HomeMy WebLinkAbout0157468-Plumbing (3 water coolers) /�''# CITY OF OSHKOSH No 157468
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 106 WASHINGTON AVE Owner CITY OF OSHKOSH Create Date 08/29/2013
Contractor GARTMAN MECHANICAL SERVICES Category 443-Commercial-Interior(Replacement Fixtun 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 FldWst 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
Disposai 0 Gar Drain 0 Plaster Sink 0 Dip Well 0 Comm Ice Maker 0
Dishwasher 0 Local Waste 0 Sculry Sink 0 Drink Ftn 3 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 COMM/CITY OWNED/repace(3)water coolers
of Work
"fee waived"
i
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
0400510000
Valuation _ $6,000.00 Plan Approval $0.00 Permit Fees $0.00 ❑ Permit Voided�I
Issued By ��1�. 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: 52AM GMS INC No. 6853 P, 1
Ciry of Oshkosh
�D
lnspection Services llivision �
- -- Y O-Box 113A .. . _ _. ._. _. .- --- ——. �
Os6kosh,WI 54903-1130
Phone:(920)236-5050 :
1 ax:(920)236-5084 ���
, ON TNF wn7�R
Plumbing Permit Application
I hcrcby apply for a permit to do and inst2ll lhe following plumbing on thz premisc�hcreinaftcr dc�eribed,Ihe work to conform to the
Wisconsin Statc Plumbing Code,in the perfocman�of whieh all partics hcrcto agree to snd are bound by said statutcs.
� Application(s)and fee(s)can be brousht to City Ha(1,Room 205 or mailed to inspection Services,PO Box 112R,Oshkosl�Wl
54903-1128. Commenci»g work without pennit(s)will result in fees being doubled or$100.00 plus the normal pertnit fee,which
ever is greater.
OR
��kou are a contracrnr narticipating in the Permlt Fee �tccnunt Svcte►n and have adequate undr eh��,k here
if vo�nt this nrocessed throurh vour accnunt n
**Advisory-For applicable projects,an Elec�ical Ynstallation'VeIIfication(EI�form, signed by the Electrieal
Contractor or�Tomeowne.r(for installations allowed to be pe�o�ed by the homeowner)must be sabmitted
with the permit application, Applications submitted withont an EIV when snch is required, wi11 not be
processe�for Pe�it Issnance and wi11 be retumed for completion.
► � �v �
J'ob Address �� L��.S' w c f« VRIUE(Includiog Ittbor and materialq) 00 G n�te '�7" ��
Owuer l���iDS � ���2y Contractor �y12,� �^! C_
❑Single Family ❑Duplex OMulti-Family �Rcntel �CommcrciAl ❑Industrial
Nwnber of Figtures:
liaihtub Sump PJmp Plus�cr Sink ILUOFT�I"J7Il
Showa San.Sump/pump _,.,_,,, Scullery Sink Soda Uisp
Whirlpnol Walrs Sollcoer Service Sinlc Coffee Iv�cc
Lavatory StanJpipz Rtc S6amp Sink Site Dmin
7oila Gemge CD '____._ Surgeons Siok Waitrs Sm
Kit Siok L.ocal Waste S�eriliur Ice C6at '
Dieposal dar Sink ltY2 Vnlve Co�Tce Makc
Uishwasher firealam Sink Didet Int Grease'frop
Floor Uraio �=��9�S� Urinal kxt Gr�e Trep
Hose Hibb Fxsm Siok Beec Tep Csye Wash Stn
Wa�er Heata F��P S� Dipper Well Ueduct Maa
0 Gus 0 Elecl❑pwrVnt Floor Sink Drink Fnm � Wtr Sewa MQ
C�othc,a Wahr Hand Sink Wash Fnm Wtr Usage Mtr
f..ndryTray (,ap Sink ('stc6 Baain Misc Fixturc,a
Electrie Contractor (for projecEs not requiring an EY'V Form)
Use/Nature of VVork ]��[�,,- �,��� ��,q'7',�� �'.Qa��
Size• Material "�'ype # , Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Ofi/09