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Home My WebLink About0144238-Plumbing (water heater) g) CITY OF OSHKOSH No 144238 OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 135 N WESTHAVEN DR Owner HAVENWOOD HEIGHTS LLC Create Date 12/01/2010 Contractor GARTMAN MECHANICAL SERVICES Category 446 - Commercial -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 Building Q / Replace gas water heater. * *debit acct of Work Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service Parcel Id # 1630000400 Valuation $1,600.00 Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided Issued By /919/./4.} Date 12/01/2010 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. No. 5990 P. 1._-'' Dec. 1. 2010 12: 14PM GMS INC I City of Oshkosh Inspection Services Division P 0 Box 1130 Oshkosh, WI 54903-1130 N Phone: (920) 236-5050 Fax: (920) 236-5084 OJHKQJn Oh TME 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 Cod; 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 S100.00 plus the normal permit fee, which ever is greater. • OR v• are a c•ntrct• •a tic".•ati : ' t eP- • — A coun Sv .em • d hav- ode _ate ntlx . eck h re i ou ant hi , r • es d tiro lh our ac oun • .. „. .. . . . . : . : . • : . Advisoly- For applicable projects, an Electrical Installation Verification (EIV) form, signed by the Electrical Contractor or Einmeciwner (for initAllationi allowed to be performed by the homeowner) must be submitted .... with the permit Application. Applications iiitripitEed wit4OW an kv wlaen sad' is required, will not be processed for Pe Is .,., once and will '' ',.. , ed for cOMpletion. -•›, . , • ■ .0 . . ' g 00 Job Ad. ess ,: :AAA ....! ''' labor and matcri , ii .I. i Date P. Owner _ lust IV 1 . ta.rA COntractor lik Alr■ a O___ . °Single V4 ii i , pies DIVIultl-kainny IT4 ' ental ElCommereial [Industrial Number of Fixtures: Bathtub Disposal Drink Pto Catch Basio _ Whirlpool Dishwasher Wok St Wabb Pm — Lavatory Sump Pump lee Chest -- Urinal — Toilet 1.1.jector/Grind . Exam Sink Gar Drain . —,- lies. Sink Water Softaer Scuby Sink ______ Soda Dam __ Bar Sink Local Waste Haod Sink Coffee Maker ___ —__ — .. Gas Bleat CI PwrVm t Clothes %lir Bidet Beer Tap _ — F Prep Sink Sery Sink Int Glasse Trap — --- Site Drain — BoofDrain _ rloor Drain Oe:r4ne Sink -____ Eict Grease 'Trap — Xaidry Tray - - Surgetais Sink . B.P.Z. valve e was SM .....— — lab Sink Brad= Siok Siamp Sink : WIT. tea* Mtts _ Plaster Sink tilli Well Plrilyst Sink -- ' Deduct )4eters _ ..-.-, Hope Biz Wtt Dsage Plus Misc. ... Ore.e.izs ......._._. 'PeCtliC ContraCtor (for .projects not requiring an EIV Forra) Ilse / Nature of work • •: . , : . :- Size Material TYPe # Canny Type Sanitary Sewer Storrn Sewer Water Service • : R e c e i v e d T i me7D e c. 1. 72010-, : 12: 1.3 PMN9O9cli. _..,....... „ ,. ..,„.........„, ...,—_,_.,_ g.f'elf.0 f*S.4:;;',Q .:':..‘.:-*V.4.,:ji.',;..:.:Atii:5)k6::...:i-,..; ' • ,- •