HomeMy WebLinkAbout0145735-Plumbing (water heater) I CITY OF OSHKOSH No 145735
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1302 BISMARCK AVE Owner DORIS E LUTHER TRUST Create Date 05/04/2011
Contractor GARTMAN MECHANICAL SERVICES Category 411 - Residential -Water Heaters Plan
Inspector Paul Wolf
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 Multifamily / Replace gas water heater under warranty. Two water heaters are paired together to serve entire building.
of Work ""debit acct
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id #
0610240000
Valuation $250.00 Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided
Issued By a :r Date 05/04/2011
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.
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May. 4. 2011 9:55AM GMS INC No. 9375 P. 1 0
City of Oshkosh
®
Inspection Services Division
P 0 Box 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084 EVHKOJH
Ofi THE WATER
Plumbing Permit Application
1 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 Sea PO Box 1128, Oshkosh WI
54903-1128. Commencing work without pennit(s) will result in fees being doubled or $100.00 plus the normal permit fee, which
ever is greater.
• OR
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ou are .• cant cctor. .riatin • in t - Per, I- -. Accau System • .. Jove ade•ua . Tina's check h -
in,cinit-slrooacci7t T
. . . . .. ... . . - . . . . .. .. .
. . . ... .. .. . . . . .. . . . ._
Advisory - For applicable projects, an Electrical Xnstallation Yeti:neon (EN) form, signed by the Electrical
contticrokorROMeciwner (for initaliaileiii allowed to be performed by the homeowner) must be submitted
with* permit applic4io!.. Applicions submitted tvitheir an Eiv when such isrequixed, wittuot be
piticeiSCd for Pei Itinance and will be 0444 for cOiiipietion .
i . CO
49b did.' • :s . 0,i .0 O. SA . • • Vigne (i.ludiu labor = . ) ra5 Date..ail 1
■ •
Owner "441 ._ • lk - _ TAO A - •CtintraCtor
EISingle S Dijupler ig ulti:tiiniii ['Rental ['Commercial nndusirial
. Number of Fixtures:
- .
Bathtub Disposal . Drink Pta Catch Ba sin _
— —_ —
Whirlpool • Dishwasher Wait St WM Pm —
___ —
Lavatory SuluP PAP — la Chen Thine _
—
Toilet .Exam Sink Drain
_ ..., -,—. — Ger
Res, Sink Wit* Saner —: Salty Sink - • Soda Disp
—
Bar Sink Local Waste Hand Sick Coffee Maker _
—
Beater I , Clothes Wabr P Prep Siok Conran. Ice Maker _
— —
720 Elect 0 PwrVut
Shia _ Sery Sink She Draiii _
_
'Shower • •
Beer Tap Int Grease Itap _ RpofDrain _
—,_
R;001 Drain
Cla Sink ___. Eat Grease Trap .. . .
*PI* _
Lnaly.Thy _____ .SuignOns Sink —
R.F. .Z Valve .. .ye wasi? Stn
1...ls Sink
Breakim Sink ___ , Steep** . ...t4Seaier Mtra
Ole* Sink *WI . at Sink •
_ Deduct _
Meters
SPmitzer *T Hose Biln
Wit 'Wage Mtn
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Misc. .
,..
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. . .
• ' .
I glectii — c ' ContraCtor (for projects not requiting an ETV Form)
b _ ..• ,..
..T..lse / Nature OfWork i, - 1 8 : # . 1 .: -, Aci • 'I.. 1 * • &_. "OA 0•4i i
.,. _.L.A . . Mir A. - _ • . • - i 4
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• —
I
Size Material Type # Conn, Type ' a . ..,.„ ,•,,.
. I , • i411
Sanitary Sewer .
Viq—kdl Vb
Storrn Sewer
AVUX ' II
Water Service
1).-.
. 6
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Received Time May. 4. 2011 9:53AM No. 5521
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