HomeMy WebLinkAbout0155561-Plumbing (serv sink) � CITY OF OSHKOSH No 155561
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1580 S KOELLER ST _ Owner PATRICK INVESTMENTS LLC Create Date 05/06/2013
Contractor GARTMAN MECHANICAL SERVICES Category 442-Commercial-Interior(New/Relocated Fixt� 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 Serv Sink 1 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 0
Use/Nature OMM/CUWERS/installing new fixture after remodeling has been done
of Work
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Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
1307440500
Valuation $2,970.00 Plan Approval $0.00 Permit Fees $30.00 ❑ Permit Voided I '
Issued By �+� — Date 05/10/2013
In the performance of this work, I agree to perForm all work pursuant to rules governing the described construction.
While the Ciry of Oshkosh has no authority to enforce easement restrictions of which it is not a parry,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 10. 2013 8: 05AM GMS INC No. 5038 P, ��� ;
Gyty of oshkosh
Inspeccion Serviccs Division '
P O Box 1130 ��
Oshkosh,W!54903-1130 �.
Phonc:(920)236-5450
Fax:(920)236-5084 . OS��/
1 N'�
QN 7riE WAT?R •
Plumbing permit qpplication
I hereby apply for a permit to do and install thc following plumbing on the premises her�cinat�er described,t1�e work to conform to the
Wiseonsin 5tare plumbing Code,in the perfo�mance of which all parties hcrcto agrce to and are bound by said scatutes.
• Applicacion(s)and fce(s)can be brought to City Hal1,Room 20S or tnailcd to Ybsper.tion Serviccs,PO gox 112B,pshkosh WI
54903-1126, Cammending work without perm;t(s)will result in fees bei�ig doubicd or 5104.00�lus the norrnal permit feq which
ever is greater.
. . OR
I ou•ar R e trae[ r ar ici a 'n in he P rm't ee A oun[ stem a have a uate und che k h re
,. ..r--•i nu �7 t 's r ,cerse �7hr h -acc �nr ---�- :
'�''�Advisory-X'or applic�ble�tojects,aa Elcrtrical Installationt Veri6cataon(EI�fonn,sig�ed bp thc Etec�ical
Co�a�actor or Homeovvner(�or ins�llatioio�s allowed to be pe�orm�d bp the bomeowner)am.st be submitted
wiitfi the pemiit�li�ation.. App�icabio�sab�otitted without an EIV'when such is reqused, w��tot be
processed for Pe�it rssv�nce aad w�be ntamed�or rnmpletion :
Job Address� l�S�'� v��l�- 'Va�ue p„��oa;aQ Mbo��a�,�� p?9'70 `"' bate ���a/,�
Owmer �v�✓c� `—'��"
Contrac�or G-�s 1.�,
dStngie TarailY �bupler []MulEi Family• []�iental ommercisl
. . �Sndustrial
Nmnber of Fi�tnres;
aamwb �� �
�� G1c6 Bssin
�°�°pl Dishwasscr W�t St Wash Fm
�� S�P�P Ice Chest '
To�7ec 8joctoa�Grmd Llnaal
�ram Smk �D�ain
Rcs.s�ic wua Sot�►er
SCU�'$°►k Soda Disp
.- . 8ar Siok Loral Wasle -� . Ii�d Sm1c:
Wekr Hntc . :Co$�e Makex
Cbt�esWatir F prcpSmk Co�.ta Msker
�C,ae�81ect D A�vrVnl
e�a�e .
S6awa� �T Serv Sink ( SieeD��.
� }�r� � 1ot Grease 7�i RoofD�am
� . �.s� �cc or��a
�Y T�y Smgr-0ps Smk S�➢Rx ,
iab Smk ��V� Bye Waeh Sm
'� Bmalcm Smlc
•Plaot�S;nk D;p Wo� S�P SmJc Wtr Sewer Mtrs,
g�� � F]r!Wsl 5mk � Ikduct Mde�
. HaseBibs
Miac. ' .. A�1r Usage l�ttrs
Fqtwra
Electr7ic Couixactor(for projects not reqqiring an EIY Form) �V�j�
, � .,,..
Use/Naturc of Work i�t..«.`/o�.ri,�.r ,,' �`r,�(,c r / `L _`
M�R W�� I'`C/�� I��sT�Gh� a„G C��
5ize Material �
T3'Pe # Conn.Type n e w S 1 n jC.
Sanitary Sewer . ,
Storm Sewer ' � , ,
•. Water Scrvice
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