HomeMy WebLinkAbout0132749-Plumbing (water heater)OSHKOSH
ON THE WATER
Job Address 2580 W 9TH AVE
Contractor GARTMAN MECHANICAL SERVICES
CITY OF OSHKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
Valuation
Shower
_ Floor Drain
Lndry Tray
_ Disposal
Dishwasher
Sump Pump
1 Classrm Sink
Breakrm Sink
EjectoNGrind
Water Softner
Local Waste
Clothes Wshr
Bidet
Beer Tap
Lab Sink
Sterilizer
Dip Well
Drink Ftn
Owner CALVARY LUTHERAN CHURCH
Category 441 -Industrial-Water Heaters
Wait. St.
Ice Chest
Exam Sink
Sculry Sink
Hand Sink
Plaster Sink
Surgeons Sink
F Prep Sink
Serv Sink
Shamp Sink
FIrIVllst Sink _
Catch Basin __
Wash Ftn
Urinal
Standp Rec
Ice Maker
Gar Drain
Soda Disp
No 132749
Create Date 09/09/2008
Plan
Coffee Maker _
___ IntGreaseTrap __ ___
Ext Grease Trap
_ RPZ Valve
Eye Wash Statn
_ Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Issued By ~~iYY(lJ Date 09/09/2008
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 scnequle inspections please call the Inspection Request line at 238-5128 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.
$900.00 Plan Approval $0.00 Permit Fees $25.00 ^ Permit Voided
SEP-05-2008 02 41 PM
U~4J vl vouauau
Inspection Servicts Divi.sit~A
P O Hax 1,130
Ush}:osh, W j 5490-1130
~'hone_ (920) 236-5050
fast: (930) 236.5084
P'~~~~E~~ P~~r~i~ ~~~i~~~ti~c~
P, 03/03
~~
K1
W HE WhTEfi
I hereby Apply far a pernzit to da and install the fo]Iov~~tg plumhin~ on tht: p*~IZ]i9t6 htrri~a}'tcs dt:st:n'bt~, the work to con~vrm to tic
W16t:onsin Start: Plumbing Codt:, in thv perFtTrrrrance of r~hit:h till ptrtcs hcitto e~tt l:o end en: bound by said 5tatutCe,
Application(s) and .~cc(sj can be breu~tit to C'ity~ Hal!, Room 20a or tr~:iled to Inr~ection 3rrrvices, PO Bor. 1128,
Oshkosh V,~I 54903-112&, Commencing wa*k ~vithout permit(Q) r~'i.1] result in fees being doubled or $100.D0 plus the
nornzal permit fee, which ever is brcatcr.
ck
ou ar . n ntrocrnr arti i at>'n Erm7>' ,Fee ~ shunt S;~sf~m and hr,re ar3enuate {u>fds. check here
fob AddrEBS~ (/~~~ ~~ ~'a]ue (laCluCiagkDorendTtgt=rielsl D@tE ~~~
~wnelr ~-~L1~L~ c~ u~'~ Contractor. X7_1
^Singie Family DAup)eX OMulti-F~tnil}- ~ent:ci ~C~ommercial ^I>ldnstrlal
Number of Fixtures:
13athtuh Dl6pnso7 Drink Fti,
Catch Paxiu
SK9tfrlpool
-~., buhw'ssher Watr. St.
1.Yach i-~m
LavetcTy Sump Pump Ice Cttcet
Urinal
7ailct ~•~• ):jt:ctorfdrind Exnm Sink
Cray Drain
Res, tilnk
--»~ tiVutcrSufinar 5culry Sink Sony i~xp ~!
,1~arSlnk
Wstflr licet
"r ~ L.o~`ol gVuSta Hand 51nk Coi.Co: Mukcr
_
n Gus u ~.lao~'}'wrvnt CluLhrz Wshr F Prep Slnk Cutrn, lie Make
Shower Bidtl 5rn &ini;
Site Drain
Ftaor Chain ~+ Baer Tup lnt Gn:asc ?rap Rout Arvin
"`""""
~~, Thy Claysrm 5inl:
E>,-t C}rca:C Traq
StNdp }lcC
t.eh Sink ~~ 5tageuna Sink F P.L. vg1vE Lye Wtuh Sm
--
pier Sink Broukrm Sink Shgtny 5irrl:
-•----•- V: t; Sew:rMtrs
Ssorilir-cr Dip Wall FlrlWa~ 5in3: Acdum Metrrs
--~
"~"~-
Mi6C. Nose >9ibi
~'~ l.l~gc Mtta
Firntrea
Electric +Contractor ~ O1c . (Electric Xnst$liutiozt Verification form attached
(U Rcpleoern~l.;
Use ~ Nature of Wpr
Size
Saniitiry Sdwcr Materit:l i ypc ~ Car~r_, Type
Stotm Sewer
tiJater. Se_rvi~e
a.s/os