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Home My WebLink About0151635 - Plumbing (replace water heater) CITY OF OSHKOSH No 151635 OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 545 ALGOMA BLVD Owner SHOREWOOD RENTAL LLC Create Date 08/10/2012 Contractor GARTMAN MECHANICAL SERVICES _ Category 411 -Residential-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 DUPLEX/REPLACE GAS WATER HEATER(1 HEATER SERVES WHOLE BUILDING) **debit acct of Work Size Material Type # Conn.Type Sanitary Sewer Storm Sewer Water Service Parcel Id# 0102950000 Valuation � $800.00 Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided Issued By C E ) ' Lk) Date 08/10/2012 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. Date Signature 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. Aug. 10, 2012 8:48AM GMS INC No. 9548 P. 1 City of Oshkosh Inspection Services Division P 0 Pox 1130 . • • 5' Oshkosh,WI 54903-1130 .0. 4 Phone: (920)2.36-5050 Fax: (920)236-5084 0/1-11(0.fl- ,,,,TH veAMR -- 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,koom 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 /1..tortars # c -. artic..ip: atingin the Permlfee Account 1,Cvstent and hove adequate funds, check here If ) u wan Lthis proce,rsed ihraus-h your account , .. „. ., . .• ...„... . . . . .. . s. _ . . . . ,,.. . . . , . . . . .. **AdV4ory-for.applicable projects, an Electrical Installation Verification(FIV)form, signed by the Zecttical Contractor or EioMeewner(for installations allowed to be pa:romped by the homeowner)must be Submitted r •with:the permit application. Applications submitted Witbiiiit an EDI when such is required, will not be• processed for Permit ISSiiance.and will be returned for cOMPletion. 'it BOO. DO . . • • • Job Ad.dress_ 55— /4-/9 e9,22 .*Vette(booing labors:a materials) --/L+erfrk Date -.0Wner . •,/Azzi /t/4Sh; 4/- • .: .COntraCtor aitAS .crhe, ['Single FaMily ODuplex jErMult4`tini1y jgRental ECommercial DIndasirial Number of Fixtures: Bathtub _ Disposal - Drink Fto Catch Basin — _ Whirlpool Dishwasher Wail.St Wall Pm — _ ___ — Lavatory Sump Pomp Inc Chest 'Urinal — ____ — Toilet __ ___ BjectotiC3rind --4--- -- Bonn Siok Gar Drain • • . --- RI.=Sink . Water Softer Souk,/Sink •- Soda Disp __ __ — Bar Sink Local Waits Band Sink— — C,offbe Maker — Water Boater / . Clothes Weir FP Sink Comm.Ice Maker _ — _ )1Itas 0 Elect CI PwrVnt Bidet '.Secv Sink -- Site Drab — Shower Becr Tap ' int Grease Trap Roof Drain _ — Floor Drain - clasarm Sink • libft Grease ltap — *IP k!ic Liisky.Tray '.SnigeOns Sink _ ___ .B..13.2.Valve Eye Wash St' ... ..-- —.._.—. 1..ib Siok Weal=Sink il;toopSiuk . . . ...*iir Sewer Mtrs llisier Sink iiii)Well — — kii/Wat Sink __7.— '• ?Iliad 14Plers ____ — — Stcriiizzr Hose Bibs — r W lisige Mtrs lvlisc. • . , . . . 'Electric contraetor(for projects not requiring p.P1/Form) 41//4 - ,.X.Ise/Nature Of Work,L. .5e v u.,-es .w4d.e . . . Size Material • Type # Cozzi.Type Sanitary Sewer Storm Sewer ' . 'Water Service • . . _Received Time Aug. 10. 2012 8:45AM No. 0395 . -, ,