HomeMy WebLinkAbout2011-Plumbing (water heater) CITY OF OSHKOSH No 144979
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1423 1425 WITZEL AVE Owner OSHKOSH HOUSING AUTHORITY Create Date 02/23/2011
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 Duplex (1423) / Replace power vent water heater. * *debit acct
of Work
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id #
0611960100
Valuation $1,200.00 Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided
Issued By Q,A`Urz- Date 02/23/2011
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.
Feb. 23. 2011 1:51PM GMS INC
1
No. 7942
City of Oshkosh
Inspection Services Division
P 0 Box 1130
.0./It C9S-CO
Oshkosh, WI 54903-1130
Phone: (920) 236-5050 .
Fax: (920) 236-5084 Okil(OfH
Oht 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 arc bound by said statutes.
• Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO 13o 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
(fyou are a ontra or ••ar i.ati • in t - Perm - , ee Ac ..unt S si and have adequate ftod,t, check here
i • —)ani thi .roce d thr, l h , . acc• ..nt 111
. . , .
. , ... " • " "-
*.: i e kairp ' ' My •• For applicable projects, an Ekctrical Installation Verification (EIV) form, signed by the Electrical
• • • • • •
Contractor or Homeowner (for installations allowed to be performed by the homeowner) must be submitted
•_. with the permit application. Applications inbinitted without an E1Y when sash is required, will not be
processed for PerMit Isikauce and will be retiMed for cUMpletion.
Job Address , ., 6 ' Value (Including labor and ids ) OW ate
C9° D ab31 M
l
er
itifFi
ow.n ‘_—A. 0. • ,Contrgetor leICA .175 in
.. ..
OSingle Family Obnplex OMnirl.:Psnili it' ental OCommercial Elindustrial ..
Number of Fixtures:
Bathtub DisPoral Drink Pm Catch Basin —. — —
WhinPool Dishwasher Wait. 8t. Mak Fm _
_ _
Lavatory Sump Pump ice Chest Urinal _
— —
Toilet — )3jectorfariad Exam Sink Glir Drain •
—i--
----,
Res. Sink Wider Soft= — Slinky Sink SodaDisp
Bar Sink W Local Wable Band Sink — — Comae Mak _ er
Wain-Heater kci _
Clothes Wsbr FPitii Sink Comm, Ice Maker
_ —
fl Gas 0 Ethsct Vut
Bidet Sery Siok Site Drain _
Sharer
— _
— Beer Tap Int Grease Trap RoofDrain _
_ _
Floor Drain
Omani Sink ___ Eat Grease Trap S*idp Itec _
iajdzY Tacv — " b•gccos sia . ityl.. valve .
Eye Worth Stir •
____
---...-- -
Lab Sink • •
• Brcalam Sink SlUimp • Wtr Sevier Mrs _
_ _._
Plaster Sink 61); Well FJF/Wst Sink Diehort Met= _
—_
Sterilizer — Hone Bths
'Wn Usage Mfrs
—
Misc.
, _
'Electric ContraCtor (for projects not requiring an PV Form) . •
.Use / Nature Of Work : .. . . . . . - • ,....-. - . ,, . . .
Size Material . • Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
_Received Time Feb. 23. 2011 1:50PM No. 4754 '
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