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Home My WebLink About0134262-Plumbing (water heater)OSHKOSH ON THE WATER Job Address 621 707 NICOLET AVF CITY OF OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD Owner OSHKOSH HOUSING AUTHORITY No 734262 Create Date 12/04/2008 Contractor GARTMAN MECHANICAL SERVICES Category 411 -Residential-Water Heaters Plan Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater Site Drain Roof Drain Misc. Fixtures Use/Nature of Work _ Shower Water Softner Wait. St. Shamp Sink Floor Drain Locai Waste Ice Chest FIr/VUst 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 $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 applignt 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 T-. .1-~~..,_ , WI 54902 -6470 Telephone Number 920-231-5530 . _ __..,,,.,.._ ..,~r,,a~~,~,,,a N,~aan van ine mspeciwn Keques[ une at 136-5728 noting the Addn3ss, 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 05;14 PM City of Oshkosh Inspection Services Division P O Box 1130 Oshkosh, WI 54903-1130 Phone: (920) 236-5050 Fax: (920)236-5084 P, O1/Ol ~ _C~) \~ Plumbing Permit Application I 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 pcrformanee of which all parties hereto agree to and are bound by Said statutes. • Application(s) and fee(s) can be brought to City Ha11, Room 205 or mailed to lnspection Services, PO $ox 1128, Oshkosh W1 54903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the nol~rnal permit fee, which ever is greater. OR Job Address ~(~~ l~-c ,~, 1. ~_ Value pnamdinglaborana terie-s1 ~C~~ Date Owner Contractor ^Single Family ^Duples ^Multi-Family Rental ^Commercial ^Industrlal Number of Fixtures: Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink a Neater Qas G Bled J PwrVot 3h war Floor Drain Lndry Trey Lb Smk Plaster Sink Sterilizer Mica Fixares Electric Contractor (for Disposal Drink Fro Diahwaaher Wait. St. Sump Pump Ice fittest Ejector/Grind Exam Sink Waeer Softner Scurry Sink Local Waste Hand Sink Clothes WBhr F Prep Sink Bidet Serv Sink Beer lap Int Grease Trap Classrnt Sink Ext Grease Trap Surgeons Sink R.P2. Valve BrralQm Sink Shemp Sink Dip Wall Flt/WSt Sink Hose Bibs acts not requiring an EIV Form) finch basis WeRh Ftn llrinel Gar Drain Soda Disp Coffee Maker Cotnnt. lee Makor Site Drain Root' Drain Standp Rcc Eye Wash Stn Wtr Sewer Mtrs Deduea Meters Wp' U9age Mfr6 Use /Nature of Wark Size Material Type tl Conn.7ype Sanitary Sewer Storm Sewer Water SCrV1Ce _ _.-D.7,Lp~...- '"* Advisory -Fox applicable projects, as Electrical Installation Verification (EIV) form, signed by the Electrical Contractor or Homeowner (for installations allowed to be performed by the homeowner) must be snbwitted with the permit Application. Applications sabmitted without a» E1V when such u required, will not be processed for Permit Yssuance sand will be returned for completion.