HomeMy WebLinkAbout0153218 - Plumbing (water heater) CITY OF OSHKOSH No 153218
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1927 HAZEL ST Owner JAMES A DILLON Create Date 10/26/20.12
Contractor GARTMAN MECHANICAL SERVICES Category 411 -Residential-Water Heaters Plan
Inspector John Zarate — —
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 FIr/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#
1521270000
Valuation $780. _ Plan Approval _- _ $0.00 Permit Fees $25.00 ❑ Permit Voided
Issued By 5nn Date 10/26/2012
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 PARKAVE 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.
1 JLll1 III..r_u,r-
Oct. 26. 2012 11 : 13AM GMS INC
No. 1195 P. 1
City of Oshkosh
Inspection Services Division
PO13ox1130 � �
Oshkosh,WI 54903-1130 ��
Phone:(920)236-5050
Fax:(920)236-5054
Plumbing Permit Application
�N TrIF�✓AT @f
Iher�y 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 arc bound by said
• Applieation(s)and fee s can be b Y std statutes.
• 54903-1128.c brought to City Hall,Room 205 or mailed to Inspection Services,PO Box 1128,Oshkosh WI
Commencing work without permit(s)will result in fees being doubled or S1.00.00 plus the normal permit f
ever is greater.
•
OR P fee,which
--�-••-----' , - are a con act. •ar ict•a '
•
r • r• a-wan• lid •, n .- in he 'tint-t ``, ee — - -S ste to finds epee her
sweet-�fhrn :h -_. _ .. 'nd-haue ¢de,u.
**Advisory-For applicable projects,an .. ._..... . _.. •----- ,.. ._ . ._..-. --. .
Contractor A vis -$o�oappwner applicable Electrical rnstallarion Verification
with the incf llatious allowed to be p �form, signed by the Electrical
permit aPPiic�on, Applications erfonaaed by the homeowner)must be sub
with processed permit
Permit Is submitted without an ETV when such is miffed
nuance and will be returned for completion- reclnircd, will not be
Job Address [9 a 1-1717-e-- 'Value(Including labor and matedats) )7g73 • °
.
Date U r- T w : Contractor �C.Single Family ❑Du lea DMulk-Family /o y
[]Rents]
•
OCommercial QIbdastrial
Number ofFixtures: ,
Dispo
Whirlpool Drink tln
Dishwasher Catch Basin
Pump
— wait St wad,. ,
s�Pump
Toilet Ejector/Grind Ice Cheat
Drina'
Rte.Sink Dram Sink
Water So
Gar
.:-
Ear Sink �� Seuhy Sink
Soda Disp
Water Beaten- Hand Sink
a Elect.___L__ Clothes War
,Ca Make
Bidet F I Sink
Shower
Comm Ice Maker
Sqy Sisk
F1oorDraa, Bee Tap lnt Grease Site:Dram
lY Troy
Clam=Sink rtoofDraiq
Fit Grease
Lab Sink
Surgeons Sink Standp Rec
Break=Sink R.R Z Valve
Plat Sink
Stamp Sink
West M
Sterilizer
Dip Well
Wit.Sewer MaS
. Hose Bibs Flt/WstSink
Mite. Deduct Meters
Futures Wit Usage Mus
Electric Contractor(for projects not requiring an Ely Form
Use/Nature of Work fie.. I 4 C] Form) '#.1 l
-
Size r"
Material
Sanitary Sewer �'Pc Conn.Type
•
Storm Sewer
Water Service '
Received Time Oct. 26. 2012 11 : 09AM No, 1419
o7/o7