HomeMy WebLinkAbout0140023-Plumbing (bathtub) CITY OF OSHKOSH No 140023
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 883 W 18TH AVE Owner GLENN A DEMLER Create Date 03/11/2010
Contractor GARTMAN MECHANICAL SERVICES Category 413 - Res - Interior (Replacement Fixtures) Plan
Bathtub 1 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 Fir/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
Use /Nature SFR / Remodel 1st floor bathroom. ""`debit acct
of Work
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id #
1411970000
Valuation $500.00 Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided
Issued By a,9,yr..2,� Date 03/11/2010
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.
MAR-11-2010 THU 08:30 AN
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FAX NO, P. 01/01
City of OshIcosh
Inspection Services Division . .
. '
aS ,O0
P 0 Box 1130
Oshkosh, WI 54903-1130
e ).
Phone: (920) 236-5050
Fax: (920) 236-5084 OfFil(CatH
ON TrIC WATEP
Plumbing Permit Application ..
1 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 Cod; in the performance of which all parties hereto agree to and are bound by said statutes.
• App]ication(s) a fee(a) 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 $100.00 plus the normal permit fee, which
ever is greater.
OR
If voll are a contractor oortictpating in the Persil, - i count S' stem and a -. c -. .: -. nds. che , Jere
if_vou want this •ocessed through your account 1
. .
. .
. . . .
** Advisory -For applicable projects, all 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 withot.dan EIV when such is required, will not be
processed for Peimitisstance and will be returned for completion. .
Job Address Address 5(.3 kJ • i S t--i. 'Value (Including labor End matinials) 5Z6 ' C'r-2 Date 3 — to
ow . (TkutiA E) elm t-e,.. Contractor C L.,,./...., LA 0,4 cc_ L
psole Family Othiplex UNIulti :Rental 0 Commercial DIndustrial
Number of Fixtures:
Bathtub 1 Disposal . Drink FU3 • Caleb Basin _
____
____
Whirlpool Dishwasher _____ St Welsh Fu -
- -
• Lavatory Sump Pump ____ Chest • Urinal -
- -
Toilet ____ Exam Sink Gar Drain •
- _ _
rtes. Sink Water Spinier Scully Sink _ Soda Dip
Bar Sink Local Waste ____ Sink Coffee Maker _
_ _
Water B eater Ckdbes Wshr F Prep Sink • Con= lee Maker _
_ ____
CI Gas 0 Elect 0 PwrVnt
Bidet . Sexy Sink Site Donn -
_ _
Shower .
Beer Tap ' Int Grease Tom Roof Drain _
Floor Drain
Classrm Sink
• Eat Grease Trap -
Stanclp RED ___
Lrielry Tray ,
' Surgeons 5m Sink 'R.1 Valve Wasb ' _
Lab Sink - - Eye Was
Brod= Sink Shiunp Sink • • WO-Sewer Mrs _
- -
Plaster Sink
Dip Well Flr/Wst Sink ' Deduct Motels _
- -
Sutra=
Hose Bths Wkr Usage Nits ._
- .
l',.'lisc• . .
• iiicnires . .: . . . .
. .
• Electric Contraetar (for projects not requiring an EIV Form) — _ . .
.:Iise / Nature Of Woit .... . ...LkAM vt!'■.. ,. -
. .
•
Size Material • • Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
•
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. . . .
•
- Received Time-Mar. 11..40107 8: 30AM 01 5,4 ,,, ,. .........,......, ..,, .....„....,..: ....... .., ,... .... .,..:..,,.,.....,...,::::: .),..... ,..
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