HomeMy WebLinkAbout2008-Plumbing (water heater)OSHKOSH
ON THE WATER
Job Address 250 N SAWYER ST
CITY OF OSHKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
No 134281
Create Date 12/05/2008
Contractor GARTMAN MECHANICAL SERVIC:FS
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
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 $650.00 Plan Approval $0.00 Permit Fees $25.00 ^ Permit Voided
Issued By Date 12/05/2008
In the pertormance of this work, I agree to perform all work pursuant to rules governing the described construction.
Whife 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
a~~~CUU~c mspecuvns please can ine 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 CITIZENSFIRST CREDIT UNION
Category 441 -Industrial-Water Heaters
C-04-2008 02 48 PM
City of Oshkosh
Inspection Services bivision
P O Box l 130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920)236-5084
P. O1/Ol
c~s'~ vO
C~h UHF. wATi?6'
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 performance ofwhich all parties hereto agree to and are bound by said statutes.
• Application(s) and fec{s) can be brought to City Hall, Room 205 or mailed to Jnspeetion services, PC) Box 1128, Oshkosh WI
54903-I126. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the normal permit fee, which
ever is greater.
OR
-- r~uvxsory - r or appltcable projects, alt] Electrical Installation Verification (EI'V) form, signed by the Elet:tiical
Contractor or Homeowner (for installations allowed to be performed by the homeowner) mast be sabmitted
with the permit application, Applications submitted without an F,IV when such is required, will not be
processed for Permit Issuance and will be returned for completion.
Job AddressL~ Valle (Including la6ur end mercrialsl Date ~~ d~
Owner .(~ Contractor ~~
^Single Family ^Duplex ^Multi-Family ^Rental commercial []Ilndustrial
Number of Fixtures:
Etethhrb
Whirlpool •
Lavatory
Toikt
Res. Smk
Sar Sink
Weter Heater
Electric Contractor (for
Use /Nature of Work
~ brink Fm Gatch Benin
Diefiwaebar WAit, 5t, Was], ~
Sump Pump Ice Chesl Urinnl
Bjoctor/Gti»d Exam Sink Gar Drain
Water SofCur ScuLy Sink Sodn biep
t.ocei ~'~u Hoad 5mk
Coffee Maker
Clothes Wely F p,ep Sufic Comm. Ice Maka•
Bidet Serv Sink Siu Drain
Beer?ap Int Grease Trap Roof [pain
Claserm Sink Ext Greene Trap Standlr Ree
Surgeons SiNc R.P.7... Valve )rye Wash Stn
Breelam Sink 5hentp Sink Wtr Sewor Mars
~ WOII F1rnVst Siak Deduct Meters
Hone Bibs Wtr Usage Mfrs
not requiring an E1V Form)
Ce V.7C~`p~ Un o r~ ~-c,~.
Size Material Type a!/ Conn. Type
Sanitary Sewer
Storm sewer
Water Service
Oes u Bloct .1 Pwrvnl
Sh war
Floor thatst
Lndty ?ray
Lab Sink
Fleeter Sink
Sterilizer
Misc,
Fixtures