HomeMy WebLinkAbout0145743-Plumbing (water heater) (a) CITY OF OSHKOSH No 145743
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1125 LOCUST ST Owner MICHAEL MUGERAUER 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 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 gas water heater under warranty. **debit acct
of Work
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id #
1611990200
Valuation $250.00 Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided
Issued By (17c._? 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.
May. 4. 2011 1: 51PM GMS INC
City of Oshkosh
Inspection Services Division
P 0 Box 1130 No. 9378 P. ou
( 13s
oslikosh, W154903-1130
Phone: (920) 236-5050
Pax: (920) 236-5084 OTHOJH
OW THE WATER
, .
Plumbing Permit Application
I hereby apply for a permit to do and install the follovving 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 Ball, Room 205 or mailed to Inspection Service; PO Box 1128, Oshkosh WI
54903-1128. Commencing work without permit(s) will result in fees being doubled or S100.00 plus the normal permit fee which
ever is greater.
• OR
Larecjoi.atin_ coniq in t p e r 1 .Fee Accounr System epAbove adeuatuiLLIeek e
f throurh your accounti
. . .. . . . . .
'i' A.diisoi-jf - For applicable projects, an Electrical Installation Verification (ETV) form, signed by the Electrical
CoutzaCtor,orThrineawner (for initallitioria 'allowed to be performed by the homeowner) must be sabmitted
, • with the pertnit application. Application submitted witlrOirfan EN when Stich is required, will not be
prOCeite:d for Pe:rant' Iiiiiance and WO be iistirie04 foi cOintletion.
JUI)-44,ess\kNSOCjark,.... - --" GO
• Value (Including labor materials) <gONJ • Date it ( l 1
. . .
. . .
.1 I • :,C014tritCtOr •
0 ".■ er t . _ , 1 _
:...
-
Single Findly . 0 ■•• pies aluNially Cliental 0 Commercial ' Olndustrial
Number of Fixtures:
Bathtub Disposal • __ Drink Pin _ Catch Basin
Whirlpool Dishwasher wail SL Wail) Pm —
___ _ Wa
Lavatory Sump Pump Ice Chest _ Urinal --
ToOet Ejector/Grind , Ecarn Sink Gar Drain
lbs& Shsk Mites' Softner --- Scuky Sink .. SodaDisp _
Bar Sink Local Waste Hand Sink _ — Coffee Maker _
Z- Heater 1 %iv r Prep Sink Con= lee Malcer _
--- _
Gas D HlautO PwrVirt
Bidet Sery 5iek Site Drain
— _ —
er
Beer Tap ____ int Grease Trap 1ptrfDnkin __ •Floor Drain
__ olassrm Sink –:__. Thci Chease Trap
__ ____
• •
444 IZic
– .
Liiihy Tray
- Sorgebns Sick .02,. Valve — : •
_ye Wash Sal - _
__
Lail) Sink
Bitakin7 Sink Shaapiink • wti. gong Mtis ___
_
Phiiier Sink
Dili 1Vell —. *TM Sink — ' Deduct lvtaters _
* Similar
Hose Bibs
ViOsase Mtn ,
-
.. 4rtwes -
•
" • • •
'Electiie (for projects not requiring an ETV Form)
,
.TJse / Nature alWork I 0_ Olt ■ .. It i :. A4., , ,, Lev A . j • • 46 Va., .
. Size Material 'Type # Conn. Type
Sanitary Sewer .
Storm Sewer
Water Service
•
R e c e i v e d Time May. 4. 2011. 1:50PM No.5526 .
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