HomeMy WebLinkAbout0142747-Plumbing (water heater) (a) CITY OF OSHKOSH No 142747
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 2335 COMET ST Owner OSHKOSH HOUSING AUTHORITY Create Date 08/24/2010
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 #
1518080200
Valuation $700.00 Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided
Issued By O/Yl�_..../ Date 08/24/2010
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.
Aug. 24. 2010 10:30AM GMS INC No. 3707 P. /1j _
City of Oshkosh
Inspection Services Division
PO Box lJ30
Oshkosh, WI 54903 -1130
® N--- °6
Phone: (920) 236 -5050
Fax: (920) 236 -5084 I O O f
��.•..JJ
ON THE WATER
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(a) can be brought to City Ball, 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 $100.00 plus the normal permit fee, which
ever is greater.
OR•
you • a cs 'tract, , art . i'atin • in t • Perm' ' ee ; count vstem and cv. r + ' uate u, r
if v °y r his nrocersed through your ocvunt k here
* (EIV) f Advisory - For applicable pro jects, an Electrical Installation l Veri ication ( form, signed by the Electrical Contractor or Homeowner (for installa allowed to be performed by the homeowner) mast be submitted
with the permit applicaflo.,n. Applications subm(tted withont°an ETV when sack is required, will not be
e .
processed for P it Issuance•and will be retamted co iipleti
oa,
Job Addres ___`
e . Value (Including labor and ' le) la) /"`() Date 2 44 \N.°
Owner . • ti: 1' .&. • .Contractor
CJSingie Family QDapJei .
DMulu'pY ntal ❑Commercialndustrtal
Number of Fixtures:
Bathtub Disposal Think Fm
Catch Basin
Wimipool Dishwasher Wait St. %fah Pm
Lavatory Sump >
Toilet lee Ches
lector/Grinda Sint
Res Sink Gar Drain
War Softer
Bar Sink Local Waste �� Sink Soda Disp
B Water Sink Land Sink Co$be Maker
r as 0 Elect 0 Avr L Clothes Walu F P S Comm. lee Maker
Shower
Bidet
Sink Drain
Floor Aram aP Int Gee T Roof Drain
Oakum Sink • &t Gmasc Trap P Standy Roc
Ls BsYa •
b Sink Sgwu Sink • R.P.Z valve
wad Stu
F7eater Sink krm Skimp Sinl; VJtr Sewer Mtra
S r S D+P F ell FJr/Wst Sink
Hose Bite pedant Meters
Misc. Wfr Usage Pits
biixioirs
'Elecfr.jc (for projects not requiring• an Form) -
.Use / Natare of Work . .. . .
•
• Size Material
I # . Conn. Type •
Sanitary Sewer
Storm Sewer
Water Servicc
•
._Received Time_Aug, 24._2,010„10: 29AM No. 2538. . .