HomeMy WebLinkAbout0134237-Plumbing (water heater)OSHKOSH
ON THE WATER
Job Address 621 707 NICOLET AVE
Owner OSHKOSH HOUSING AUTHORITY
No 134237
Create Date 12/02!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
_ Floor Drain Local Waste Ice Chest FIrIWst 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 Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Valuation $700.00 Plan Approval $0.00 Permit Fees $25.00 ^_Permit Voided)
Issued By Date 12/02/2008
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
AgentlOwner
Address 520 W SOUTH PARK AVE OSHKOSH
WI 54902 - 6470 Telephone Number 920-231-5530
i o scneaule 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 performed within two business days from the time the project is ready.
CITY OF OSHKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
C-02-2008 02 39 PM
City of Oshkosh
Insrection Services Division
p O Box 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920)236-5084
Plumbing Permit Application
P, O1/O1
cx-~ ~~~
:.v r~r tivr~r?r
!hereby apply for a permit to do and install the following plumbing on the plemiscs hereinafter described, the work to conform to the
Wisconsin State Plumbing Code, in the performance of which all parties hereto agree to and are bound by said stacutes.
• Application(s) and fee(s) can be brought to Ciry Hall, Rnom 205 or mailed to Inspection Setviccs, PO Box 1128, Oshkosh WI
54903-1128. Commencing work without permit(s) will result in fce~ being doubled or $100,00 plus the normal permit fee, which
ever is greater.
OA
** Advisory -For applicable projects, an Electrical Installadan Verification (F1V) form, signed by the Elec~ical
Comractor or Flomeowner (for installations allowed to be performed by the homeowner) mast be submitted
" ~ with the permit application. Applicatior~.c submitted without as EIV whet! each is requited, will not be
processed far Permit I asaance and will be retnrtned for completion.
Job Address ~~ ~1~~, 9.,~_ V&Ille (including labor end lenals) ~ ~~'« Date ~ U~
Owner ~ Contractor
^Single Family ~Duplea QMulti-Family Rental Commercial ^lndustrial
Number of Fixtures:
Bathtub Disposal [pink Ftn Catch 9asin
Whirlpool Dishwasher ,,,,~ Wait. St. Wash Ftn
Lavatory Sump Pump Ice C'hra~ Ltrinal
Toilel Cjector/Crrind Exam Sink Gar Drain
Rea. Smk Wtuet• SoRner Scully Sink Soda Diap
8er Sink L,ocnl Waste Fland Sink CoRce Maker
W r Heater ( Clothes Wshr F Pt+ep Sink Comm. Ice Maket•
Oas i :Elect ~. ~ Pwrvnl Bidet Serv Sink Site Frain
Sh er Beer Tap lnl Ctrease Trap Ronf Dram
Floor Drain Classrtn Sink Ext Grease Trap Standp Rec:
Lndry 'I'ny
Stn•geons Sink R.P.Z. valve
k:ye Wash Stn
Lab Sink Rneaktm Sink Shemp Sink Wtr Sewer Mtn+
Plaatcr Sink Dip Well F1dWsl Sink Deducl Meters
Sterilizer Hose Bibs Wtr Usage Mtn
Misc.
Fixtwca
Electric Contractor (for rojects not requiring an E V Form)
Use /Nature of Work
Size Material Type a~ Conn. 'Type.
Sanitary Sewer
Storm Sewer
Water Service
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