HomeMy WebLinkAbout0158119-Plumbing (water heater) � CITY OF OSHKOSH No 158119
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 921 925 N WESTFIELD ST Owner CHARLES A/MARILYN J PERRY LIVING TRUSI Create Date 10/07/2013
Contractor GARTMAN MECHANICAL SERVICES Category 411 -Residential-Water Heaters 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 0 Hand Sink 0 Urinal 0 Wait.St. � 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'*
i
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Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
1611710000
Valuation $6,140.00 Plan Approval $0.00 Permit Fees $30.00 ❑ Permit Voided
Issued By ���J Date 10/07/2013 ,
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 speciFed othervvise,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. :
Oct. 7 2013 9: 22AM GMS INC No. 1348 P, 1
City of Oshkosl� �� � :
Inspection�crvices Division ' �
1'O Box 11'30 �� .
Oshkosh,WI54903-1130 . �
Phono:(920)Z36-50S0
Fax;(920)236-5064 .
. o r�o�
ow rHF�vArae
Plumbing Permit Application .
X hcrebY apply for a permit to do and install thc following plumbing on the premiscs hercinafter dcscribed,thc work to conform to the
Wisconsin Statc Plumbing Code,in Ehe performance of which all partics hereto agree to and are bound by said statutcs.
• Application(s)and fce(s)can be brought ro City Ha1i,Room 205 or mailed to Irisp�ct;on Services,PO Box 1126,Oshkosh�VI
� 54903-1128, Commenoing work without permit(s)wi��nsu�t in{ees being doubled or 5100.00 plus thc normal permit fce,u,hich
evcr is greater.
. � ' . OR .
nu e a con actnr ar 'ci a ' i !he rrn"[ e cco ' 1 S c an have c _ uat �
--°� ----• ' �nnt•ifei " �d•Ylrrn �i -ac unI— -�•--- -- - .. s c eck er
*'�,Advisory..For applicable�rojeds,an Elec�ii:a1 Tn�allation Vei�fica�ion(EI�fo=m ' --. ..
Con�actor ox$omeowner l.for installatio�as allowed to be pe.d�'oxmed by the homeown�mns�t be �sp�bmitt���.
widi[�e Per�uit applicatioa. Agp��io�us�svbmittcd wit3ioQt an EIV vvhea snrh is rr.quc�ed, �1 nut bc
processed for Pt�it Issuance s�d w�be z�tnmed for com�letio� :
Job Address Ba S N'..M{a'{-�iti� 1 'Value��n�i�a;�g mb��am�� G!�0_c o �ate �° � �
Owner s �
��`.a►�_!��__ Con�h�actor _ �� (r-.�.
❑Single Family �Duplex � .
❑Molti Fam�y [�Rental �oma�ercial �ndqstrial
�imnber of 1�tures;
Buhnrb Disv�1 • . .
Q'EaiPool �bii�ok F1fa Caa�9as�
D'shw�h� W�t 5t .
�,�y S��P . Wash P�
To@et . � . �� IJr�1
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Res.Smk � �D�aiu
w�r.so� �«�r s�
Soda D�
— . Ha S�1: Loc�l�Vesle - Hend 5mk; :Coffix Makc
Wata� � ClofLasZVatir .
�'Gae�$1at D ParVnt F PrepSmk Comm ia Meker
� Bidct Serv Smk Sibe: a^
Dr�m.
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Funtr�
Electric Contractor(for pzojects not requirmg an E�V Form) S/.,, s �� �,.,G
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Use/Nature of Work ���,,,,u„�.� �„� ' �
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Siu Mateaial Typc # Conn.Type
Sanitary Sewer , :
Storm Sewer � • � • �
R'ata Servicc
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