HomeMy WebLinkAbout0128326-Plumbing (water heater)OSHKOSH
ON THE WATER
Job Address 1126 OHIO ST
CITY OF OSHKOSH
No 128326
PLUMBING PERMIT -APPLICATION AND RECORD
Contractor GARTMAN MECHANICAL SERVICES
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
UselNature
of Work
Owner BRADLEY E/ROBYN A HOLSTEIN Create Date 01/03/2008
Category 411 -Residential-Water Heaters Plan
Shower Water Softner Wait. St. Shamp Sink Coffee Maker
_ Floor Drain Local Waste Ice Chest FIr/Wst 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
1 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
Valuation $650.00 Plan Approval $0.00 Permit Fees $25.00 ^ Permit Voided
Issued By Date 01/03/2008
In the performance of this work, 1 agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the
easement holder(s) and to secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address 520 W SOUTH PARK AV OSHKOSH W I 54902 - 6470 Telephone Number 920-231-5530
To schedule inspections please call the Inspection Reauest line at 236-5128 noting the Address. Permit Number. Tvne of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
JAN-03-2008 11.41 AM
c:,bec, 7. 2007 9.37AU1
1118pOCt10tl Setvica$ D1VIA1f)n
P O Box1134
Oshkosh, W1 54943-1130
Phone: (yz~) 236-5050
Fr~c; (9z0) 236-SOBS
nspecfian services
t
Plumbing hermit Application
P. 03/03
Igo. ~~~• ~ ~ C~(~
~~
N Ht W~TB!
!hereby apply fot a permit to do and install the following plumbing on the prermises h~reinafler dcscrlbed, the work to conform to the
Wisconsin State !'lambing Code, in the performttnca of which all parties hereto agrcc to and Ara6ound by sAid statutes.
« appficadon(s) and fee(s) can be hrnughr to City HsJI, Room 205 or mAilocl to 1t-spaction Services, PO l3ax l 128, Oahkash Wt
5A901-1128, Commencing work withQUS permit(s) will result in fees being dnubl~d ^r $100.00 plus the normal permit foo, which
ever is greater.
OR
'~'~ Advisory - ~'or r>tpplicable proyeets, an Flecixical Itlstallation V~riFieation (E:[~ form, signed by the Electrical
Contractor ox lclotneowner (for in9tatl~l9ons allowed to be performed by the hottaeowner) must be svbmittaA
with the permit application. Applications igabmltted without an ElV when dash is required, wilt not be
processed far PezmiC Isatcancc and will be returnt;d for camplt:ti4~s.
Job Address ~ ~~~ Value (Including labor and nterinls) "~'~"'" C~ Date ~ 4'~
Qwncr tCl ~ Contractor ~~~~
~Singte Framily QAuplez ^Mttlti-Ftamily ^Rer~tal ^Commt:raipl ^Indu®Crial
`Number of Ftxtitrea:
Bathtub ~ Disposal prink Fen Ca[clf 9asln
WMrcpooc Dishwasher _„- „ Wait. St. ~ Wash Ftn
Lavnrory 5wnp Pump Ice Chess Urinal
Toilet Ejector/Grind F3xam 5htk GarDtaln
ilea, Sink WaterSottncr 5culry 51nk Soda DIED
Bat 5fnk Local Waste Rana sink Cottcc Maker
Wat« Henccr ~ Clothes Wshr F Prep Sink Comm. ice Maker
~rOS u Glect ~ Pwrvnt 81d
t ~ ~ 1 Scn~ Sink Situ Drain
c ~
Shower Bccr Tap lot Grcasc 77np CtoaYDrain
Flopt 1)rRh1 Classnn 5iak B:ct Grcasc Trnp_ Standp Rw ,.~,~
Lndry Tray ggrgeops Sluk R.P.Z. Yalvc Eyc Wash Stn ,..,_...r
Lab Sink Breakrm 5i>tk 5hamp Sittk W Wtr Sewer Mtre
Plaster Sink Dip WoII .~. , _ rlrlWst Sank Deduct Macro .
5terilixar iiose Dibw Wtr Uengc Mtra
Miec.
Fixtures
Electric Contractor (fur rojects not requiring sr.n EIV Form)
Ise / Nature of Work ~'
Si~.e Mf1lBrldl 'ryp~ # Cana. Typa
Sanitary Sewer
Slarm Sewer ,
Water Setvicc
o~/o~