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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