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HomeMy WebLinkAbout0130698-Plumbing (water heater)OSHKOSH ON THE WATER Job Address 842 W 5TH AVE CITY OF OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD Owner NILA J STALLER Contractor GARTMAN MECHaNicai cFRVirtGc Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater Site Drain Roof Drain Misc. Fixtures Use/Nature of Work Valuation Issued By Category 411 -Residential-Water Heaters _ 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 730698 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 Date 06/19/2008 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 Agent/Owner Address 520 W SOUTH PARK AV OSHKOSH Tn ci.M.~.~l..l.. .a: WI 54902 -6470 Telephone Number 920-231-5530 - -------•- •••--r-~••~••.~ r.~o~a ~a~~ ~~~~ nispecuvn rcequest une at 13t3-5128 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 c CiDec. 7. 2007 9:37AM inspection services No. 6551 'P. 1 Inspection Services Division , P 0 Box 1130 ~ `~ ~ t~S~ ~~'~ Oshkosh, WI 54903-] I30 ~~ Phone: (92U) 236-S1)5U Fax: (920) 236-5084 11--lK~1 H ON THE WA7ER Plumbing Permit Application 1 hereby apply far a permit to do and install the following plumbing on the premises hereinafter described, the work to conform to the Wisconsin State Plumbing Code, in the performance of which all parties hereto agree to and are bound by said statutes. • Application(s) and fee(s) can be brought to City Hall, Rootn 205 or tnailed'to Inspection Services, PO l3ox 1128, Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees beinb doubled or $100.00 plus the normal permit fee, which ever is greater. OR ~~pu are a contruC6ur participating in the_Permrt Fae Accuun! SVStem and have adeauotc funds chortr horn ** Advisory - ~'or applicable projects, as Electrical Installation Verifieatitm (E:l'~ form, signed by the Electrical Contractor ar homeowner (for installations allowed'ta be performed by the ho>Raeowner) mast be snbmitted with the permit application. Applicatioms submitted without an E1Y when such is required, will no# be processed for Permit Issuance and wiill be returned fnr completion. .tai) ~iddreSS __ -t C/l l ~ Va~Ue (Including laFx~r~nd mn[eriaLs) I(..,!~--~..~.J~..J Dgte l.Y J' '~ r ~ ~-, . l ~O j ncr ~~ (~ ~~~~~ Contractor ~~~c~ ~~ ~Singlc Family ©Duplex ^Multi-I'a>nily ^Iiental ^Commercial ^Ind-rstrial Number of Fixtures: Bathtub Disposal Drink Ftn Catch Basin Whirlpool Dishwasher Wait. St. Wash Ftn Lavatory Sump Pump Ice Chest Urinal Toilet Ejector/Grind Exam Shrk Gar Drain Rcs, Sink Water Sattncr Sculry Sink Soda Disp Bar Sink Local Waste Hand Sink Coffcc Maker Wa r Hearer f Clothes Wshr F Prcp Sink Comm. lee Maker Gas u Elect ~ PwrVnt ~ •. ~, Sh cr Bidet Scrv Sink Sitc Drain ~ Bccr Tap Int Grcasc Trap Roof Drain Floor Drain Classrm Sink Ext Grcasc Trap 5tandp Rcc Lndry Tray Sur eons Sink ~T g R.P.Z. Valve Eye Wash Stn Lab Sink Brealvm Sint Shamp Snrk Wtr Sewer Mars w~ Plaster Sink Di WeII p FINWsi Sink Deduct Meters , Sterilizer Hose Bibs Wtr Usage Mtrs Misc. Fixtures Electric Contractor (fo royects not requiring an EIV Form) Y1se /Nature of Work Sipe Material Type; # Conn. Type Sanitary Sewer $tUrm SCWer T ~, Water Service a~/o~