HomeMy WebLinkAbout0154454 - Plumbing (water heater) CITY OF OSHKOSH No 154454
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 15 EVELINE ST Owner TERA K CONLEY Create Date 02/13/2013
Contractor GARTMAN MECHANICAL SERVICES Category 411 -Residential-Water Heaters Plan
Inspector Jon Mueller
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 SFR/REPLACE GAS WATER HEATER **debit acct
of Work
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
0804350000
Valuation $75 .00 Plan Approval __ $0.00 Permit Fees $30.00 ❑ Permit Voided
Issued By ni Date 02/13/2013
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.
. 30
Feb. 13. 2013 10: 42AM
• ..
City of Oshkosh
Inspection Services Division GM S INC No. 3268 P 1
P 0 BoX 1130
Oshkosh,WI 54903-1130
Phone: (920)236-5050
Of-KO/1H
Fax: (920)236-5084 .
ON THE WATER
Plumbing .Permit Application
,_,. ...._...,......._______.„.,....___....,,.. ....,....... .........,__.,
I h er eb 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 are bound by said statutes,
•. Application(s)and fee(s)can be brought to City Ball,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 S100.00 plus the normal permit fee,which
ever is greater.
• OR
. . • are 1 cant pdio••'art'. i,aei : in t eP,rm: , ee ..: •count V 1.tein and have adequate funds% check here
ihotfjritarlit 'sres . hracourrt
1 .. . . . .
. . ..
**..kilvi.sory-Ter applicable projects, an Electrical Installation Verification(Eli?)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 sabmitted Withriiit'an EIV when such is required, will not be
processed forPerinitisSnance and Will be iiiii*ed for•erlinpletion
,,.. . .., •
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..
Job Add --. I .. AL, • •
Val..ne(Induct:in. g labor.. ,, 75- O Date 3L3 11.5 .
/1ier „Mt V k. ... , t 1 :Contra dor 1111-1.4 , tug 4
..
Ingle FOiiiIY ODuplex illMulti4gin..ili []Rental EiConimercial . 1:Industrial
Number of Fixtures:
nittiltub Disposal - Drink Fai — Catch Basin _
—
Whirlpool Dishwasher _ .Sc --Wait 8t Wh Fta —
Lavatory Sump Pump _ _ lee Chest _ Urinal
Toilet Ejector/Grind Icata Sink Gar Drain . -
— —
rtir,.Sink Water&Amer Seulry Sink Soda Disp —• . .._
Bar Sink Local Waste Hand Sink Coffee Maker _
-- —
Heater I
G-as
9 Elect 0 PwrVat
sh er
f -
— Clothes Wshr
Bidet
Beer Tap
F Prep Sink
Sery Sink
int Grease Trap —
— Comm.ice Maker
Site Drain
AoofThaio _
_
Floor Drain
Class=Sink • Est Grease Trap _ _ Starielp Rec _
. ...
Ltidry.Tray Sngeons Sink —_ it.PIZ.Valve Eye Wash Sul
--r-r-
L.41 Sink
pie...km sink — iiiitnp,Sink ..Wtr Sevier Mtn _
Oilier Sink
Dip Well Flrrillst Sink -7----
Deduct Meters _
Sterilizer --- —
Hose Bibs
Wir Usage NItrs
---
Ivlisc.
'ElectriecontraCtor (for projects not requiring an RV Form)
.,Use/Mitare of.Woik ••. . . - . • .. • ••• -- .. -.. •7• •.• • " • .,
. . .
. - .
. . •
Si7- Untwist] Type # Conn.Type
Sanitary Sewer
. . Storm Sewer
Water Service
" - —
Received Time Feb. 13. 2013 10: 38AM N0. 2312