HomeMy WebLinkAbout0145557-Plumbing (water heater) 0 CITY OF OSHKOSH No 145557
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1104 GROVE ST Owner JERRY /URSULA DAUN Create Date 04/20/2011
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 #
1109860000
Valuation $300.00 Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided
Issued By a/n1/1/ Date 04/20/2011
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. 20. 2011 9:22AM GMS INC No. 9104 P. 1
City of Oshkosh .
Inspection Services Division . . . aS ,C)1
. PO Box 1130
Oshkosh, WI 54903 -1130
Phone_ (920) 236 -5050
Fax: (920) 236 -5084 l� /� ^ rl n
WATER
THE ATTERR
Plumbing Permit Application
I hereby apply fora permit to do and install the following plumbing on the '.. remises herei fte de c ri e ^ 1 _ w �� ^M t
Wisconsin State Plumbing Code, in the performance of which all parties hereto agree to and are bound by said statutes. to the
•. 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 fec, which
ever is greater.
OR
I vau e a e ntr er r titer tin nth per B -. cam . c Svste and have ad -, _ate u c eck here
if y2 ti vyani this p throueh your account . lr
**Advisory -Fox applicable projects, an Electrical , . , ;on Verification ., •
(EIV) form, stirred by the Electrical Contractor or Homeowner (for iuiistallafions allowed to be etformed b
with the permit a�rplication. Applicaiious salnnitt d p Y homeowner) Must be submitted
pi
ith i sl=d for Permit ct ompletion.
a Qt%f an EIY when inch is required, will not be
ce and wi b e ret urned for c
Job Addr . - iht A L . ' Velue (including d
Owi er 111W 1 I : k I. ■ • •. Contractor
Oh.agle Fa y ' ri i uplex ■M
pulti- F`amiiy QRental (Commercial
Dndnslrial
Number of ]Mures:
•
Bathtub disposal
Whirlpool Dishwasher Fm Catch Waster
Dishwasher
Wait. St_ wash 1•m
Lavatory Sump Pump
Ix Wiest
Toilet .— -- 8jeotom/Grmd Exam Sink U el
Has. Sink Water Soft= _~ Gar Dram
Bar Sink `�� Local Waste Seu)fy Sink Soda Disp
P Heater 1 Sink Coffee Msker
as e Elea 0 PwrVnt War F Prep sink Comm lee Maker
Bidet
Shower 5ery Sink Site Drain
Floor Drew Beer Tap Int Grease Trap RoofDTain
(:lessrm Sink Ext Geese Trap
SS�us Stale �^ *11? Rec
lab Sink ^ - it.pl Valve "Eye Wash Sur
PleaterSink ]3iealorm Sink - -- 5 liamp §i�lc
. Well 1Vtr Sealer Mfrs
Si ilver • 4/prat Sisk Dech,CtMetera
Hone
Miac-
8rbs VYtr Usage 1Jltrs
Ermines
'Eleelrllc Contractor (fo .projects not requiringin Form)
•
Use /Nature of Work ,
Size Material •
e # Conn. Type •
Sanitary Sewer
Storm Sewer
Water Service
Received Time Apr. 20. 2011 9:21AM No.5308
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