HomeMy WebLinkAbout0155387-Plumbing (water heater) � CITY OF OSHKOSH No 155387
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 538 N MAIN ST Owner CITY OF OSHKOSH HOUSING AUTHORITY Create Date 05/02/2013
Contractor GARTMAN MECHANICAL SERVICES Category 446-Commercial-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
Lavatory 0 San Sump/Pump 0 FldWst Sink 0 Bidet 0 Site Drain 0 Misc. p
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 Serv 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 OMM/water heater installation
of Work
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
0401130000
Valuation $750.00 Plan Approval $0.00 Permit Fees $30.00 ❑ Permit Voided I
Issued By � � „ Date 05/02/2013
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party,if you perform the work
described in this permit application within an easement,the City strongly urges the permit applicant to contact the
easement holder(s)and to secure any necessary approvals before starting such activity.
Signature Date
AgenUOwner
Address 520 W SOUTH PARKAVE OSHKOSH WI 54902 -6470 Telephone Number 920-231-5530
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type of
Inspection(i.e. Footing,Service, Final,etc.),Access into Building if Secure(how do we gain entry),your Name and Phone
Number. Unless specified otherwise,we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
May 2 2013 11 : 52AM JGMS INC No 4913 P, 1/1
, �'•��
Ciry of oshkosh
Inspcction SetvjcesDivision
P O Box 1130
Oshkosh,WI54903-1130
Phonc:(920)236-SOSO
Fax_ �920,236-S�g4 . K 1� :
Ok t►7E�Vl�A7ER
M _,_._._.__ .. ._w,._,_,.,�. , ..:,.__�_ Piumbing �permitApplication �
xhereba `--------�---,�.....,–.,,..�,.—:...,,_....,,�,..._.r._,...�,.,,.:..-----.._,.._._._...�.__.__=�:....__..,, .__.
y pply for a permit to do and install the following plumbing on the prcmises hcrcinaRer desen'bcd,the work to conform to the'
Wisconsin State Plumbing Code,in rhe perfonnance of which all parties hueto agrce to and are bound by said statutrs, ;
• Application(s)and fee(s)ean be brought to C.}ty�ia�l,Room ZOS or mailcd to Inspr,ction Serviccs,PO Box]126,Oshkosh WI
54903-17 2B. Commcr,cing work aithout permit(s)will resutt�n{eea being doubled or$]00.00 plus thc normal permit fee,wluch
eva is gr�ater. �
OR .
I ou a e nt�•¢ or� tici �.tin ' th Per ' .Accnv !Sv.e e and hav_ e uat . unds, check �-e '
I ou ��on 'this roce 'sed t ou h .our cc �l
�`*Advisoiy-For applica.ble projec�s, an F.�ectr,ical -: .�. . . . . . . . . . , . -_
�Ilation Vezificetion(EI�form,signed bp the El�ehical
Coniractor ox Hoaieownex(for�tio��oWed to be peifo�med bp}�e homeowuer)mnst be sabmitted
. witb the pezmit a,ppYicati.on. APPlicati.on5 sa �
b�anitted witho'at'�EN when snch is reqnired, will�dt be
piiocess�d�ai Pemut Issuaace�id tiv�be,retumed for ctim�lef�ion.
Job A.ddres C � „ . , ry-�'� �
_ Valt�e�t�ai��t�r�a s)_ � �_ Date_�
Owner .. - �� Contractor �
�Single Family ODuplea � dMtilti-Family ntal ommcrcial
�ndastrisl
Nnmber of Fi�tures;
B� nispo�l � D�mk�m
Wbalpool bishwasha Catrh Batin
w�st w�,�m
I.evatory S�p Pt�p lce Chest U�
Toi7et Fjjednr/Gand
. F��aSmic (3aDrHin
Itet.Smlc Wetor 5ofiner Scuhy Sink
��5u►k I�ocat l�vaste � SodaDisp
Heauv �nd 5iuk Coffne Meldr
� pothea Wshr F Siuolc
Gea 0 Elea o PwrVnt B�� � Co�Ice Maker
� '� Beer T Sav Smk 5ite Iham
Floor D�sm , � I�C�ase T�xD Roof Dnia
. . Clsssrm S�
L'ndry.Tray � ��'�� 5�Ree
-,Surgebns Sm1c 'RP.Z Vahic
Iab Smk Eya Wash Sta
Bira�5iak . :�:. .
PleslerSm)c ��➢.,5ink :VVt So+�verMtrs
bip y✓e11 FMWst Siak
$ta�liztr ' D�Meters
Nose B�bs
Mac, W�Usagn lyltrs
�
Ei�ura ,.... �
'Eleciric'Contraator(�or.�rojects not rcqui�'jing an.ETV�'o�p� .
.,Use/11T.:a.ture of.Woxk ... .. ,. ..: .. .: <..� . .
�- . .. . . ,
� Siz` Mat�nal . �pe #t Conn.'I�'po
Sewitary Sewer
Storm Sewer
Watcr Servia