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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 --.. _.........-----.. _.. -0.7.01