HomeMy WebLinkAbout0130701-Plumbing (water heater)OSHKOSH
ON THE WATER
Job Address 630 W 11TH AVE
CITY OF OSHKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
Owner LEONARD J JUNGWIRTH LIFE EST
No 130701
Create Date 06/18/2008
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 Water Softner Wait. St. Shamp Sink
_ Floor Drain Local Waste Ice Chest FINWst 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
Valuation $700.00 Plan Approval $0.00 Permit Fees $25.00 ^ Permit Voided
Issued By Date 06/19/2008
0
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
WI 54902 -6470 Telephone Number 920-231-5530
~ ~ san~sawe rnspeci~ons pease can 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.
I
City of Oshkosh r^`
Inspection Services Division ~~'--'`
P 4 Box 1130
Oshkosh, WI 54903-1130 :~
Phone: (920) 236-5050
Fax: (920) 236-s0$4 C~lF-~K 1H
ON fHE WATER
P~llal7l~lt"l~ P~~'17?tf ~~7~IjC~t1CaB1
I kzereby apply for a permit to do and install the following plumbing on the premises hereinafter desen'bed, the work to conform to the
Wisconsin State Plumbing Code, in the performance of which ail parties hereto agree io and are bound by said statutes.
~ Application(s) and fcc(s} can be brou~t td City Hall, Room 2pS ox trailed t0 haspection Services, PO .Box 1128,
Oshkosh WI 5403-1128. Commencing work without pexrtrit(s) will result in fees being doubted or $100.00 plus the
normal permit fee, which ever is greater.
flR
Job Address `~'~
Value (InCludi
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arand tcriala,
_` 1~Rt@ l!g
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'~ontracto>r
~~ingle Family ~~,?upie~ [Jll~ulti-Family [~.Rentai
^Comrnercia] ^Iadastrial
Number of Fa~ctures:
Bathtuh
Witiripo°1 Disposal
Drink Ftn
Catch Basin
Lvatary __ Dishwasher Wait. SG
wash r•~t
Toilet Sump Pump ice Chest Urinal
_
i;`es. Sink EjeetorlGrind
Exsm Sink
Gar Dntin
~""
.13ar Sink Water Sultner
Sculry Sink
Scdn
~
,.,,~
Water I'iCEtCr
~ Loc ~il Wastn ]-land Sink
--- Ce1'fce Maker
-
V Elect ^ YwrVnt Clothar Wshr F Prep Sink Cumm. !ec Maker
X
Shower Bidzt 5crv Sink
..'.-.~,
Site Drain
'^"-'r'
Flom' [)rain Beer Tap ]nt GrcESe Ira
p ,_.__.
Rtwf Drain •
~~ ~y ~~ ClassYm Sink $xt Gtrasc Trap Standp 1'tcc
tab Sink Surgccns Sink RP.Z. Va1vQ
._„_,._...
Eye Wash Stn
piasscr Sink Breakrm Sink Sham Sink
p ..,...~
W tr Sewer M trs
Sczrilizcr Dip Well FIr/Wst Sink
- ~.,
Deduct Metet3
- "
Mist- Hose i3ibs
' ~"'
Wtr Ilsage Mfrs _
Fixtures
Electric Contractor QR QElectric ?Gnstaliation Verification form attached
(If Rcplacemcnt)
~JsQ ~ Nature of Wont;
Size Material
Sanitary Sewer Type # Conn. Type
Storm Sewer ~E?'
Water Service
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