl Sink DCC(UCT Mctm .
Sterilizer Hose B ibi Wtr U'AgC MtTS
Millc.
llixtLlr0s
Electric Contractor (for projects not requiring an EIV Farm)
Use / Nature of Work ~ da (' 1- LA.x1b A. V~ ~ (
9;7.8
Matel'lnl
Type
#
Conn. 'r;pe-'
Sanitary SeweT
SUlrm Sewer
,.It,
Wa1er Service
07/07