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Home My WebLink About0144648-Plumbing (water heater) g) CITY OF OSHKOSH No 144648 OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 906 W 18TH AVE Owner SCOTT J /CINDY SCHAICK Create Date 01/14/2011 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 # 1410080200 Valuation y .00 Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided Issued By / , 1 `70 Date 01/14/2011 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. 1 No. 7069 P. 1 Jan. 13. 2011 2:56PM GMS INC City of Oshkosh Inspection Services Division P 0 Box 1130 Oshkosh, WI 54903-1130 ® Phone: (920) 236-5050 Pax: (920) 236-5084 OfFiK0fH ONI THE WATER Plumbing Permit Application .........• ,. • Nale...,•••■••., , ■■■• .........." .17, 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(s) can be brought to City Hall, Room 205 or mailed to Inspection Srvices, 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 I •u fir '. a ontract• ••a tic'•at' 1. i th - P- A ' ee cc unt vstem and ave adegi_tate funds. check i _ •Ii!an thi , r•ces d I ro JI our ac , unt .. . . . •• . ,,„. • , . , • .. . ** Athisory - For applicable projects, an Electrical Installation Verification (EN) form, signed by the Electdcal Contrictor,or ROMeOwner (for ins tallaiioris allowed to be performed by the homeowner) must be submitted , with ihc permit application. Applications submitted withOnt V/V when such is required, will not he processed forPeint Lsaiumce and will be retuned for cOMPletion. .1.0b 4ddr s Value (Including labor materials) 1 : . ) CIL) Date 1 I 1 1 11 • . er thee Fimuy r _,, - /1 k • Contractor 1-1-uurdlex Blqulti-kamily Dllental OCoromercial [Industrial Number Of Fixtures; Bathtub Disposal Dank% —, Catch Bruin _ _ Whirlpool Dishy/cher Wait. St Ward Fin — Lavatory Sump Pump Ur Ice Chest Urinal ____ Toilet . .tector/Grind .Ezam Sink Gar Drain ____ _._ --, ROL Sink Water SofMer Sculry Sink Soda Disp - Bar Sink Lonal Waste Hand Sink — Coffee Maker — --._ '94PT:eater Clothes Wen- F Prep Sink Comm. Ice Maker Oks 0 Elect 0 PwrVnt Bidet Sem Sink Site Dada — _ Sho , Beer Tap _ Int Cam Trap — inof Drain ___ Floor Drain Ciastirra Sirdc Ext Grease Trap ti?iriR kee _ Litiry Tray • Smgeons Sink . R.PZ Valve Bye Wash Sth _ ___._. Laib Sink __— . . Brealcrm Sink Ship Sialc - Wtr Sewer Mtrs __ — Ilia* Sink DiP Well *. 1131 Sigic — Deduct Met= — Stenlizer Hose Bibs WM Usage Mtn --___ Misc. . F.'zilFes ' 'PeCtiiC CoutraCtor (for projects not requiring an EIV Form) - ,Use / Ngtnre °Mork . . . : ., . ..„. . ... . . ,. • . . Size Material '1p # Conn. Type Sanitary Sewer Storm Sewer Water Service . 7Received Time—Jan. 1.,,2011 2 : 552M Jo. 4374 . . . . • " . i.' .: :ik7.: : ) . ..;1:. : ':: ; ..: :11;':.,-.:.';.:',!c.a4:41:i3:1;T:P,:.:;,:g:Z ::: ...;'•:.::;-',..•.;%:: Y 2:1, ..:, '. ' -: .-- ' :'.' ...: . .