HomeMy WebLinkAbout0157917-Plumbing (water heater) � CITY OF OSHKOSH No 157917
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER :
Job Address 1627-1643 ELMWOOD AVE Owner 1627 ELMWOOD LLC Create Date 09/25/2013
Contractor GARTMAN MECHANICAL SERVICES Category 446-Commercial-Water Heaters Plan
Inspector Jon Mueller
Bathtub 0 Clothes Wshr 0 Ciassrm 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 RP2 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. 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 COMM/replace water heater •
of Work
'"debit acct*'
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id�!
1200670500
Valuation $2,000.00 Plan Approval $0.00 Permit Fees $30.00 ❑ Permit Voided',
Issued By �w�, Date 09/25/2013
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.
Sep. 24. 2013 4: 23PM GMS INC �� � No. 1184 P. 1
City of oshkosh �� .
7nspection Savices Division "
P O Box 11'30 ��
Oshkosh,WI 54903-1130 �.
Phonc:(97A)736-5050
�ax:(920)236-5084 � / :
.o
Dhl THE Wq�
. Plumbing Permit Application
I hereby app�y for a permit to do and ins�al!tha following plumbinQ on thc premises hcreinafter dcscribed,thcwork to conform to thc
Wisc�nsin St�ta Plumbing Code�in thc performance ofwbich al)parties hcrcto agrec to and are bound by said sKatutes,
. ' Application(s)and fce(s)can be brought to City�Iell,Room 205 or mailed to
54903-]12B, Commencing work without s will result in fccs being do bled orS 0 00 pl�us thc normaj6permit fa,��h
over is grcatet. ���
. . OR .
. f �are cnn ract r ar ' ' atin in th erm'[Fe_ ccou S stem d have de uate u�d c ck h re
..'�,�'=--�Y •u-wa Yh .
ss8�• frrn�u o�rr� cou — •----........----• -----------
''�Adv�isory-For applicable projects,an Elec�riral�(�on,�r�on fo
Coutractor or Su�meowaer{for mstaIlations a1lowed to bc pe�o�naed bp d�e b�omeowner)mast be s�nbnrittctacal
wi�h tfie peRmit applicatio� Applicabons sp.bmitted�vathout a�t ETV whem sach is xcquired, rviII�ot be
pmrxss�d for Pe�it Iss�ce and w�1 be x�et�d for eoa�letion.
JobAdd�'ess /G�7 �/m ,r, ?V�1Ue•(la�h,a;�gJnba��dmaia;ale) �ZOGO -�o �
Aate 9 �.�
Owne�. /-c..r�, � "���` Con�ac�or f�'l /•�c �
❑Single Fam�Y �Duplex �Multi Family []Rental �E�i�umercial �ndasirial .
N�onber of��rtures:
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n�'w� w�c sc w�,�
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To�7et �� ��
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. . r.o��w�'` ' . �a s�:. :co��tr
w��tdf � Cloduy�Vsbr F Smk . •
frr�a 0 Elat 0 PwrVne � Con�Jee Msk�
� � Scrv Simlc• ��p�
' F1ob�Dram " Seet7ap 1ntCmaseT'ap RoofD�am �'
Cleam Sink
�y 1-�, . TR��� Fxt(�4essc�}ap S1�dp Rx
Ia6 5alc � 1ZPZ Valve �ye Waeh Sm
.Plas�smk �m smk � sbomp siak wer sewa Mess
�� AipW`u - Flo!Wst Sm1c � Ac+ductMaas
-... � .. ' Hose$lbs
Misc. � .. 9RL:Us�ge Mas
�
Electric Contr$ctor(for projects not reqairir�g an EN Form) 1 ul�
Use/Natare of Work � .�� �,"w,.� . �� .
�
S� MatcriaJ Typc # Conn.Type
Sanit�y Sewa , .
$tOrm Sewer ' ' � , ,
Watea'Scrvice .
07/07