HomeMy WebLinkAbout0153181 - Plumbing (water heater) CITY OF OSHKOSH No 153181
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1316 W 5TH AVE Owner ROBERTA L BARNHART Create Date 10/25/2012
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 SFR/REPLACE 40 GALLON GAS WATER HEATER **debit acct
of Work
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
0610500000
Valuation ,,,,,$788.00 Plan Approval $0.00 Permit Fees $25.00 El Permit Voided
p
Issued By �r r 1011 Date 10/25/2012
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.
Oct. 24. 2012 1 : 17PM GMS INC No, 1135 P. 1
City of Oshkosh ( I
Inspection Services Division ��
P O Box 1130
Oshkosh,WI 54903-1130
Phone:(920)236-5050
Fax:(920)236-5084
CTLHMTH
Plumbing Permit Application ON THE WATER
R r 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-]128. Commencing work without permit(s)will result in fees being doubled or$100.00 plus the normal permit fee,which
ever is greater.
OR
ou •r a c•ilra_ •r ., ici a i : in the •
-- m't ee Ac ! int S e •< and have adequate funds. check ere
•�"� --�_{1,QIL—wanl 2his�roz;ess —
"Advisory-For applicable projects,an Electrical Installation
Contractor or Romeo�wner(for installation allowed to p� by the homeowner)must be be Electrical
with the permit application. Applications submitted without,an EIV when such is required, submitted
processed for Permit Issuance and will be rearmed for completion. vvrll not be
Job Address 131 U1 ,
Value,(lnolading labor and materials) B Q Date i# at if i
Owner a r; 'Lt,r-,-..k.,,-A- Contractor • G-01,1.
glc Family C7Duplex Bkfulti-Family. DRental ['Commercial DIndu
stria!
•
Number of Fixtures: •
•
'Bathtub basal
Whirlpool 1 Fm Catch Bssi"
Wait St
Lavatory Swap Pump Wash Fm
Lavat lee C6cat Urinal
Ejector/Grind
Exam Sink
Rra_Sink Water Softaer GarDraiQ
- 'Bu Stink Y.oce!Weate +Y Sink Soda lisp ��
Water Heater Hand Sink
Clothes Wshr Coffee Maker
rivenn D Elect PwrVnt F PrepSink Comm.Ice Maker•Shower
Sew Site pram
Bidet Se
Flair Drain gees Tap Int Grease Trap AoofLhain
LndrY Classrm Sink Ext Grease Trap
y seons Sink Rec
Lab Sink 12-P.Z.Valve Rye Wash Stn .—urg
Brea[arn Sink
PlasteSmk ShampSink WtrSeweQMtrs
&mill= Ihp Well PUMA Sink
Misc.
Hose tibs
Deduct Maas
Wtr Usage Mrs
Fixtures _
Electric Contractor(for projects not requiring an ElV Form) N g.
Use/Nature of Work ' 4.1. go - I _
Size eria Type #
Conn.Type
/E :eE:er . Mat7
'
Received Time Oct. 24. 2012 1 : 13PM No. 1384 07/07