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HomeMy WebLinkAbout2010-HVAC (steam boiler) Ill CITY OF OSHKOSH No 141780 OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 2015 NORTHPOINT ST Owner TED J /SANDRA ZELLMER Create Date 06/29/2010 Contractor GARTMAN MECHANICAL SERVICES Category 411 - Residential -Water Heaters 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 # 1521660000 Valuation $800.00 Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided Issued By (1i9---Ai.L/ Date 06/29/2010 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. Jun, 29. 2010 12:37PM GMS INC No. 2273 P. 3 City of Oshkosh ol5 �� Inspection Services Division P O Box 1130 Oshkosh, WI 54903 -1130 Phone: (920) 236 -5050 Fax; (920) 236 -5084 V _/HKOJH ON THE WATER 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 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 $100.00 plus the normal permit fee, which ever is greater. OR you are a • ,tractor • 'et • atin_ in < ' Perm'' Fe i ou w this me _ e d throe -ccuunt S stern and hav .r le ends check he. e ur account 1 ** 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, e 2i 1 rPh h . I Value (Including labor and materials) r CO - � Date 6/2 /o , Uwn Si S c.-4 y �- i lp..e. — Contractor &-htS I--` ngle Family DDuplex fl111ulti -Family ['Rental Commercial Ol nduatrial • Number of Fixtures: Bathtub Disposal Drink Fm Catch Basin Whirlpool Dishwasher Wait SL Wash Fm lavatory Sump Pwnp Ice C'hcst Toilet Urinal Ejector /Grind Exam Sink Rcs. Sink Gar Drain Spier Scully Sink Soda Disp Bar Sink Local Waste Hand Sink Water Beater 1 Coffee Maker Clothes Wshr F Prep Sink Comm. Ice Maker F6ss 0 Elect 0 PwrVnt Bidet Sery Sink �� Shower Site Drain Floor Drain Beer Tap Roof Drain but Grease Trap Clessirn Sink Est Grease Trap Scan - Lndry Tray dp Roo Lab Sink Surgeons Sink RB2 Valve Wash Stn Brnknn Sink Shamp Sick Wr Sewer Mfrs Prater Sink Dip Well Flr/Wat Sink Deduct Meters Sterilizer Hose Bibs Wtr VsageMtrs Misc. Fixtures Electric Contractor (for projects not requiring an EIV Form) Use / Nature of Work 373 f iG^ tNO. h -- /�..: It. Size Material Type # Conn. Type Sanitary Sewer Storm Sewcr Water Service • 01/07 Received Time Jun, 29. 2010 12:36PM No. 1707