The URL can be used to link to this page

Home My WebLink About0139355-Plumbing (water heater) e r CITY OF OSHKOSH No 139355 OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 321 W 12TH AVE Owner BRUCE D CHAMBERLAIN Create Date 12/30/2009 Contractor GARTMAN MECHANICAL SERVICES Category 413 - Res - Interior (Replacement Fixtures) Plan Bathtub Clothes Wshr Classrm Sink Surgeons Sink Roof Drain Deduct Meters Shower Lndry Tray Exam Sink Sterilizer Soda Disp Wtr Sewer Mtrs Whirlpool Sump Pump F Prep Sink RPZ Valve Coffee Maker Wtr Usage Mtrs Lavatory San Sump /Pump Flr/Wst Sink Bidet Site Drain Misc. Toilet Water Softner Hand Sink Urinal Wait. St. Fixtures Kit Sink Standp Rec Lab Sink Beer Tap Ice Chest Disposal Gar Drain Plaster Sink Dip Well Comm Ice Maker Dishwasher Local Waste Sculry Sink Drink Ftn Int Grease Trap Floor Drain Bar Sink Sery Sink Wash Ftn Ext Grease Trap Hose Bibb Breakrm Sink Shamp Sink Catch Basin Eye Wash Statn Water Heater 1 Use /Nature SFR / Replace gas water heater. * *debit acct of Work Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service Parcel Id # 0903930000 Valuation $750.00 Plan Approval $0.00 Permit Fees /� $25.00 ❑Permit Voided Issued By (iir7t-/2/ Date 12/30/2009 In the performance of this work, I agree to perform all work pursuant to rules goveming 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 WI 54902 - 6470 Telephone Number 920 - 231 -5530 To schedule 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. C -29 -2009 03 :27 AM GARtMAN MECHANICL City of Oshkosh 9202310486 P.01/01 <S -C.)0 Inspection Services Division O Box 1 Os 02 hkosh, WI 54903 -1130 Phone: (920) 236 -5050 Fax: (920) 236 -5084 `(1''/ u h THE WrTEr I�I 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 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, PO Box 1128, Oshkosh WI 54903 -1128. Commencing work without permit(s) will result in fees being doubled or 5100.00 plus the normal permit fee, which ever is greater. OR if you want this processed through your acco . 41S' , . rd _ • deauate funds. check here 'Tr* Advisory - For applicable projects, an Electrical Installation Verification (EIV) form, signed by the Electrical Contractor or Homeowner (for installations allowed to be performed by the homeowner) must be submitted . with the permit application. Applications submitted without an EN when such is required, will not be processed for Permit Issuance and will be returned for completion. Job Address_ 191 U.. D 1 a Value (Including labor an materials) 1 SO " Date i 644 1 O 9 Owner 1 mho d n s /\ Contractor 1- Family []Duplex []Multi - Family DReentaal Qlndustrial X ❑Commercial Number of Fixtures: Bathtub Disposal prick Fm Catch Basin Whirlpool Dishwasher Wait. St. Wash Fmn Lavatory Sump Pump Toilet Ejector/Grind ex S la (:'hest Urinal Gar Drain -^�- Res. Sink Water Saner Scurry Sink Soda Disp Re Bar Sink Local Waste Hand Sink Coffin Maker W ter Heater Clothes Wahr F P S ink `,j,� Gas C Elect 0 PverVnt Comm, lee Maker ,, ter Spry Sink Shower Beer Tap Site Drain bit G Floor Drain Grease Trap Roof Drain Clasaram Sink Eat Grease Rap Standp Rec l.odry Tray Surgeons Sink R.P.Z. Valve Lab Sink Breed= Sisk Eye Wash Sin Plaster Sink Shamp Sink Wtr ScwerMtrs Dip Well Flr/Wst Sink Sterilizer Deduct Meters Hose Bib; Misc. Wtr Usage Mfrs Fixtures Electric Contractor (for projects not requiring an EIV Form) Use / Nature of Work ...! <t 1. • ` kg, , • saw: Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service „_..__. nlyn.7 .