HomeMy WebLinkAbout0152779 - Plumbing (water heater) CITY OF OSHKOSH No 152779
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1135 MORELAND ST _ Owner J_BC DEVELOPMENT LLC
-- ---- _ Create Date 10/04/2012
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 Dis
Whirlpool Sum Pum — — p Wtr Sewer Mtrs
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 Fixtures
__
Wait.St.
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 UNIT/REPLACE 40 GALLON GAS WATER HEATER **debit acct —of Work
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
1308970000
Valuation $600.00 Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided
Issued By a>n tki Date 10/04/2012
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.
Oct. 3. 2012 3: 35PM GMS INC
No. 0716 P. 1
City of Oshkosh
Inspection Services Division
P O Box ]130 'k
Oshkosh,WI 54903-1130
0
Phone:(920)236-5050
Fax:(920)236-5084
Plumbing °" HEw^T=R
I hereby apply for a permit to do and install the following perm it Application
y pp y ollowing 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 statute
$ City s.
• Application(s)and f
ee(s)can be brought to C} Hall,Room 205 or mailed to Inspection Services,PO Box 1128,Oshkosh WI
ever is i t t Commencing work without permit(s)will result in fees being doubled or$100.00 plus the normal permit 54er greater,
OR P fee,which
.- ou are . con actor rtici,a in: in the Pe 't F• • slccorin
- --7 0
•n1thi -.rot• sad? ,-u_h- •_ -arc t—— stem and ,ve ade,u, e un� the-k her
**Advisory-For applicable projects, an Electrical Verification ..._. .. ._. _ ........__ ._.
**Advisory-For Homeowner(for installations ion (F1 V)form,signed
Contractor
pmt application.( installations allowed to be performed by the homeowner must by the fitted Electrical
processed for Permit Issuance will on subi�d without an EIV when such is required,will not be submitted
returned for completion.
Job Address I 13S Mo.-<.lG..c( �
Value(including labor and materials) 6O ci•° °
Owner -e. L�6 Date ,� s i
` COr tractor 67,-u
EjSizigJe Family ['Duplex [Wulff-Family �
Multi-Family. 2Ke tat
n ElComnuertial ❑Inausfrial
Number of Fixtures:
Bathtub
Disposal
1pool Dunk Fm ditch Basin
Diabwag]
Lavatory Sum P Wart SL Wash
Toilet P Ice Chest
Ejector/Grind .Urinal
Res Seri Water Softner �S Gat Drain
Bar Sisk Local Waste - ' Sink Soda Disp
W1etcr�catcr �_ Clothes Wshr Hand Sink: .Coffee Maker
eterj 0 Elect D Avrvnt F Prep Sink
Shower )3idet Comm,Ice Maker
Sery Sink
Beer Tap Site.Draio
Int Grease Trap RootDrain
Lrrdry Tray
ammo Sink
List Grease Trap
Lab Sink
Surgeons Sink Standp Rec
Brealam Sink R.P.Z.valve 6yc Wash Stn
Plaster Sink
Sharnp Sink
Dip Well Wtr SewerMtrs
- - "'lr FktWst Sink
Misc.
Hose-Bibs Deduct Meters
Fixtures WtrUsage Mtrs
Electric Contractor(for projects not requiring an ElY Form) N
Use/Nature of Work /
Size Material
Sanitary Sewer
Conn.Type
Storm Sewer
Water Service i
Received Time Oct. 3. 2012 3: 31PM No, 1098
07/07