HomeMy WebLinkAbout0130683-Plumbing (water heater)OSHKOSH
ON THE WATER
Job Address 342 W 6TH AVE
CITY OF OSHKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
Owner ALBERT R STAMBORSKI
Contractor GARTMAN MECHANICAL SERVICES Category 411 -Residential-Water Heaters
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
Valuation
Issued By
Shower Water Softner Wait. St. Shamp Sink
Floor Drain Local Waste Ice Chest Flr/Vllst 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
1 Classrm Sink Sterilizer Surgeons Sink Ice Maker
_ Breakrm Sink Dip Well F Prep Sink Gar Drain
Ejector/Grind Drink Ftn Serv Sink Soda Disp
No 130683
Create Date 06/18/2008
Plan
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
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 starling such activity.
Signature Date
AgenUOwner
Address 520 W SOUTH PARK AV 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 (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.
$700.00 Plan Approval __$0.00 Permit Fees $25.00 ^ Permit Voided
~~/~ _ Date 06/18/2008
N-18-2008 01 00 PM
arty oz u1~11Kesa
lnspaction Services Division
POBox la3f)
OS]xkosh, W] 5490]-1134
Phone: (920) 236-5050
Pax: (920) 236.5064
P. Ol/O1
K
s _ - ~.
oro rh wnreR
. ~I~mi~in~ ~'~r~i~ ~~~IBc~tia~
~ hereby apply for a permit to do ertd instal] the foTlowiu~ plumbing on the premiaeb herciaefter daacnbed, the woti; to conform to the
Wisconsin State Pittmbing Cods, in the perfom7ance of which pll roarti.es hereto egrt:e to and are bound by said statutts.
Application(s) and ~'cc(e) can be bralaght to City Ilal!, Room 20~ ar mailed to hlspection Services, PO Box ] 128,
Oshkosh Vi~I 5903- l I2i;. Commencing c~-ork without pezznii(s) x-ill result in fees being doubled or $ l OU.QU plus tha
normal parrriit fee, +avhieh ever is grater.
0R ' •
Job Addrerss~' -'~ ~ ~ ~o~ VRlue (In~]uAitts lubDr end ~,;elE>~ °~-Z--~ A$te ~ ~ L1
,O~~wi//rely I~LQ,~~ ~_ ' Contractor
L._J~Single Family [,~Auplcx. (]~u.1ti-Family [~RentaI [~Commercia] []Industrial
//,,
Npmber of Futures:
Bathtub
WhirlPoO! ,~~_
iavamry
Toilet ~^~
Res. kink ~,.~
.13ar Sink _
W Hcxi±r
~Cioa U Llaot q ]'wrVnt
owrr ~+
Floor Pra7~ ~~~
I_ndry Tny 1
a~ Sink
plarr~r5ulk ~-
Starilf6¢r _~
Nlise.
Flxntrea
Electric Contractor
Use /Nature of w
Disposal ', [)rinY. Fm Catch $ar'm
Dishwasher ', Wsic 5t Wa.hTm
SAP p~P lac Chcsc Urinal
EjeclodGrind ~ Ezetn 51nk aar Drxin
WulrrSultndr ~! 5ouhySink SutluDirp
LO~.'el A'wlr ! HapO Slnk CDL(ee Maknn
CIDIhw Wshr ', F Prep Sluk Cturnn tae Mrker
Bidet 'i Srn 51nk Sir Ihain
Boar Tup 'I lnt Oroasc Trap RnDF Drain •
Clnrsrrn Sink I Ezt(~sec Trop 5landp koc
Surgeoni Sink I RP Z V h'
• a e r„w„„ Byo Wash Stn
Brt~ukTm Sink ShaJnp 51ril; ~„~ Wtr Sewer Mire
Dip Well ~ F1dWst Sin); Deduei -~letrrs
Hoes 13tEa ~ 1r,'tr Urge Mca
~' DR ~£lectric Instglllltion Veri!"tcstion form attached
r` li (if ftepiaDementj
Size
Seazitary Sewer
Storm Sewer
Water. Service
Material Typc # Conn.1'y,Gc
ll/GS