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Home My WebLink About0144647-Plumbing (water heater) CITY OF OSHKOSH No 144647 OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 1712 JEFFERSON ST Owner MARY R SWANKE 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 # 1504180000 Valuation $700.00 Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided Issued By 5'...M51-- 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. 0 Jan. 13. 2011 3:13PM GMS INC No. 707 P. 1 , . City of Oshkosh Inspection Services Division P 0 Box 1130 Oshkosh, WI 54903-1130 KY Phone: (920) 236-5050 Pax: (920)236-5084 afHl<011-1 om THE WATER Plumbing Permit Application. 1 hereby apply for a permit to do and install the following plumbing on the premises hereinafter dcscnbed, the work to conform to the Wisconsin State Plumbing Cod; in the performance of which all panics 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 $1 plus the normal permit fee, which ever is greater. OR I v. , re a ontn, for ..artic".atin. in t e Peri, r - - Ac 'lint S em and , eve ade : unds check - - ou Iii i th" ,ro -s•sed hro fh . ac 'tint . .. .. .. . . . . . . . .. .. . . ' '•*"..'... .'" -.". ' . .. • ' ' • 44 t Advisory . V'Oi applicable projects , an EJ. earl cal . . c on Verification (EIV) form, signed by the Electrical . ContraCtor.or HoineOwner (for initallifiions allowed to be performed by the homeowner) must be submitted with the PeEmit aPPlicitiml. Applications submitted without an EIV when such is required, win g& be processed for Peimit Itstance and Will be tailed for co4lition. Job Address 1 I ...#11.! , 4 ...I 1 A • Value (includink iabor matai ) 1 OC ‘j() Date Fr . . .. ai ,... er .,. AL .. _ , A _ L CA. •OntraCtor rEl sip* P..4iiily a Duplex 1:1SIniti-kaiony ORental OCommercial Olndusirial Number Of Fixtures: %abut Disposal . DrinkFto aasin — — Ctch B Whirlpool Dishwasher Wait. St Wish Pm _ ____ _ Lavatory Sump Pomp , Ice Chest Urinal — ..___ — Toilet ____ Ejector/Grind ExamSink Gar Drain Res Siok Wrier Softiies- Sculry Sink ... Soda Disp _.. _..—_ Bar Sink Local Waste Hand Sisk Coffee Maker _ —__ _ Heat= _J._ Clothes Wa _ in F Pre — p Sink Comm. let Maker _ It: Gas 0 Elect El PwrVot Bidet Sery Sink Site Drain — –__ — er --- Beer Dip — Int Grease Trep _ RoofDrsia 1 .cor Pnlin Olassrm Sink ___. Est Giense Trap *IP. ltec — Ltidry.Tray . .:.. _. Surged= Sink *API. Valve . 4ye Wash SM . –___ , Liib Sink ..,. . ...... Bicalcini Sink *Sink — *trSewer Mfrs ___ Sister Sink Eiji Well Flillyst Sisk Deduct*ters — Stasi:ism- . Hose Bibs Mr Usage Mira —__ Misc. . . Electric Contractor (for projects not requiring an Form) - • _._.________ „Use / Ntiture of Work . .. . , ,. . . ........ ... .. •— .. • - • • .. . . . . . __ • - . Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service . _ . Received Time Jan. 13, 2011 3:12PM No. 4376 . .