HomeMy WebLinkAbout0130708-Plumbing (water heater)!~
OSHKOSH
ON THE WATER
Job Address 418 W 16TH AVE
CITY OF OSHKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
Owner TROY J/SUSAN L LENTZ
_ Shower Water Softner Wait. St. Shamp Sink
Floor Drain Local Waste Ice Chest FIrIVUst 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
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
Valuation
Issued By
No 130708
Create Date 06/19/2008
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
WI 54902 -6470 Telephone Number 920-231-5530
i o scneaule 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
CiDec. 7. 2007 9:37A~Ul
Inspection Services Division
P 0 Box1130
Oshkosh, WT 54903-] I30
Phone: (920} 236-SOSU
Ftix:(92U)236-5D84
inspection services
Z ., :~,
Plumbing Permit Application
No, 6~~P. 1
~~~
1NK~1H
O!V TMH. WATL-It
1 hereby apply for 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 a[I parties hereto agree to and are hotrod by said statutes.
+ Application(s) and fee(s) can be brought to Ciry Hall, Room 205 or mailed to Inspection Services, PO 13ox ] 128, Oshkosh WI
,54903-i 128. Commencing work without permit(s) will result in fees being doubled or $1DU.00 plus the normal permit fee, which
ever is greater.
OR
~,Lntr are a cantractur parttctpatin t~ "n the" Permit Fee Accuural S stem and have ode uate,,,~undr, check here
gnu zv.a.nt this processed through vour account
** Advisory - ~br applicable projects, am F,Iectrical Installation Vt:rif"ication (E:l~ form, signed by the Electrical
Contractor or 1~'omeowner (for insLallatjons allowed to be performed by the hoitneowner) must be submitted
with the permit application. Applicadox~s submitted without an EN when stub is required, will no# be
processed Par Pterimit Issuance and will be returned for completion. ~~~ ~ e
Job Address . t i r l~~ .~~ VAlile (tncluding luborund mnter~ Is) w DSte ~ l Z%
ncr ~ ' Contractor l~ m~-~~_y~
-~--~-
Single Family Duplex ^Multi-]F'umilyRental ^Commercial ^Indastria]
Number of Fixtures:
Bathtufi Disposal i Drink Ftn Catch Basin
Whirlpool t
Dishwasher ', Wait. 5t. Wash Ftn
Lavatory Sump Pump ', Ice Chest Urinal
Toilet Ejector/Grind ' Exam Sink Gar Drain
Rcs, Sink Water Softncr ~' Sculry Sink Soda Disp
Bar Sink Local Waste ' Hand Sink Coftcc Maker
ater Heater 1 Clothes Wshr ! F Prcp Sink Comm.lce Maker
Gas ~ Elect C PwrVnt I
Bidet ' •• `~
5erv Sink
Sitc Drain
bh wSt
Bccr Tap '
lot Grcasc Trap ~
Roof Drain
Fluor Dtnin Ctassrm Sink ', Exr Grcasc TTap Siandp Rcc „_;,,,,~
Lndry Tray Surgeons Sink ' R.P.Z. Valve Eyc Wash Stn ,_.,,~
Lab Sink Ilreakrm Sink I 5hamp Sutk Wtr 5cwcr Mars
Piaster Sink D;p Well I F1r/Wst Sink Deduct Meters .
Sterilizer IIose Bibs ~ Wtr Usage Mtrs
Misc. '
Fixtures
Electric Contractor (for projects not requiring t1n EIV Form)
lase / Natu rc of Work ~ ~ ~ y~. ~ ~ ~ Q ,1, ~ ~
Size Mnteria] Type # Cnnn. Type
Sanitary Sewer ',
i
StUTm SCWer I~
z . ~,
Water Service •
b~
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