HomeMy WebLinkAbout0145947-Plumbing (water heater) (.1D CITY OF OSHKOSH No 145947
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1540 -1546 COVINGTON DR Owner OSHKOSH HOUSING AUTHORITY Create Date 05/18/2011
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 #1540 / Replace power vent water heater. **debit acct
of Work
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id #
1317210000
Valuation $1 a/1-2//a ,200.00 Pllan Approval $0.00 Permit Fees $25.00 111 Permit Voided
Issued By Date 05/18/2011
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. 17. 2011 2:36PM GMS INC No. 9676 P. 1:0-6
City of Oshkosh
Inspection Services Division
P O Box 1130
Oshkosh, WI 54903 -1130 =
Phone: (920) 236.5050
Fax: (920) 236 -5084 Of 0.
ON THE leA7
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 Cod; 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 fee, which
ever is greater.
OR
If yo u are a contr ct D rti Motif, . fn the Pemmi , ; e . ccounr . , .em and •1. . de• ua to an heck here
i ou anti . "s . hro_ ou .acc.ini
*' Advxsory -for applicable projects, an Electrical Installation Verification (EIV) form, signed by the Electrical
Co actor,orfoineowner (for installations allowed to be perf'oimed by the homeowner) nmst be submitted
with :tiae pem ca o_ it apply . Applications suxitntted witho EIV when such is required, *ill licit be
processed for PeziiilitT : . ce wilTbe ret`i
tt ed for co3�ipletion.
Job Address _ 1 �� cx7 r? .
- " A . .' Value (Licludinglaborand • 1 1 o Date 1 l L I
Owner
VIM • -• Contractor .
nSimgle Fariii!.V .[]Duplex • D X� , t
QComme�rcia - [�Tndushi.sl •
Number of Fixtures:
•
satinnb avocet •
Whirlpool DriakFtn l atc},Besin
Dishwasher Wait St Walsh Fta
Lavatary Swap Pump
lee Mast .
Urinal
Toilet • Eject /Grind .Exam Smk Gar Drain
?As
es. Sink Way Soltner Scully Sink Soda Disp
Bar Sink Local Waste
Water Beater i lea' coffee Maker
Clothe Wahr Plirep Sink Comm, lee Maker
D Gas D Vat
• Bidet Ben; Sj k Site Drain
Shnwer
•
2 Drain 8txr Tap Tat Grease 7r p IioofDram
Sink E G se T
Lndry•Tray �A S R tic
Ln Sink
S Sink '11 P2 Valve Eye Wash Stn
BStslcm Sink Shamp Sink Wt Sewer Mfrs
Fleslar.Siak
Di Wen 1'Ir/Wst Sisk 77
. Deduct Meters
Hose Bibs
Mira. Willi . e Mba
'Electrfc'Contractor (for projects not requtring Form) •
,.Use / Nature of .W.ork
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Received Time May. 17. 2011 2:35PM No. 5694