HomeMy WebLinkAbout2013-Plumbing (3 RPZ valves) /�"� CITY OF OSHKOSH No 155609
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1506-1518 S MAIN ST Owner BLENDED WAXES PROPERTIES LLC Create Date 05/14/2013
Contractor GARTMAN MECHANICAL SERVICES _ Category 442-Commercial-Interior(New/Relocated Fixt� 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 3 Coffee Maker 0 Wtr Usage Mtrs 0
Lavatory 0 San Sump/Pump 0 FIrIWst 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 Piaster 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 0
Use/Nature ,C�OMM/INSTALL(3)RPZASSEMBLES, (2)FOR WELLAND(1)CONDINSATE TANK '*debit acct
of Work �y,'a�
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Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
0305310000
Valuation $2,000.00 Plan Approval $0.00 Permit Fees $30.00 ❑ Permit Voided �
Issued By�—�—�—h°�- Date 05/14/2013
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, 13. 2013 8:42AM GMS INC No 5090 P 1� uv
City of Oshkosh
InspeUion ScrvjccsDivj�on '
p O Box 1130 � `
Osfikosh,WI54903-1]30 , � '
,Pbone:(920)Z36-5050
�ax:(920)236-50B4 �(1�
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, • OM THH WA7cR �.
Plumbing Permit Application
I hereby apply for a permit to do and install tl�e following plumbing on the prcmises hereinaftcr describcd,the work to eonform to the
'Wisconsin S�Plumbing Codc,in t6e performsnce of which all parties hereco agree to and arc bound by said statutes.
• Application(s)and fee(s)can be brought to City Hall,Room 205 or mailed to�nspxtion Serviees,PO Box 1128,Oshkosh V✓Z
54903-1126. Commenbins work without perntit(s)wi11 resvlt in fees being doublcd or�100.00 pius the normal permit fa,which
evcr is gre2tor.
. . . OR
T ou r a c trac[ ar 'ei ati ie 1h Perm"� ee c aunt S em and ve ade ua u s e .ck i� re
•—�---.. • ou�+v t•t is r ess�d•7hro�u our n CDQh — -° ---:..__.._•---...._ ... ---_---.....
�A;dvisory-fior applicable projects,a,a Eleceric.11�nsfi��io�Veaficatiom(EIV)form,signed by the Electrical
Con�actox or$omeav�rner(fox instatl�aons a1loWed to be pc�doaned.by the homeowner)m�st be submitted
w�ith tbe pe�it a�p�ic�ation. Applirations sabmitted witb�ont.au EIV when such is reqaffed, wilI not be
proc.�ssed fox Pe�nit Issnaase an��1 be�ed for completiou.
Job Address /S/o?S, /yl K�h✓T. �VAIUC(Ia�lud'a�g 1aDorandma�crials) 2C�0' �° Date S��3_��
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Ow�aer c.�4c� Conirac�or � Gh? ve�
OSiungle Family �Doplex �11'Lniti-Fa�1y �Rental �mme�rcial
�]Indastrial
Nnmber of Fiatures;
BatDa,b D;spou� � b�1t Fln � ce�Ba�
a'�P�� n;shwaeuQ w�ii st
washF�,
�ry �v�"P ]ce CA� U�
r.o-�a � ��rr�a
a�m s� cu nr�
Res.Smk Watet SoBnQ .
Scuhy Smlc ��
,— B�'SWc I.owl�Vaste H�d Smk; :Coffr��vfalcc
waoerHeaorr . ClutLes�Vstir FP Sm1c �
D Gas 0$lca 0 PwrVec �P Comm Ix Maker
S6ower 8ide! Serv Smk
Sil�'Dram.
' RloorDra� H`�� latGratstTrap RnofDram
Clasrm Smk Ext(�mase 7Y�ap Smodp Re�
�Y T� Surgeoag 5fnk 1LPZ.Valve 3
I.a6 Smk Eye Was6 Stq
Brr�k�m 5mk � �,�p S� wa Sewrr Mtrc
.Plae�rSink .
s�� Dip'Wd! - FldwstSmk � De�ctMeters
� HasoBibe . W.trUsa�eMlre
FixOtres
Electric Coniractor(for projects not requiri�g an EYV Form) N/�'
Use/Nature of Work (nJ}'►�►�� �3 �Q'Z (,,� � �� . � . �� ti o�^ ��/_
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Sizc Matcrial TYPe # Conn.Type
Sanitary Sewer � .
Storm Sewer ' � . �
Water Scrvice
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