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HomeMy WebLinkAbout0152501 - Plumbing (water heater) CITY OF OSHKOSH No 152501 OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 910-916 GREENWOOD CT Owner OSHKOSH HOUSING AUTHORITY- Create Date 09/20/2012 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 FIrIWst 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(914)/REPLACE GAS WATER HEATER **debit acct of Work Size Material Type # Conn.Type Sanitary Sewer Storm Sewer Water Service Parcel Id# 1522910000 Valuation $700.00 Plan Approval - $0.00 Permit Fees $25.00 ❑ Permit Voided] Issued By f}'1 W Date 09/20/2012 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. Sep. 20, 2012 11 : 30AM GMS INC No, 0424 P. 1 City of Oshkosh Inspection Services Division S� P 0 Box 1130 U Oshkosh,WI 54903-1130 Phone:(920)236-5050 Fax:(920)236-5084 0/11(0/1-1 caw THE 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$1.00.00 plus the normal permit fee,which ever is greater. OR I • . are a c•ntrac •r •ar ."ci•ati . in th- .'erm' ee A aunt S c •it and havjade uaze !fund check here **Advisory-For applicable projects,an Electrical Installation Verification(ETV)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 EIV when such is required, will not be processed for PerMit Issuance and will be returned for completion. Job Address: Q1 1( G+-,.,e.,,,vop,ti value(Including labor and materials) 700—c.c." Date 9//ez//, Owner . __CIIIn 41) ' ■'., Contractor &MS ❑Single Family [Duplex 5 DIVIulli-Pamir Y v[ ental [] —Commercial. • Number of Fixtures: Bathtub Disposal Drink Ftn Catch Basin Whirlpool Dishwasher Wait SL Wash Fm Unman)' Sump Pump Ice Chest Urinal Toilet 13jeaorlCnnd Exam Sink Gar Drain Res,Sink Water Sothic( Seuhy Sink Soda Disc — Bar Sink Local Waste • Hand Sink• .-Coffee Maker Water Heater 1 Clotheswahr F Sink s 0 Elect❑PwrVnt Comm.Ice Maker Bidet sery Sink SiteDrain Shower B Tap Floor p hit Grease Trap Roof Drain Beer Ln iassrm Sink Ext Greene Trap Standp Re= Ti 'Y Surgeons Sink • Z•Valve Eye WasB Sin Lab Sink Break=Sink Stamp Sink via-Sewer Mas Plaster Sink Well Dip Flr/Wst Sink Deduct Melees Sterilizer Hose Bibs Miss Wrr Usage Mss Fixtures Electric Contractor(for projects not requiring an EXV Form) ^1/4 Use/Nature of Work ee 1.4,ca.--t,.i— ,_ X...t.„ -.--- Size Material Type # Conn.Type Sanitary Sewer Storm Sewer Water Service Received Time Sep. 20. 2012 11 : 26AM No. 0917 07i07