The URL can be used to link to this page

Home My WebLink About0142055-Plumbing (water heater) 1?&I CITY OF OSHKOSH No 142055 OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 426 W 17TH AVE Owner MARK D FOLAND Create Date 07/15/2010 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 FIrIWst 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 # 0908610000 Valuation $700.00 Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided Issued By L Q� Date 07/15/2010 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. Jul.15. 2010 10:51AM GMS INC No. 2651 P. City cif Oshkosh Inspection Services Division P 0 Box 1130 1 Oshkosh, WI 54903-1130 Phone: (920) 236-5050 Fax: (920) 236-5084 Of.HKOiH Ok TI4 WAT 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 al] 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 5 Commencing work without permit(s) will result in fees kin doubled or 5100.00 plus the normal permit fee, which ever is greater. OR / vo u ar - a c 'tractor ..artic• , atin , :n th • Perm; , ee ' .count S em and have adequate funds. check here i ! wan . his ricessed hrou ou ace, . 1 . • . • • • . . • • . . . . • - . .' ' •••• • • . . Advisory - FOr applicable projects, an El ectkcal Installation Verification (F1V) form, signed by the Electrical Contractor or Homeowner (for installations allowed to be performed by the homeowner) must be submitted . with the permit applicatio.n, Applications submitted without aii ETV when such is required, will not be processed f r Permit Bait e and Will be retained for completion, INA CO Date 1 t I 0 ''' .4tiadr Value ding bo mat (Inclu lar ) r k..0 r ''Owner . .4 LO *- -in .Contractor ... V Single FaMtly ODuplex 0111ulti-Vanoy ORental DCommereial Elindustrial Number of Fixtures: Bathtub _ Disposal Drink Poi — Catch Basin — Whirlpool Dishwasher Weil St Wish Fin _ — Lavatory Sump Pump ___ Ice (lest — Urinal _ Toilet ____ Exam Sink Gar Drain • _ ...„ ____,_ Res. Sink Water Softner Scuby Sink . Soda Disp —.-- Bar Sink Local Waste Hand Sink -- Coffee Maker — Water Heater Clothes Wshr _ P Prep Si — sk Comm. Ice Maker )'Gas 0 Elect 0 PwrVat Bidet Sew Sink Site Drain _ --- — Shower Beer Tap lot Gloss Trap Roof Drain ____ Floor Drain Class= Sink • ExtGrease Trap — §IalidP Rey _ Ltidry Tray - Surgeons Sink 11.P.Z. Valve — , *ye Wash Stn - , —, Lab Sink Break= Sink Shimp.Sink ...iiir Sewer Mtrs _ — Plait= Sink bil !fen — EntWst Sink . Deduct Ivistats — Steniizer Hose Bibs Wfr Usage Mfrs __ .Misc. . : . . . . . PeCtrie Contractor (for projects not requiring an ETV Form) • .. „Use / Nature Of Work , _.• . * lei .. s .. ... • .. O.- . I . ,. , *kft.,; . . . .. . . Size Material . TYP # • Conn. Type Sanitary Sewer Storm Sewer Water Service Received Time Jul. 15. 2010 10:50AM No.1950 .