HomeMy WebLinkAbout0133651-Plumbing (water heater)/~ CITY OF OSHKOSH
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1540-1546 COVINGTON DR
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
_ Shower Water Softner Wait. St. Shamp Sink _
Floor Drain Local Waste Ice Chest FIr/Wst 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
No 133651
Create Date 10/23/2008
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
0
Date 10/23/2008
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
AgenUOwner
Address 520 W SOUTH PARK AVE OSHKOSH
WI 54902 - 6470 Telephone Number 920-231-5530
s~~~C~u~~ inspections please can the mspecuon Request line at 236-5728 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.
Owner OSHKOSH HOUSING AUTHORITY
$1,100.00 Plan Approval $0.00 Permit Fees $25.00 ^ Permit Voided 'I
CT-23-2008 07,37 AM P, O1/O1
(~) ~ -~
City of Oshkosh
Inspection Services Division
P O Box 1 ] 30
Oshkosh, WI 54903-1130
Phonc:(920)236-5050
Fax: (920) 236-5084 aw NF. W T.
Plumbing Permit Application
1 hereby apply for a permit to do and install the following plumbing on the premises hereinafter described, the work to conform to the
Wisconsin State Plumbing Codc, in the performance of which all partite. hereto aI!rce to and are bound by said statutes.
• npplication(s) and fee(s) can be brought [o City Hall, Room 205 or mailed to Inspection Services, PO Box 112$, Oshkosh WI
54903-1 1 28. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the normal permit fee, which
ever is greater.
OR
** Advisory - For applicable projects, an Electrical I~'nstallation Veriiflcatioa (EIV) form, signed by the Electrical
Contractor or Homeowner (for iaetallations allowed to be performed by the hoateowaer) must be submitted
with the permit application. Applications submitted without as EIV when such is required, will not be
processed for Pezynit Issuance sad will be returned for completion.
.lob Address Value (Ipcluding labor and tcrialn Date
Owner ~. ~Y ~C ~ Contractor
[~Stngle Family ^Duplex [Multi-Family aural []Commercial ^lndustrisl
'Number of Fixtures:
Bedaub LAsytwal ~,_ Drink I'In Celch Haein
Whirlpnnl t)iafiwashet' Wait. Sl. Wash Fm
Lavatory Sump Rupp Ice Chest Urirwl
Toilet F~IeetM/Grind Exam Sink ('ar Drain
Res. Sink Wetcr Sofl~x Sculry Oink Soda Diep
Her Sink Laxtl Waste Bend Sink ~, _ C'ot>ree Maker
Water Heater ~ Clothes Wehr F Prop Sink _„_ Comm. Ice Maker
I I (iae I : Filcca; wrVnt Bitlel 5er.• Sink Site Drnnt
Shower Beer Tap Int Grcene'I'rnp Rt+nf Dram
Fkxtr Dtam Clagarm Sink Fxt (ireasc 74ap Standp Rec
lndry'fray Surgcntta Sink R.P.L. Valve Eye Wash Stn
L.ab Sink Rn:aknn Sink ~,_ Sbtunp Sink Wlr Sewer Mfrs
Plaster Sink pip Well Flr/Wsl Sink Untluct Meters
Sterilizer Hose Bt~n Wu' IJsage Ma's
Misc.
P'ixtttn:s
not requiring an ElV Form)
eets
Electric Contractor (for ~roj
Use /Nature of Work ~~ ~
,
..1-.( ).L.l~ p ~ J~ _ ~-~-i(
Size Material Typc tl Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
o~~o~