HomeMy WebLinkAbout0130722-Plumbing (water heater)OSHKOSH
ON THE WATER
Job Address 441 W 18TH AVE
Owner DOROTHY STEINFORT REV TRUST
No 130722
Create Date 06/19/2008
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
Category 411 -Residential-Water Heaters Plan
_ Shower Water Softner Wait. St. Shamp Sink
_ Floor Drain Local Waste Ice Chest FIr/VVst 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 pertormance 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
~ v scneau~e inspections please 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 pertormed within two business days from the time the project is ready.
CITY OF OSHKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
$70 X00 Plan Approval $0.00 Permit Fees $25.00 ^ Permit Voided
City of Oshkosh
Inspection Services Division
~ 4 Box 1130
Oshkosh, WI 34903-1130
Phone: (920) 236-050
Fax: (920) 236-5084
~'I~t~i~ ~'~r~r~ ~~~6~~~~~~~
~~~~
~.1~1K 1H
ON fH[i WATER
I hereby apply #'or a pernvt to do and install the foIlow~rig plumbing on the premises hereinafter descn'bed, the work to conform to tie
Wisconsin State Plumbing Code, in the perfomrance fli which ail parties hereto agree to and are bound by said statutes.
Applicatio~,(s) and. fee(s) can be br>,ugl-it to City Hall, Room 20~ oz mailed to Ti~spectian Services. PO fox 1125,
Oshkosh WI 51903-1125. Commencing w-ork withpu# pest(s) shill result in fees being doubled or $1DO.D~ plus thtd
normal perni# fee, arhieh ever is greater.
DR
Number of k'x~xtures;
Bathcub Disposal
- Drink Ftn Catch Basin
~'~~°Dl Dishwasher
--" Wsit. 5C W'ash Ptn
Lavatory Sump Pump _"'
ice ChcSt Urinal
Toilet _~- EjectorlCrrind
Exam Sink Gar Drain
firs. Sink Winer Sultner -"~
`~'""" 5culry Sink 5°du
.13ar Sink T„~ Loyal Wrrstr Band Sink ~ ~
Wa er f'iCRt:r Coffrc Maker
--~•..-_.,. Clothes Wshr F Prep 5htk. Comm. to Maker
~Cras U Elrct Q YwrVnt _^
ShowcT Bidet 5crv Sink ,,,,,,_,_„ Site Drain
Floor ~y BeCr Tap fnt Grease Tia
[h'ain P R°uf Drain
-"..°"... Class7rn Sink S~,-t Gtr„sa Trap ~_ Stand keo
LndrY Tray ' p
~'"'"`~ Surbruns Sink RP.Z• Valve
l.~r Sink _ Eye Wa.~h Str,
_ Brrukrm Sink 5hatn Sink ~~
Plaster Sink P _,,,-. Wt Srwcr Mfrs
Dip Welt Flr/Wst Sin}: .~ ~~
Sterili~~ Deduct Mr•iz-rs _
Misc.
Hose Sibs Vr'tr Itsage Mfrs ,,,_,_-_r
Fixtures
Electric Cnnikxactor OR . ^Electric ?Gnstsllfltip;;~ Verification form attached
(If Rrplaoement)
UsQ / Natare of W ork.
Sjze Material
Sanitary Sewer 1 YPe ~ Conn. Type
,Storm Sewer
Water Service
u/os
., on piaclress ~°1 ~C l l `~ ~ ' ~ ~ c~
Va1iI~ (IrrcluGinglaborand trisls)~y~ ~atC„_,~~--
~PVit~r ~ COi1tI'aCtO]<
(~ingle Family ~l~uplex iY,[u~ti-Family ~Rentai
\\ []~nmmercial ]Industrial