HomeMy WebLinkAbout0151382 - Plumbing (water heater0 CITY OF OSHKOSH No 151382
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 200 JOSSLYN ST Owner ZION LUTHERAN CHURCH Create Date 07/25/2012
Contractor GARTMAN MECHANICAL SERVICES Category 446-Commercial-Water Heaters Plan
Inspector Jerry Fabisch
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 MULTI-FAMILY/REPLACE ELECTRIC WATER HEATER(1 HEATER SERVES ALL 15 UNITS),EIV SIGNED BY
of Work SLIM'S ELECTRIC **debit acct
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
0609570101
Valuation $3,540.00 Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided
Issued By c ( Date 07/25/2012
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.
' Jul. 25. 2012 12 : 11 PM GMS INC No. 9065 P. 1
City of Oshkosh 0
Inspection Services Division 4 i;*cy
P p Box 1130
Oshkosh,WI 54903-1130 -
Phone:(920)236-5050
Fax:(920)236-5084
ON T E 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 5100.00 plus the normal permit fee,which
ever is greater.
OR
if you area coj,traclor parrleipgting in the Perm"( _ ee Account Sv.sDan and have alimutte fulls. check here
-----1=--••--- • , _-want thi .!, ,• eased•thr.,:i 1 ra iu,r° 1:•""'-
*r Advisory-For applicable projects, an Electrical Installation Verification(EIV)form,signed by the Electrical
Contractor or Homeowner(for installations allowed to be performed by the homeowner)must be submitted
with the permit application. Applications submitted without an ElY when such is required, will not be
processed for Permit Issuance and will be returned for completion.
Job Address ZGO Ub_l syh, S 4-. Value(Includnglaborandmaterials)- 35--P-1,,,,, .C.v Date 0.S/a
Owner r•c,r- r,$ 1r a� Contractor lrYn f /'c ,
Single Fatally []Duplex ]Multi-Family [t Rental f]Commercial DIndustrial
Number of Fixtures:
Bathtub Disposal Drink Fin Cates Basin
Whirlpool Dishwasher Wail St Wash Fm
Lavatory Sump Pump Ice Chest Urinal
Toilet $jectm hind Ezmn Sink Gar Drain
Res.Sink Water Softner Scuhy Sink Soda Disp
_. Bet Sink Local Waste Hand Sink .Coffee Maker
Water Heater �_ Clothes Wshr - F Prep Sink Comm-Ice Maker
o Gasui-Erzot 0 PeerVnt Bidet Say Sink Site Drain
Shower Bear Tap Int Grease Trap Roof Drain
Floor Dram Classrm Sink Est Grease Trap Standp/Ice
Lathy Tray Surgeons Sink R.P.Z.Valve Rye Wash Sin
Lab Sink Break=Sink Shamp Sink Wtr Sewer Mtn
Plaster Sink Dip Well Flr/Wet Sink Deduct Meters
Sterilizer Hose Bibs Wtr Usage Wm
Misc.
Fixtures
Electric Contractor(for projects not requiring an EIV Form) 5//•.-r x lg c l-. c
Use i Nature of Work P4.1,0/6t c,e.r,-1.4.-# ek c-- -'t�c �„.■•,., c. l.,e-.,,. — Xei'Vet 'S/5
Size Material Type # Conn.Type 11111
Sanitary Sewer .
.
Storm Sewer
Water Service .
onlo7
Received Time Jul. 25. 2012 12 : 07PM No. 0197