HomeMy WebLinkAbout0130710-Plumbing (water heater)OSHKOSH
ON THE WATER
Job Address 631 W 9TH AVE
CITY OF OSHKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
Owner DAVID A/SHANNON J SIMMS
No 130710
Create Date 06/19/2008
Category 411 -Residential-Water Heaters Plan
Contractor GARTMAN MECHANICAL SERVICES
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 FIr/Wst 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
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 pertonn 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
WI 54902 -6470 Telephone Number 920-231-5530
~ o scneauie inspeci~ons 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
_~~
City of Oshkosh
Inspection Services Division
P p Box 1130
Ushlcosh, WI 34903-1130
Phone: (920) 23~-SO50
Fax: (920) 23b-5084
Plumbi~r~ Permit ~pplic~tion
.~ ~ ~~
QIi~iK 1N
aN fHE WATER
I hereby apply for a pcn trit to do and install the fallowing plumbing on the premises hercingfter desen`bed, the work to conform to the
Wisconsin State Plumbing Code, in the pt:rformance of which all parties hereto agree to and are bound by said statutes.
Job Address C.>.._~ "l , , l~at ` _' ,
~, Value (Including labor an materia}s)~ (~ ~'L.1..J c~,.~
Owner C ~ ~~ Cvntractolr
~]~ingle Family ODuple~c []IYlulti-Family ^Rentai
_- `` ^Commercial QIndastrial
Number of ~i~tures;
Bathruh Disposal
Whirlpool _~ - [pink Ftn Catch Basin
t~shwasher Wait. St.
~~~, Wash Ftn _~
5urnp Pump icc Chcst Urinal
Toilet - EjectorlGrind
Facsm Sink Gar Drain
f2es. ;,mk Water Suftnet -'
-T"` 5culry Sink Soda
. .liar Sink ,T _~ j,p~j Waste Hand Sink CotCee M nr
ater Ncatcr _~__,~ Clolhes Wshr
Gras U Elcct ~ YwrVnt F Prcp Sink Comm. Ice Maker
S Bidet Scrv Sink
.,..,.._.,, Site Drain
""-`° Bncr Tap Int Grcase Tie
Floor train p ,-.-~ Rtwf Drain
""'"""" Classrm Sink Ext Gteasc Ira
~~ Tray """" Strrbcons Sink RP.Z. Valve p ~- Standp Rec
~ Sink ~,.., Eyc Wash Stn
Pl Brcakrm Sink Shamp Sink
t~cr Sink ....._~ Wtr Sewer Mfrs
Dip Wet( Flr/Wst Sink Deduct Marrs ~^
Stzriliacr
Hose i3ibs Wtr llsege Mtrs -~
Misc• _
Fixtures
Electric ion#>c•~~tor OR , QElectric Installatialn Verification form attached
(If Replacement)
Ilse 1 Natare of Wont '
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
u/os
~ Application(s) and fee(s) can be brought to City Hall, Room 2pS oz trailed to Tztspection Services; PO .Box 7128,
Oshkosh WI SQ~903-1128. Commencing work without permit(s) will result in fees being doubled or $104.Q~ plus the
normal per>xtit fee, t~'hich ever is greater.
OR