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Home My WebLink About0130707-Plumbing (water heater)CITY OF OSHKOSH OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 205 207 E CUSTER AVE Owner WINNEBAGO COUNTY HOUSING AUTH Contractor GARTMAN MECHANICAL SERVICES Category 411 -Residential-Water Heaters 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 Flr/VUst 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 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 Agent/Owner Address 520 W SOUTH PARK AV OSHKOSH Date WI 54902 -6470 Telephone Number 920-231-5530 To schedule 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 pertormed within two business days from the time the project is ready. No 130707 Create Date 06/19/2008 Plan Coffee Maker Int Grease Trap Ext Grease Trap RPZ Valve Eye Wash Statn Wtr Sewer Mtrs Deduct Meters Wtr Usage Mtrs x_$700 0~0 Plan Approval $0.00 Permit Fees $25.00 ^ Permit Voided C;iDec. 7. 2007 9:37A!V1 inspection services No. 6551 'P. 1 Inspection Services Division ..,, ~~ r~~ P O Box 1130 ~, . Oshkosh, W154903-1 I30 Phone: (920) 236-5050 V Ft1x: (920) 236-5084 ' ~K~f H '. ON TMY WATER Plumbing Permit Application 1 hereby apply for a permit to do and install the following plumbing on the premises hCreinafter described, the work to conform to the Wisconsin State Plumbinb Code, in the performance of which a[1 parties hert;tq agree to and are bound by said statutes. • Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO 13ox 1128, Oshkosh WI 54903-i 128, Commencing work without permit(s) will result in fees beinb dauble:d or $100.00 plus the normal permit fee, which ever is greater. oa have a ** Advisory -1~'or applicable projects, axi Electrical Irtstallation Verifiieation (E:IV} form, signed by the Electrical Contractor or homeowner (for installations allowedta 1?e performed by the homeowner} must be submitted with the permit application. Applications submitted without an EN when such is required, will not be processed for Permit Issuance and will be returned for completion. ~'! n Job Addressr~l~ ,l j /L ~ Valll~ ([nCluding Iabnrun materials) ~~~'t__.Li D~lte Owner ~~ Contractor ^Singlc Family ^D'Itplex ^Multi;-h's~mily ~k~ental ^Commercial ^Industrial Number of Fixtures: I "`~~~~~~ Bathtub Disposal Drink Ftn Catch Basin Whinpool Lavatory Toilet Res, Sink Bar Sink ~f i"iCaICT f~Gas ~] Glect ~ PwrVnt Shower Floor Drain Lndry Trsy Lab Sink Piaster Sink Sterilizer Misc. Fixtures Electric Contractor (for YJse /Nature of Work Dishwasher II Wait. 5t. Wash Ftn Sump Pump ', Ice Chest Urinal Ejector/Grind ! fixamSink Gar Drain Water 5aitncr ' Sculry Sink Soda Disp Local Waste ! Hand Sink Coffcc Maker Clothes Wshr F Prcp Sink Comm. lee Maker Bidci ' ._ ,, Scrv Sink Sitc Drain ~ Bea Tap ~ lnt Grcast Trap Roof Drain Classrtn Sink Ext Grcasc Trep Siandp Rcc Surgeons Sink R.P_Z. Valve Eye Wash Sm Breakrm Sink Shamp Sink Wtr Sewer Mirs Dip Well FIr/Wst Sink Deduct Maas . Vase Bibs ', Wtr Usage Mtrs rojects not requiring ttn EIV Farm) Size Material Type # Conn. Type Sanitary Sewer ', I Storm Sealer . ~, Water Service a `~~ o~/o~