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Home My WebLink About0133782-Plumbing (water heater)CITY OF OSHKOSH OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 621 707 NICOLET AVE Contractor GARTMAN MECHANICAL SERVICES Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater Site Drain Roof Drain Misc. Fixtures Use/Nature of Work Valuation Issued By Date 11 /03/2008 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 ~ o 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. Owner OSHKOSH HOUSING AUTHORITY Category 411 -Residential-Water Heaters No 133782 Create Date 11/03/2008 Plan _ Shower Water Softner Wait. St. - - Shamp Sink - Coffee Maker Floor Drain - Local Waste -- Ice Chest _.. -- FINWst 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 Weil F Prep Sink Gar Drain Wtr Usage Mtrs _ Ejector/Grind Drink Ftn Serv Sink Soda Disp _~ 0~ Plan Approval $0.00 Permit Fees $25.00 ^ Permit Voided OV-03-2008 09 34 AM C:ity of Ushkoah It~spcction Services bivision P O Box ]]30 Oshkosh, WI 54903-1130 Phone; (920) 236-5050 Fax: (920)236-5084 Plumbing Permit Application C~S (~~ <;+. s.r. ,v;,tFR H I hereby apply for a permit to do end install the fol]owing plumbing on the premises hereinaftEr deccrilied. the work to conform to the Wisconsin State Plumbing Code, in the performance of which all palzirs hereto agree to and are bound by said sttuu[es. • Application(s) and ftac(s) can be brought to City Hall, Room 205 or mailed to inspection Services, PO Bnx ] 128, Oshkosh WI 54903-1128. Commencing work without pcrmit(s j will result in fees being doubled or Rl UU.UO plus the normal permit fee, W~hic:h ever is greater. OR A4 ~=ate=y - r. ur appucanie protects, an Electrical Installarion Verification (EIV) form, signed by the Electniea] Contractor or Homeowner (for installations allowed to be performed by the homeowner) mast be submitted witL the permit application. Applications submitted without an EN when such iS required, will not be processed for Phermit Issuance and will be returned for completion. Job Address 4~ E'J ~ ,t",~ ~ ValUe (Inciudinglanora amate,yols~ f':`~:-l ~ ~ t Date 1~~ 3 ~ ~ Ur~ Owner Contractor ^Single Family QDuplex ^)\1~Iultl-Famil~~ Rental ^C.ommereial ^Industrial Number of Fixtures: Bathtub Whirlptw] 1.evatory Toilet kes. Sink esr' Sink W to Heater 5ho er Floor brain l.ndry Tray . 1.a6 Sink Plaster Sisk Sterilizer Misc. Fixtures Electric Contractor (for pr Use / Natare of Work P, O1/O1 Disposal txir,k F'tn Catch Flasut biFhwashtr Wait. St. Wash Ftn Surnp Pump Ice Chest Urinal Feiector/Grind Exam Sink Gar Drain taster Sotttter ScuLy 5iril: Soda Disp L°~ Wss<e Henci Sink Coffee Maker Clothes Wshr F Prop Sink = Comm. ice Maker Bidet Serv Sink Sits 17rain Byer Tap let Grease Trap Roof Drain Clasarm Sink Ext Grease Trap _ Stand Rec u Surgeons Sisk k.P.7,.. Valve Eye Wash Stn Brea3<rm Ste` Shsmp Sink wu' Sewer Mtrs btl' WCJi FIrNJat Sink Deduct Meters Hoge Dibs Wtr Usage Mtrs acts not requiring an E.IiV Form) i Size Material Type # Conn. J-ypc Sanitary Sewer Storm Sewer Water Service