HomeMy WebLinkAbout2012-Plumbing CITY OF OSHKOSH No 154010
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 916 WRIGHT ST Owner ALL AMERICAN INVESTMENTS LLC Create Date 12/20/2012
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 FIr/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 DUPLEX/REPLACE GAS WATER HEATER "'debit acct
of Work
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
0501430000
Valuation < $850.00, Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided
� /.v1
Issued By I 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 11 : 16AM GVIS INC No, 2224 P. 1
City of Oshkosh
O►S -
Inspection Services Division
P O Box 1130
Oshkosh,WI 54903-1130
Phone: (920)236-5050
Fax: (920)236-5084 c r1KOJu
/012 THE WATER r 1
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 Hall,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$100.00 plus the normal permit fee,which
ever is greater.
OR
- a c..tracts •'artic'.Olin• 7 the -err ee -c..unt Sv. •a and hove adegligte funds, the -e
I ou -To 'this • • ces • throe,, 'our
scour 1
**Advisory- Installation applicable projects, an Electrical ation Verification(HIV)form, signed by the Electrical
Contractor;or Homeowner(for installations allowed to be performed by the homeowner)must be submitted
with the permit application. Applications submitted withpu�an EH when such is required, will hot be
processed for Permit Issuance.and will be reliitned foi cdiiipietion.
,lob Address , I l , .._I Value(Includinglabor�d .etcrials (�cr�, Date I d
Owner (Al 1 1 I I' r i•.. Contractor �� w j
Single Faintly C]Duplex dMtiIfi-Fermi
Y 1t"ental OCommercial Dndustrial
Number of Fixtures:
Bathtub
til in Catch
Whirlpool Dishwasher
Lavatory Wait. Wh Fin
Sump Pmttp Irx Chart Urinal
Toilet Eju�or/Grmd
Exam Sick Gar Drain
Res.Sink Water So l nee
Bar Sink Scaly Sink Soda Disp
Local Waste Hand Sink Coffee Maker
W }fearer Clothes Wshr ____
Crfrs❑Bleat 0 PwrVat F Sink Comm.ice Maker
Bidet Seiv Sink Site Drain
l moor Thaw B Tap Int Grease Tray SoorrhaID
Clastrm Sink Ett Cheese Trap
L,nday.Tmy S Sink 5tandp Rec
l,,bSink 'RP.. 2. west 5m
Biealam Sink kiat�Sink •
P1eslzr Si* W R!tr•Sewer M�
}$/wstSink
Stm'!ver Acduct Metes
Hose Bibs
1v13ac Wt Usage Mfrs
-
. •Eiafiaes , ..
'Electric Contractor(for projects not requiring an Ely Form)
,,;Use/Nature of Work . ,
Size Material . Te # Conn.Type •
Sanitary Sewer
Storm Sewer
Water Service
I
_Received Time3ec. 20. 2012_11 : 12AM No. 1969
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