HomeMy WebLinkAbout0134263-Plumbing (water heater)OSHKOSH
ON THE WATER
Job Address 691 FRANKLIN ST
CITY OF OSHKOSH
No 134263
PLUMBING PERMIT -APPLICATION AND RECORD
Owner ERIC & JEAN M KIMBER/DAPHNE V YOUNG Create Date 12/04/2008
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
Floor Drain Locai Waste Ice Chest Flr/V1Ist Sink
_ Lndry Tray Clothes Wshr Exam Sink Catch Basin
_ Disposal Bidet Scutry 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 $750.00 Plan Approval $0.00 Permit Fees $25.00 ^ Permit Voided
Issued By Date 12/04/2008
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
Tw .I.. J..,.
WI 54902 -6470 Telephone Number 920-231-5530
. _ __.._--...o ...~,,~.,~,.,,,a r,oaaQ .,a„ ~,,,, ,nspeciron reequest une at z36-57 ZS 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.
C-03-2008 04 05 PM P. O1/O1
lJ~~ ' vv
City of Oshkosh
lnspcction Services Division
P O Box 1130
Oshkosh, WT 54903-1130
Phone: (920) 236-5050
Fax: (920).236-5084
Gh .fiF AT
Plumbing Permit Application
1 hereby apply for a permit to do and install the following plumbing on the premises 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 statutes.
• Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, P013ox 1128, Oshkosh W1
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, as Electrical Installation Verification (EIV) form, sipped by the Electrical
Contractor or Homeowner (for irstallatious allowed to be perFormed lby the homeowner) mast be stalbmitted
with the permit application. Applications submitted without an EIV wheat such is >requized, will not be
processed for Permit Issuance and will be retarned for completion.
Job Address ~ ~ , ~ n ~( ~„~ Va]Ue (Inchuling !abut sod ipeterials) ~ ~ • ~~ Date ~ ~ D
d er Contractor ~~~'1
SfnRle Famil ODuplex ^Multi-Family ^Rental ^Commercial ^Iudastrial
Number of Fixtures:
Bathtub Disposal prink Fen
Whirlpool 17;ahwasher Wail. St,
lavatory Sump Pump lee Chest
Toilet Ejector/Grind Exam Sink
Roa. Sink Waur Sofiner ScuLy Sink
~r Sink Local Waste Hand Sink
seer Heater ~_ Clathee Welt' F Prep Sisk
Gen CI Elect 0 PwrVot Hidct Serv Sink
Sh er Beer Tap lat Grease Trap
Floor Drain Classrm Sink Eat Grease Trap
L.odry Tray Surgeons Sink R.PZ. Valve
Lab 5mk Bt~krtn Sink 9hamp Salk
Pls.+ux Sink Well
~p
Flr/Wst Sink
St~eNuar Hose Bibs
Misc.
Fiixtures
E]eetric Contractor (for projects not requiring an EIV Form)
Use /Nature of Work
Cstoh i9aam
Woslt Fm
Urinal
Gar Qrain
Soda Dixp
Coffee Maker
Comm. lee Maker
Site Drain
Roof prate
5tandp Ra
Eye wash Sm
Wtr Sower M[rs
Deduct Meters
Wtr Usa6c Mfrs
Size Material Type t/ Conn• Type
Sanitary Sewer
Storm Sewer
Water Service