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Home My WebLink About0153217 - Plumbing (replace pwr vent to water heater) CITY OF OSHKOSH No 153217 OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 1817 SIMPSON ST 'Owner KATHERINE J ROESKE - — — -- Create Date 1.0/26/2.012_ 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 ool — - — --- P 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 P 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 POWER VENT WATER HEATER **debit acct of Work 1 L Size Material Type # Conn.Type Sanitary Sewer Storm Sewer Water Service Parcel Id# 1407440000 Valuation $ 485❑ Plan Approval $0.00 Permit Fees $25.00 ID Permit Voided Issued By — + 1 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 PARK _ 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. ilOct. 26. 2012 10: 25AM GMS IBC No. 1194 P. 1 City of Oshkosh P Inspection Services Division P O Box 1130 Oshkosh,WI 54903-1130 Phone:(920)236-5050 • Fax:(920)236-5084 OJl-.: KO/H ON THE Wn cR 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 Hail,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$100.00 plus the normal permit fee,which ever is greater. OR ou re a on act .a icir fan,. 'n t • Per 't ee '.ccoU S ste and hove ado uate un s c,eck her- --.-------ifvnu-wan2-ibis-mot essed-7hrgugly ynur-or;mint-14 - ----- -- . ".Advisory-For applicable projects, an Electrical Installation Verification(EIV)form,signed by the Electrical Contractor or Homeowner(for installations allowed to be performed by the homeowner)rung be submitted with the permit application. Applications submitted without an ETV when such is required, will not be processed for Permit Issuance and will be returned for completion. • Job Address• J?l7,5kmes'o nl.1/ Value fIneluding labor aodmaaials) Pi S �° Date /0/ �/-k . k C4 Contractor • ��J,/n.0 r Angie Family Duplex [Multi-Family ]Rental [JComtnercial Qlndustrial • •Number of Fixtures: • Balhhrb Disposal Drink Fm Catch Base .Whirlpool Dishwasher Wait se wash Ftn • Lavatory • Smnp Pump ice Chest Urinal Toilet Iljectorigriad tam Sink Gm-Aram Res.Sink Water Sotbc Sculry Sunk Soda Disp Bar Sink local Waste Hand Sink: _Coffee Maker , Water Healer Clothes Wshr F Prep Sink Comm.Ice Maker CI Gas 0 Elect t Vnt Bidet • 5cry Sink- Sit6:Draia. Shower Beer Tap Flour Drain �t�� Roof Drain Classrm Sink ______ at Grease Trap Standp Rec Lndry Tray Surgeons Sink R.R.Z.Valve Eye Wash Stn Lab Sink Break=Sink Sharnp Sink Wtr Sewer Mfrs Plaster Sink Dip Well P Plr/Wst Sink Deduct Meters Sterilizer Hose Bins Wtr.Usage Mfrs Misc. Futures Electric Contractor(for projects not requiring an EZV Form) N M- Use/Nature of Work f - • ce,..--sue.4- ' 0 _ .- Lc.:, a,.- vt-..,• • L►. . - Ir— Size Material Type # Conn.Type Sanitary Sewer Storm Sewer Water Service Received Time Oct. 26. 2012 10 : 22AV1 No. 1417 07 0'