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0128328-Plumbing (water heater)
CITY OF OSHKOSH No 128328 OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 1275 MERRITT AVE Owner DANIEL D/KIMBERLY A MCGUIRE Create Date 01/03/2008 Contractor GARTMAN MECHANICAL SERVICES Category 411 -Residential-Water Heaters Plan Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater Site Drain Roof Drain Misc. Fixtures Use/Nature of Work Shower _ Floor Drain Lndry Tray _ Disposal Dishwasher Sump Pump 1 Classrm Sink Breakrm Sink EjectorlGrind Water Softner Local Waste Clothes Wshr Bidet Beer Tap Lab Sink Sterilizer Dip Well Drink Ftn Wait. St. Ice Chest Exam Sink Sculry Sink Hand Sink .. Plaster Sink Surgeons Sink F Prep Sink Serv Sink Shamp Sink _ Flr/Wst Sink Catch Basin Wash Ftn Urinal r Standp Rec Ice Maker Gar Drain Soda Disp Coffee Maker Int Grease Trap Ext Grease Trap RPZ Valve Eye Wash Statn Wtr Sewer Mtrs Deduct Meters Wtr Usage Mtrs Valuation $650.00 Plan Approval $0.00 Permit Fees $25.00 ^ Permit Voided Issued By ~/ Date 01/03/2008 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 AgentlOwner Address 520 W SOUTH PARK AV OSHKOSH WI 54902 - 6470 Telephone Number 920-231-5530 i o scneauie mspecuons please ca~i the mspeciion Kequest ~~ne at Lsti-S~zts 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. JAN-03-2008 11;41 AM P, 02/03 e;IDec. 7. 24x7 9.37AM in~pecf inn sFrvir.e's No, 6yyl 'N~ I d`a ~U. Inspection Services Division ~ ... P 0 Sox 1130 Oshkosh, Wi 54903.1130 Phone: (92U) 236-5050 Froc, (92U) 236-5084. t t WAT~If Plumbing Perrrtlt Application. L hereby apply for a parrnil to do and insta(I the followlug plumbing on the premi~as hcreinaftt:r described, the work to conform to the Wisconsni State Piambing Code, in the performAn~e of which all parties here;ta ague to and ©re bound by said statutes. • Appllcadon(s) rtnd fee(s) can be brought to City HaJI, ]Zoom 205 or mAileci to Lnspaction Serviees, PO l3ox ] 129, Oshkosh WI 54903-1128, Commencing work without permit(s) will result in fees being douhlwd nr ~~ OU.00 plus the normal permit fnc, which ever is greater, OR '"'~ Advisory • Eox applicable projects, an $lectriral Installation Verii=lcation (E:l't~ farm, signed by rho Electrical Contractor ox Horrteowner (far itnatallations allowed to ii'e perfutlsted by the hoxtaeowner) must he submitted with rite permit application. Applicatiota& submitted w[thout an HIV whcti such Es required, will not be pracasatd far Permit Issuance and will be rettu'ned far complt:cio~. rye ~: ~ 3 Sob Address I U' -~ ~&~UC (InCiuding labor d materiatc) ~~ ~'~ DdtC ~ f Owner ~h.r~ ~C Contractor- ~"'Y~Girvl. ~uingle Family [~nup x ^Multi-Family Q'Rental ^Cammercial ^Industrial Numher aP Ffxtures: Bathtub WAlrtpooi Lnvetory Toilet Rcs, Stnk Har ~ ink Water Reuter ~_ ~dns ~ L~ltct ~ PwrVnt 5howrr Floor Drain Lndry Ttny Lab Sink Piaster Slnk Sterlll2er Misc. Cixturos Electriic Contractor (fur CJee / N~turc of Wark Disposal ^rlnk Ftn Catch BASin Dishwasher Wait. St. Wash Ftn Sump tbmp [ce Chest Urinal Ejector/Grind Gxam Sink t3nrDrain Water SatTncr Sculry Slnk Soda Dlep Local Waste Ha,td 31nk Corl'ce Maker Clnlhcs wshT P Prep Sink Comm, 1oa Maker Bidet ~ ~ ~~ 5ety 51nk Jttc Drain ~ Bccr Tap tnt Qrcase 1'rnp RoofDrain Classrm Sink 15kt Grease Trop Stnndp Rcc ,_,,,,,,^ Surgeons 51nk R.P.Z. Valve Eye Wash Sm ,_~~ Dreakrm Sink S1,amp S1i9C Wtr Scorer Mlrs Dip Wail FIr/Wst 5ittk ~cduct Mrtcre iiaxa 8ibe wtr Usage Mira royects not requiring stn EIV Form) Siva MAterial Type- # Conn. Type Sanitary SOWCr Storm Scwar Wator Service ~ ' o~/oi