HomeMy WebLinkAbout0156461-Plumbing (water heater) � CITY OF OSHKOSH No 156461
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 2323 ASHLAND ST Owner CHRISTOPHER SCHMUDE Create Date 06/28/2013
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 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 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/water heater replacement
of Work
i
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
1517490000
Valuation $700.00 Plan Approval $0.00 Permit Fees $30.00 ❑ Permit Voided ',
Issued By — Date 06/28/2013
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.
Jun, 28. 2013 1 : 24PM GMS INC No. 5984 P.VI�w
Ciry of Osl�kosh
TnSp@CdOri ServiceS DiviSiOn � :
P 0 BOx 1130 �
Oshkosh,WI 54903-1130
Phone:(920)236-5050
Fax�(920)236-5084 O F--�O H
pu rNE W�TER
Plumbing Permit Application
I hcrcby apply for a permit to du�nd install thc following plumbing on the premises hereinafter d�cribed,the work to conform to ihe
Wisconsin Statc Plumbing Codc,in thc performancc of which all partie,s hereto a�ree to and are bound by said statute,s_
• Application(s)and fee(s)can be brought to City Hall,Room 205 or mailed to Inspaction Ser�iees,YO Box 1128,Oshkosh WI .
54903-1]28. Commei�cing work without permit(s)will result in fees being doubled or S 100.00 plus the normal pzrnut fce,which .
ever is greater.
OR
! r a c �rractnr arri i in . P r ee Accoun� S slem u►id have ude uate urzds check he,�e
i u wanr thi. r e , d thr h our accoanc
**Advisory-For applicable projects, an Electrical Iastallation Verification(EI�form,signed by the Elecbciieal
Contractor or Iiomeowner(for installations aIIowed to be pe�ormed by the homeomner)must be submittcd
with the permit application. Applications snbmitted witltont an EIV when such is reqnired,will not be
processed for PeYmit Issuance and wi71 be retarned for completion.
.�ob Address ��(1�� � y� �S�UC(fncluding labpr a�i ma[eri is) �"�'� Aate� \�� ��
Owuer l� ��D �� 1 � �1 Contractor
[��n��rA�y �Duplex �Multi-FauWy ❑Rental ❑Commercial ❑Yndustrial
1
Number of Figtures:
l3nthmb Sump Ptmip Plasler Sink Rppf Drsin
Shower San.Sump/Pump Scullery Sink Sada Digp
Whirlpool Water Sot�mer Service Sink Co�7'cc Mkr
C.ovntory Standpipe Koc 5hamp Sink Sicc Drsin
'Coilet Garoge FD SurgcpnS Sink Wai�r3 S��
Kit Sink Local Wa9tc S�crilizcr Icc Clicgl
Disposal 8ar Sink RPZ Valvc Comm Icc Make�
Llishwasher Breakrtn Sink Bidc[ Int Grcage T�ap
Floor Urain Claqarm 5ink llrinal F,z�Grease TrAp
Hosc B�bb Exsr►i Sink Rccr Tap F..yt W;�SII Sln
Water Hcater � F Prcp S�nk Dipper wcil Deduct Me�er
�as 0 Elxt 0 YwrVnt Floor Sin� Drink Fnui wu Sewer Mic :
a�h�s Wahr Hand Sink W�eh Fnm Wt�UsAge MIC
Lndry Tray ►a�$ink Cacch 8asin Misc Fixlures
Electric Contractor (for projects not requiring s�n �Y'V Form)
Use/Ns�ture of Work
Size Material Type # Conn_Type
SaniNary Sewer
Storm Sewer
Water Scrvicc
06/09