HomeMy WebLinkAbout0156791-Plumbing � CITY OF OSHKOSH No 156791
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 375 N EAGLE ST Owner OSH AREA SCHL DIST WEST HIGH Create Date 07/19/2013
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 0 Coffee Maker 0 Wtr Usage Mtrs 0
Lavatory 0 San Sump/Pump 0 FIr/Wst Sink 0 Bidet 0 Site Drain 0 Misc. p
Toilet 0 Water Softner 1 Hand Sink 0 Urinal 0 Wait.St. p 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 1 Bar Sink 0 Serv Sink 0 Wash Ftn 0 E�ct Grease Trap 0
Hose Bibb 0 Breakrm Sink 0 Shamp Sink 0 Catch Basin 0 Eye Wash Statn 0
Water Heater 4
Use/Nature SCHOOU boiler room renovations
of Work
'ck#45246**
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
1608720100
Valuation $120,000.00 Plan Approval $0.00 Permit Fees $54.00 ❑ Permit Voided j
Issued By "��y� Date 07/19/2013
v
In the performance of this work, I agree to perfoRn 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 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.
• C�� �s����� ������� ������ ;
�':?� '��; �
�' City of Oshkosh �G�Q�f 6� ^
� ; � Inspection Services Division ��
. P O Box 1130 ln � ��,� �
Oshkosh,WI 54903-1130 �� //�� � � �
Phone:(920)236-5050 ��'������
Fax:(920)236-5084 O �--�KO I--�
03V THE lV'RT�R
Plumbing Permit Application ;
I hereby 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 Hall,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$100.00 plus the normal permit fee,which
ever is greater.
OR
If you are a contractor participatinQ in the Permit Fee Account Svstem and have adequate funds check here
if vou want this processed through vour account n
**Advisory-For applicable proje�� talladon Verification(EI�form, signed by the Electrical
Contractor or Homeowner(for instali-ati��i to be p�rformed by the homeowner)mnst be snbmitted
with the permit application. Applications submitted withont an EIV when such is reqnired, will not be
processed for Permit Issuanc�d w'��for compledon. �
� �
J o b A d d r e s s���� �'� V a l ll e(I n c l u d i n g l a b o r a n d m a t e ri a l s) I�O s d�V� D a t e °�G !3
' PARTAIE\T OF
Owner �'H�aN w�'CT H�r � ` �' v nev�J6�t�aitor �/1'�-f �N C
Rvi� �n• a�v
❑Single Family ❑Duplex Multi�`ami� ❑Rental ❑Commercial ❑Industrial
Number of Fixtures:
Bathtub Sump Pump Plaster Sink Roof Drain
Shower Saa Sump/Pump Scullery Sink Soda Disp
Whirlpool Water Softener � Service Sink Coffee Mkr
Lavatory Standpipe Rec Shamp Sink Site Drain
Toilet Garage FD Surgeons Sink Waitrs Sm
Kit Sink Local Waste Sterilizer Ice Ches[
Disposal Bar Sink RPZ Valve Comm[ce Maker
Dishwasher Breakrm Sink Bidet Int Grease Trap
Floor Drain � Classrm Sink Urinal Ext Grease Trap
Hose Bibb Exam Sink Beer Tap Eye Wash Stn
Water Heater � F Prep Sink Dipper Well Deduct Meter
-Gas C Elect C PwrVnt Floor Sink Drink Fntn Wtr Sewer Mtr
Clothes Wshr Hand Sink Wash Fnm Wtr Usage Mtr
Lndry Tray Lab Sink Catch Basin Misc Fixtures
Electric Contractor (for projects not requiring an EIV Form)
Use/Nature of Work
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
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