HomeMy WebLinkAbout0145529-Plumbing (water heater) (f-rD CITY OF OSHKOSH No 145529
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 320 KNAPP ST Owner BENJAMIN E FREE /MARIA L FLORES Create Date 04/19/2011
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 under warranty. **debit acct
of Work
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id #
0603670200
Valuation $300.00 Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided
Issued By - "J Date 04/19/2011
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 (Le. 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.
›
Apr. 19. 2011 7:26AM GMS INC No. 9063 P. 1 cU
City of Oshkosh
Inspection Services Division
P 0 Box 1130 et C-- A
. .
Oshkosh. WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084 O_MKOJH
ON 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 are bound by said statutes.
•. Application( ) 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 penult fee, which
ever is greater.
OR
.t vou a - a c, trac or ••ar ici,a n- 1, the 'ernil : -e account 1_ 1E772 and , , ,e ade e. unds chec ,ere
i , ' ra ' this 'racer d thr, A . ur a
* Advisory -For applicable projects, an Electrical Installation Verification (EIV) form, signed by the Electdeal
Cordpictor,or Hot:004;4er (for iilitallgt iis allowed to be performed by the homeowner) must be submitted
witTz the permit application. Applications stiliMitted w4li.Olit EIV wilt= such is required; will not be
processed foi Issuance and Will be f for eanpletion.
V oatelL\iatli
. ) ou
,Tob Address #.11 b-.11 • t I . • iilite (Inclndini labor and ateTials) 30( )
, _ 1 . ! _A !SA IA - ' COntradtor
Oi Si!ltle F.6. Dbizplex DMititmily Mental OCommercial r—i,
Liindustrial
Number of Fixtures:
.
Bathtub _ Disposal .
Drink Fta — Catch Basin _
Whirlpool ' Dislawasher . Wait. St. Walk Pui —
__ _
Levan:ay Sump Pump Ice Chest __ Urinal _
Toilet Ejector/Grind Mara Sink Gar Dizin
•
.. .
—..--
---,
Res. Sink WritSofter _____ Sudsy Sink Soda Disp
—
Bar Sink _t_ Locai Waste __ He -
ed Sink Coffee Maker _
W
Heater
Gas 0 Elect 0 PwrVnt
.er •
[It. Clothee stir
Bidet
Beer Tap
-- F Piep Sink
$eiv Sink —
_ Cormn. Ice Maker
Site Drain —
—
__ hat Glom Trap Roof/train —
Poor Drnin
—
Fati Top Stiink. -
4iiisSI.Ii8y
O Sink — '1i.p2. Valve
—.--- ....
gre Wasi St
,---
Lab Sink
Blain Sink Shp Sink '. Wti.Senicr Mrs
_
—
—.—
Oleeer Sink _
3* lyrai Sij sink. _ . Oesuntmeinin _
Stertiiner
Hose Bibs
'Wit Vsige Mtn
:,...
. .
. • • . • _
'Electric 'Contractor (for ects not IV Fonu)
• r ot requiring a
i
.,Xlse / Nature cifWork .. . A.. . I. ., ••.,:.• ., A • jio _ , CAW. Rex •
•
•
Size Material ' Type .
Sanitary Sewer
Storm Sewer
Water Service
•
•
•
R e c e i v e d T i inelp_1
....%. ' ::' ;'r.. .:7:€', ...F.' !: 1 72:.'1:7:.'-, ••:..1.:''.• •: :: '•:. • , ,. -- • .-: , , • , . • • • • • .. .