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HomeMy WebLinkAbout0139360-Plumbing (water heater) CITY OF OSHKOSH No 139360 OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 501 509 N MAIN ST Owner COMPASS PROPERTIES WEBSTER BLDG LLC Create Date 12/30/2009 Contractor GARTMAN MECHANICAL SERVICES Category 443 - Com'I /Ind - 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 Beauty Salon / Replace power vent water heater for the salon area. EIV signed by Slim's Electric. **debit acct of Work Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service Parcel Id # 0700260000 Valuation $4,500.00 Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided Issued By a !YYL.4 Date 12/30/2009 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 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 10:05 PM GARIMAN MECHANICL 9202310486 P. 01/02 City of Oshkosh Inspection Services Division POBox 1130 Oshkosh, WI 54903 -1130 O Phone: (920) 236 -5050 Fax: (920) 236 -5084 oh/ .M, T.R • 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 panics 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 Inspection Services, PO Box 1128, Oshkosh WI 54903 -1128. Commencing work without permits) will result in fees being doubled or $100.00 plus the normal permit fee, which ever is greater. OR cr• _ ,, r or ,r'C'„ 'A• ' , - _ - u' co., •,A , r! ,_v ,d • . :s .•, : ,ere if you want this processed through your account P■ ** 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 EIV when such is required, will not be processed for Permit Issuance and will be returned for completion. Job Address -. /V. Me /h S4 Value (Including labor and materials) «.SD 0' co Date la-Ada/a/ Owner co..., PG i i - •- • i Contractor /.+'JS /Ps c- . ❑Single Family ❑Duplex ❑Mu1H- Family DRental [commercial ❑Industrial Number of Fixtures: Bathtub Disposal Drink Ptn Catch Basin Whirlpool Dishwasher Wait. St. Wash Fin Lavatory Sump Pump Ice Chen Urinal Toilet Elector/Grind Exam Sink Gar Drain Rea. Sink Water Softnor Sculry Sink Soda Diap Bar Sink Local Waste Rand Sink Coffee Maker Water Heater / Clothes Wshr F Prep Sink Comm. Icc Maker B't!,`ae ❑ Elect 14 Bidet Sery Sink Site Drain Shower Boer Tap Int Oreaae Trap Roof Drain Floor Dram Classnn Sink Ext Grease Trap Standp Bee Lndry Trey Surgeons Sink RP.Z. Valve Eye Wash Stn Leh Sink Brrakrm Sink Shamp Sink Wtr Sewer Mfrs Plaster Sink Dip Wall _ _ F1r/Wst Sink Deduct Molars Sterilizer Hose Bibs Wtr Usage Mtrs Misc. Fixtures Electric Contractor (for projects not requiring an EIV Form) �+ ,/5/..., L a-., C E Use / Nature of Work Rap Ic-�a ...4- vic.�-c-- La.-l-c.- -C,, - Sc. /„ #4), e, Size Material Type at Conn. Type Sanitary Sewer Storm Sewer Water Service 07/0 DEC -29 -2009 10:06 PM GARtMAN MECHANICL 9202310486 P.02/02 cla KA1ia k MI6* otlAp.Nloe &evicts A s Chiseh ANON FO sex 1130 penal WI 64903.1130 . <n L YON Fat 0294364014 Electric Installation Verification T(W SLIM'S ELECTRIC INC. (Electrical Contractor Name) 2608 Oakwood Circle Oshkosh WI 54904 (Adrian) (City) (Sta (Zip Code) have been contracted to perform electric installed= work ibr i (Name of party contracted at the following address: a) 1 I-.J ' Maly) (Address where work will be performed) The nature of the worts consists of: (Check One or Describe the Nature of Work) Reconnection or mew circuit for replacement Heating Punt and/or NC Condenser. Reconnection or new circuit for replacement Electric Water Heater or power vented water heater. • Reconnection of tine Service Entrance Cable, Meter r Hood alterations to receptacles and lighting fixtures due to aiding / wife installation. Note: New Service Entrance Cables will require a separate permit. _ Reconnection or new circuit for the replacement of other permanently wired appliances / Thmnee. New circuit for the addidon of A/C to an individual dwelling stmt (house or the • individual systems in a duplex or condominium), including required service electrical outlets. Other The value ofthia work is $ , J4-5 • ( ) • I hereby verify this work will be performed by an employes of this company and Anther verify the reconnection / installation will be done in compliance with manufacturer and Electric code requirements. %veti.,42,4 y ,x ....1y /I 1 x13 0 1 Xi (Signature of Com � . � ,, ' ' cer) (Print Name of Offc (Date) �/ sea