HomeMy WebLinkAbout0154009 - Plumbing (water heater) CITY OF OSHKOSH No 154009
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1536 NORTHPOINT ST Owner MARCYA HAUER _ Create Date 12/20/2.012
Contractor GARTMAN MECHANICAL SERVICES Category 411 -Residential-Water Heaters Plan
Inspector Jerry Fabisch
Bathtub 0 Clothes Wshr 0 Classrm Sink 0 Surgeons Sink 0 Roof Drain 0 Deduct Meters 0
Shower 0 Lndry Tray 0 Exam Sink 0 Sterilizer 0 Soda Disp 0 Wtr Sewer Mtrs 0
Whirlpool 0 Sump Pump 0 F Prep Sink 0 RPZ Valve 0 Coffee Maker 0 Wtr Usage Mtrs 0
Lavatory 0 San Sump/Pump 0 Flr/Wst Sink 0 Bidet 0 Site Drain 0 Misc. 0
Toilet 0 Water Softner 0 Hand Sink 0 Urinal 0 Wait.St. 0 Fixtures
Kit Sink 0 Standp Rec 0 Lab Sink 0 Beer Tap 0 Ice Chest 0
Disposal 0 Gar Drain 0 Plaster Sink 0 Dip Well 0 Comm Ice Maker 0
Dishwasher 0 Local Waste 0 Sculry Sink 0 Drink Ftn 0 Int Grease Trap 0
Floor Drain 0 Bar Sink 0 Sery Sink 0 Wash Ftn 0 Ext Grease Trap 0
Hose Bibb 0 Breakrm Sink 0 Shamp Sink 0 Catch Basin 0 Eye Wash Statn 0
Water Heater 1
Use/Nature SFR/REPLACE GAS WATER HEATER **debit acct
of Work
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
1514750000
Valuation $750.00 Plan Approval __ $0.00 Permit Fees $25.00 ❑ Permit Voided I
Issued By 57CAj—
Date 12/20/2012
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.
Dec. 20. 2012 2 : 14PM GMS INC No. 2228 P 1
0.5(C3
City of Oshkosh
Inspection Services Division
P0 Box 1130
Oshkosh,WI 54903-1130
Phone: (920)236-5050
Fax (920)236-5084 H.
I-
OW THE WATER
Plumbing N permit Application
I hereby apply for a permit to do and install the follo
Wisconsin State Plumbing Code,in the performance of whicch on thc premises all arrties hereto eagree to and are bound by said statutes ID to the
Y
• Application(s)and fee(s)can be brought to City Hall,Room 205 or mailed to Inspection Services,PO Box 1126,Oshkosh WI
54903-1128. Commencing work without perrnit(s)will result in fees being doubled or$100.00 plus the normal per it fee,which
ever is greater.
OR
I you • . a c• raci, •'art' i,ati _• in t
Per Fee ;ccount _ stem a 2, aye adeuotafunds, check here
Mean his , ces. •• thr - ace, nt i
**Advisory=`For applicable projects, an Electrical Xnstallation Ve iOcation form, .
Contractor,or Homeowner(for inst allatioiis allowed to be ezfo (� ')must by the fitted al
with:the. ermit a lrcation. A lieattons subnntted�Withpii.3'an E1V when su h is required will not submitted
P FP � Pi?
processdd for Pmt Issuance and Will be returned for '
c--.: etion,
Job Address _1: 1 ,L, ■1 .II • . Value(Including.lam materials) b, Date
Owner A&1.4 _ . "8ii ►A :,Contractor
[Single Fk ii y L'!uplex ■ nitl- 'ami!]y
ORental E1Coramercial C]Industr-ial
Number of Fixtures;
Bathtub Disposal •
Whirlpool � DrinkFtn Catch Basin Dishwash
Lava Weil St R� 1"to-
Lavatory Sump Pump
lcc(hest
Toilet Ejector/Grind
Urinal
Ices.Sink .Fxam Sisk ear Drain
Wider Softiies' Scully Sink •
BE sink Local Waste Soda Disp
ler Hem ,
Hand Sink Coffee Maker
Clothes Wshr F Pty Sink
ae 0 Elect❑pWrVat Cam.Ice Maker
ler Bidet Slav Sink
Site Drain
Bar Tap Int Oise
Floor Drain �P Roof Drain
Clash Sink Fri Grease Trap
*ay Tilly
5taridp$ec
Surgeons Sink
Iab Sink RP.Z Valve ]ye Wash Stu•
B tOmm Sink .
•
siicr Sick I)ip Well ShaTUp Sink Wir Sewer Mtn
Sterilizer Smk �1Keters
Hose Bibs
Mist, WM Usage Mtrs
'Electric.Contractor(for projects not requiring an Ely Form) _
.Use I Nature of Work . .
Stu Material
TYPe # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Rece
Time Dec. 20. 2012 2 : 10PM No. 1971 ,