HomeMy WebLinkAbout0133799-Plumbing (water heater)CITY OF OSHKOSH
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 3140 MOCKINGBIRD WAY
Owner STEVEN J/CONNIE M SEIDL
No 133799
Create Date 11/04/2008
Contractor GARTMAN MECHANICAL SERVICES
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
Category 411 -Residential-Water Heaters Plan
_ Shower Water Softner Wait. St. Shamp Sink Coffee Maker
Floor Drain Local Waste Ice Chest FIr/Wst Sink Int Grease Trap
_ Lndry Tray Clothes Wshr Exam Sink Catch Basin Ext Grease Trap _
_ Disposal Bidet Sculry Sink Wash Ftn RPZ Valve
_ Dishwasher Beer Tap Hand Sink Urinal
----- Eye Wash Statn
-
Sump Pump Lab Sink Plaster Sink Standp Rec
- ___ Wtr Sewer Mtrs
. __
1 Classrm Sink Sterilizer Surgeons Sink ___ _ Ice Maker _ _ Deduct Meters
_ Breakrm Sink Dip Well F Prep Sink Gar Drain Wtr Usage Mtrs
_ Ejector/Grind Drink Ftn Serv Sink Soda Disp
Valuation $750.00 Plan Approval $0.00 Permit Fees $25.00 ^ Permit Voided
Issued By Date 11/04/2008
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 AVE OSHKOSH
WI 54902 - 6470 Telephone Number 920-231-5530
r v scneauie 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.
OV-03-2008 03 16 PM
City of Oshkosh
Inspection Services .Division
P O Box 1130
Oshkosh, Wl 54903-1130
Phone: (920) 236-5050
Fax:(92U)23b-5084
Plumbing Permit Application
P, O1/Ol
O~ ~ ~
iS~v N • ,'~1 FF
I hereby apply for a permit to do and install the following plumbing on the premises hereinafter descnbcd, the work tp conform to the
Wisconsin State Plumbing Code, in the performance of which all parties hereto agree to and are bound by said statutes.
• Application(s) and fee(s) can ~ brought to City Hall, Room 2U5 or mailed to Inspection Services, PO Box 1 ] 28, Oshkosh WI
54903-J 128. Commencing work without permit(s) will resull in fees being doubled or $1 OU.(1U plus the normal permit fee, which
ever is greater.
OR
l+av~sory - ror appltcable projects, an Electrical Installation Veriificat><on (EIV) form, signed by the Electrical
Contractor or Homeowner (for i
t
ll
i
-
ns
a
at
ons allowed to be performed by the homeowner) marst be submitted
wiith the permit application. Applicatiofns submitted without an EIV when each is required
will not be
processed for Ptrn4it Issuance and will be returned for completion. ,
Job Address ~Ku MocJl'~-u~S bUlo~ `7allLC (inCludutb IAhnran „,Qt~,;al,~ ~~O ~~ pate ~ ~ 3
O er ~ ~ Contractor
Single Family ^Duplex ^Multi-Family ^Reptal
^Commercial ^lndustrial
Number of Fixtures:
Batllptb Disposal Drink Ftn
Whuipool
C'stch Begin
Dishwasher
Wait. St,
Lavatory Sump Pwnp
Wash Ftn
Ice Chest
Toilet F
IectodGrind
Drina!
,
Exam Sink
Res `~
Wafer Softer
Gar Drain
Sculry Oink
Bar 5if1k I.ocel Warta
- Soda Disp
Hand Sutk
~
ter Hester C'lothea Wshr
C'ot~ac Maker
Gns t : hloct :'I PwrVot F ~°p S~ Comm. Ice Maker
Didet Scty Sink
Sh er
Sitc Drehr
Beer 1'ap let Cirraae Tr
Floor Drein aV
Rouf'Dtain
-'- C'lanstm Stnk Exl Grease Trap
Lndry 71Yjy Stand Res
p
Swpeoas Sink R.P.L. Valve
Lab Sink Eye wash gqf
Bneakrm Sink Sham Ct
Fleeter Sink n . 'nk Wtr Sewer Mfrs
~' Dip Well FldWSt Sink
Srnrilizot'
Doclucf Meters
Hose Bibs
Misc.
wtr U,vaQe Mfrs
Fixp-res
Electric Contractor (for pro'ects not requiring an E1V Form)
Use /Nature of Work
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
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