HomeMy WebLinkAbout0157469-Plumbing (water heater) /�"� CITY OF OSHKOSH No 157469 ;
OSHKOSH PLUMBING PERMIT -APPUCATION AND RECORD
ON THE WATER
Job Address 2062 MENOMINEE DR Owner PHYLLIS L LEACH Create Date 08/29/2013
Contractor GARTMAN MECHANICAL SERVICES Category 411 -Residential-Water Heaters Plan
inspector
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. p
Toilet 0 Water Softner 0 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 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 ISFR/replace water heater
of Work
�"debit acct*'
I
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
1512080000
Valuation $1,250.00 Plan Approval $0.00 Permit Fees $30.00 ❑ Permit Voided'
Issued By � Date 08/29/2013
In the perFormance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement,the City strongly urges the permit applicant to contact the
easement holder(s)and to secure any necessary approvals before starting such activity.
Signature Date
AgenUOwner
Address 520 W SOUTH PARK AVE OSHKOSH WI 54902 -6470 Telephone Number 920-231-5530
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type of
Inspection (i.e. Footing,Service, Final,etc.),Access into Building if Secure(how do we gain entry),your Name and Phone
Number. Unless specified otherwise,we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
Aug, 29 2013 9: 53AM GMS INC No. 6853 P, 2
City of oshkosh � �
Ins�ection SpviceSDivision , . ��
P O 13ox 1 I30 ��
Ostilcosh,Wf 54903-1130. •
.... . — . .__.. ..... . .— —.. — . . :. _ _ .
. Phone:(920)236-SO50 '
Paz:(920)236-S084 �/
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. plumbing Permit Application .
I hereby appiy for a permieto do snd instell rhe following plumbing on the premises hereinaftcr describc�the work to conform to the �
Wisconsin State Plumbing Code,m the performHnce ofwhich al�part;es hueto agrcc Eo and are bound by ss;d statutes,
. • Applicacion(s)and fee(s)can be brought to City,Hal(,Room 205 or mailed to
34903-]126. Commenaing work without permit(s)will resvlt in fi�beiag doubled o��$ 00.00 plus the normal p rinit fr�,wh�ch.
ever is greatr.�,
• . . OR � , .
. 7 rr•are c !ra r lici in i the erm'f e Aocou t S ste nd h e ade uQ�e nds cl�ec he e
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'k'�Advisory-For app7icable I�J�,�Elec�ical Installaiion Veix6cation(�fo�nm . --- . -
Co�ttactor or$omeowner(for insfallations aDowed tn be pe�or�,ued 6p t4c hom�owner)must be subzuitted �
� wifh ifie�t�it ap,p�iraiiion. AppL'cabions snbmrt#ed witbout au EN wbaa sacbt is re4u�i�d,R'ill not be
�rocessed for P�t rs�ce aad wxll be rct�med fo��ompletion . � � �
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