HomeMy WebLinkAbout0133827-Plumbing (water heater)OSHKOSH
ON THE WATER
Job Address 915 GRAND ST
CITY OF OSHKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
Owner RICKY R/SUSAN R CAVANAUGH
Contractor GARTMAN MECHANICAL SERVICES
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
No 133827
Create Date 11/05/2008
Category 411 -Residential-Water Heaters Plan
_ Shower Water Softner Wait. St. Shamp Sink
Floor Drain Local Waste Ice Chest Flr/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
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye WashStatn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Valuation $750.00 Plan Approval __,$0.00 Permit Fees $25.00 ^ Permit Voided
Issued By ~1~ Date 11/05/2008
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 appliption within an easement, the City sVongly 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 o scneauie mspectlons 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 performed within two business days from the time the project is ready.
OV-05-2008 11;44 AM
City of Oshkosh
Inspection Services Division
P O Box 1130
Oshkosh, Wl. 54903-1130
Phone: (920) 236-SO50
Fax: (920)236-SUR4
Plumbing Permit Application
P, O1/O1
~f v~ tiw
1 hereby apply for a permit to do and install the following plumbing on the premises hereinafter' described, the work to confot'm to the
Wisconsin State Plumbing Codc, in the pelfonnancc of which all parties hereto agree to and are bound by said statutes.
• Application(s) and fee(s) can be brought to City Hall, Room 20S or mailed to Inspection Strvlces, PO I3ox ] 126, Oshkosh Wl
54903-1128. 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 Installation Verification (EIV) form, signed by the ElecCcieal
Contractor or Homeowner (fox iastellations allowed to be per'f'ormed by the homeowner) mast be submitted
with the permit application. Applications submitted without an EI V whey each is required, will not be
processed for(;Permit Issaance aad will be returned for con>wpietion. ~~jQ
Job Addres6~{I~ _ Value (Including lattarattdmaterials) ~~~'J ~~ Date (( S ~ `"u
O er I,~Jrr~,~ y r 1~,-,ca Contractor ~- JL~^ -~,v~-o~1-
Single Family ^Duplex ^Multi-Family ^Rental ^Comntercial ^Indulttrial
Number of Fixtures:
Bathtub Disposal Drink Ftn C.'atch Basin
Whirlpool Dishwasher Wail. SI. Wsah Ftn
Lavatory Swap Pump let ChaSt Urinal
Toi1d B,jaWr/GrJnd Exam Sink Gar Dcuin
Res. Sink Water Sot'tnor Scurry Sink _ _ Sudo Diap
Bar Sink Locxtl Waste Hand Sink C'otlke Maker
rT Heater __L Clothes Wahr F Prep Sink Cottun. Ice Maker
~ Gas I i 61cct: i PwrVnl Bidet Sere Sink _ Sitc Dral1-
Sho cr g~ Toy lnl Graeae Trap Roof Drnin
Floor Drain Clossrm Sink Ext Grease Trey Swndp Rec
I,~' Tray Sutttcona Sink R,P.Z. Valve I;ye Wash Stn
Lab Sink Breaknn Sink Shtnnp Sink Wu• Sewor Mtn
Pleatcr Sink Uiy Wall FIr/Wst Sink T)edua Meters
Sterili~cr Hone Btbs Wtr UeaEte Mas
Misc.
Fixatres
Electric Contractor (for projects nolIt~~,,requiring an EIV Form)
Use /Nature of W ork ~~ ~l.C.t ~_ 0 ;~Q,~, ~'
Size Material Typc t! Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
-• -----~ 7•~-0.2-.....