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Home My WebLink About0144147-Plumbing (water heater) CITY OF OSHKOSH No 144147 OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 1025 W 6TH AVE Owner GEORGE S KUEHN Create Date 11/18/2010 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 # 0606060000 Valuation $750.00 Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided Issued By a --n.AZJ Date 11/18/2010 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. Nov. 18. 2010 2:17PM GMS INC No. 5778 P. City of Oshkosh Inspection Services Division • P O Bo O *. shkoshh, , W W1 I 54903 -1130 Phone: (920) 236 -5050 Fax: (920) 236 -5084 O FicPAH ph THE w Plumbing Permit Application I hereby apply for a permit to do and install the following plumbing on the premises hereinafter described, th c 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 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 8100.00 plus the normal permit fee, which ever is greater. OR . are a ontr. or •.a i i.at', - in r e Per Fee .; ccount _ tem and hove adeauate funds. check here i ou i -n! thi 'roce '. -d thr. • h , .r acc, nt * * Advisory - Nor a pp l icable projects, an E lect r ical Installation Veri (E1V) foam, signed by the Electrical Contractoror Homeowner (for installations allowed to be petforpied by the homeowner) nmst be submitted with the petit application. Applications sabimtted withont an EIV when such is required, will not be processed for Permit Issuance 'and pill' be reta ed for completion. , Job Addres (�/ ice 1 VON ` 11‘1.910 e (Including labor nuts) l , Date . 1 _A . Contractor . ... . er eitr imgle Family ❑Duplex �Mniti -p tinily ental Commercial ❑Industrial umber of Fixtures: Bathtub Disposal Drink pm Catch Benin Whirlpool Dishwasher Wait SL Web Pm Lavatory Swap Pump Toilet Ice C7eest� eet° ` /G rind Eam Sink Reg. sink Water Saber Gar Drain Souk) sink soda Bar Sink Local Waste Ind Sink Maker H eater Clothes Wok ink das n Elect D PwrVnt FP S Comm Ice Maker Bidet Sory Sink Site Drain I?loor Drain Beer Tap Int Grease Map hoof Amin C9assrm Sink • Bart may. Tray Grease 7YaP Staodp lice • 5ai geons Sink Lab Sink 'RP.Z Valve Eye Wash Stn Bieakini Sintc Oa* Sink S Sick Wt SewerMtra Sterr7izer DiP Well *Mat Sink . Deduct M Hose Bibs etas Mice. Wtr Usage Mfrs I ' Elect>cic . Contractor (for projects not requiting app Ely Form) _ - • • ,.Use / Nature of Work . • .. •• •• . • . • • Size Male ta Ty # Conn. Type Sanitary Sewer Storm Sewer Water Service • Received Time Nov. 18. 2010 2:16PM No. 3799 ,