HomeMy WebLinkAbout0145528-Plumbing (water heater) CITY OF OSHKOSH No 145528
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 3841 WESTERN DR Owner ANN G LAMAY 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 Condo / Replace gas water heater under warranty. **debit acct
of Work
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id #
1261060100
Valuation $300.00 Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided
Issued By 0- - yt / 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 (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.
Apr. 19. 2011 7:23AM GMS INC
No. 9062 P.
City of Oshkosh
Inspection Services Division
P 0 Box 1130 1
t* 8s PO
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
OR TR'i. 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(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 fce, which
ever is greater.
OR
o u ' r a contr. or •art' _ 7 . tin: in le Ferm fee Accountagem and have adequate funds, check here
i on li!ant ti's iroce - • throu-h •ur ac • nt 1
** Advisory - For applicable projects, an Electrical Installation Verification (E.IV) form, signed by the Electrical
Contractor or froniecilvner (for installations allowed to be performed by the homeowner) must be submitted
with the permit application. Applications sublnitted without an ETV when such is required, will licit be
. •• .. •
processed for l'ettitit Is 'i -. , ce and Wfil b returned for cOinilition.
- .:. 00
. •
Job .4d s . _ o 4 . a / A :One (ineliFtina labor materials) 301 Datel
- 9 ' i er 1 4. i . _.e.' 4 'A • Contractor
niShigle Farail y Drouplex DMulti4uUnuy DRental OCommerelal Ellndusirial
Number of Fixtures:
Bathtub _ Disposal • Drink Pin Catch Basin
—
VairiP — Dishwasher Wait_ $t Wall Fla
_ _
Ltwatcny Sump Pump lce Chest Urine _
-
That — Bjactor/Grind Exam Sink Gar Drain •
--,--
Res. Sink Water Softer __ Scab) Sink Soda Disp
Bar Sink Local Waste _____ Hand Sink Coffee Maker _
Clothes Wshr _ F Prep Sink Comm lee Maker _
N ,a 1. ,5 1 0 Elect CI PwrNint
• Bidet _____ Sery Sink Site Drain
Sho .er — Seer Tap tat Grease Trap *lofDrain _
rbor pr.i.,
gastrin sink Ext &ease Trap SliUldp if* _
Ladry Tray
- Sliftgeinli Sink .:
. .r.Z. Valve *n W nsl? Sla .
Ib Sink
Breakrm Sink ---
x— •
Slki;itp Sink ----
:. Wii- Sewer Mos
_
Oilier Sink
Dip Well _ FOtist Sink • Deduct Mpters ____ • Sterilizer
Hose Bills Wtt Usage Mtrs
Mize,
.#04u.
'Electric Contra6tor (for . rojects not requiring an EIV Form .
•
•
„Use / Nature of Work 0 ! ,lb I, • I .: • • •CA A •.- , • _IV A • 1 0 Ilia
__A__.• ..__ A — .... ..... —AIL .
Size Material . Type # Conn. Type
Sanitary Sewer
Storm Sewer
'Water Service
R e ce i v e d Time Apr. 19. 2011 7:21AM No. 5285 .
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