HomeMy WebLinkAbout144991-Plumbing (water heater) CITY OF OSHKOSH No 144991
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 2115 FAIRVIEW ST Owner TTM HOLDINGS LLC Create Date 02/24/2011
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 FIr/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 power vent water heater. **debit acct
of Work
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id #
1521440000
Valuation $ Plan Approval $0.00 Permit Fees $25.00 E] Permit Voided
Issued By C/ Date 02/24/2011
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. 24. 2011 9:58AM GMS INC
No. 7960 P. 1
City Of Osbkosh
Inspection Services Division
P 0 Box 1130
ED CDS-60
Oshkosh, W154903_1130
Phone: (920) 236-5050
Fax: (920) 236-5084
Cl/HKO_AH
Oht THE yinnit
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, m 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 $100.00 plus the normal permit fee, which
ever is greater.
OR
1 v 1 re a e• i trac ,r ••ar i• ati : in t, e Per t.'t ...- -. 'swan System • • ave ade•uat' nds. check here
- iou - Tat ' this (net • thr, 2 h , r ac *um' .
• ' • .
** A vi;07 - For applical,Ie projects, an Electrical 7,nsinllarion Verification (Erv) form, signed by the Mectrical
Contractor or Homeowner (for inst" allaiimis allowed to be performed by the homeowner) must be submitted
- with the permit lipplication. ApPlicationk submitted without an Ery when such is required, will not be
processed for Peiiiiit Isiiiance *411 be i t-Mited for cMoletion.
. •-• ,
JO Ad dr 6 - C U.S" • • .. v.:,a;ue (Including labor and ma 'als) 1 3001 II° Date a ( 1:9 ' t4 It,
F irer N.4.__*_. 0 —_' 4 V '.Contractor an
tgIe Fiiiiilly Othiplex '' OlVItatlly EiRental ['Commercial landusirial
Number of Fixtures;
Bathtub Dispose/
nil* rio Catch Basin
_
_
Whirlpool _____ Dishwasher
.
Wail_ St. Flo —
— _ %
Lavatory
SthaP Pump ____ Ice Chest — Urinal _
ToOst XeCnOrKlrind
Euro Sink Gar Drain _
—
...
Res. Sink Water Soft=
Scully Sink - Soda Disp _
Bar Sink Local Waste
Heed Sink offee Maker _
— — c
Water Heater Clothes Wslir
Fhip Sink Comm. Ice Maker
0 Gas 0 Elect PsvrVnt — —
Bidet
Sery Sink in _
-___ _ Site Drain
Shower — Beer Tap
hit Grease Dap _____ '
RoofDrain
FbOr Prain ---
. -
• Onnerin Sink
Ext Trap Standp Rec __
Iiihy Tray
'.0 Sink —____. R.PZ Valve _ Ey e Wash Sin _
Ldib Sink
BrethnSiak Shin" iink • • • :,
*0 teWee .14112
__
Pinker Sink
IA Well *Mat Sink __ Dduct M
' e __ eters
Sterilizer
Hose Bibs .
We tinge Mtn _
_
Misc.
'peetrieContraCtor (for projects not requiring an ETV Form) . •
—
,11 / Nifure Of Work . . . .: • . . .., ,• . .
' • .
•
ize Uateriti 1 YPt # C01132. Type
Sanitary Sewer
Storm Sewer
'Water Service
Received Time Feb. 24. 2011 9:57AM No. 4766 .
.
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