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