HomeMy WebLinkAbout2003-Plumbing (water heater)OSHKOSH
ON THE WATER
.lob Address 1423 1425 WITZEL AVE
Contractor GARTMAN MECHANICAL
Bathtub 0 Shower 0
Whirlpool 0 Floor Drain 0
Lavatory 0 Lndry Tray 0
Toilet 0 Lndry Stndp 0
Res. Sink 0 Disposal 0
Bar Sink 0 Dishwasher 0
Water Heater 1 Sump Pump 0
Site Drain 0 Classrm Sink 0
Roof Drain 0 Breakrm Sink 0
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner OSHKOSH HOUSING AUTHORITY
Category 411 - Residential-Water Heaters
No 104621
Create Date 10/07/2003
Plan
Ejector/Grind 0 DipWell 0 F Prep Sink 0 Gar Drain 0
Water Softner 0 Drink Ftn 0 Serv Sink 0 Soda Disp 0
LocaIWaste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
CIothesWshr 0 Ice Chest 0 FIr/Wst Sink 0 Int Grease Trap 0
Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0
Beer Tap 0 Sculry Sink 0 Wash Ftn 0 RPZ Valve 0
Dent. Oper. 0 Hand Sink 0 Urinal 0 EyeWash Statn 0
Lab Sink 0 Plaster Sink 0 Standp Rec 0
Sterilizer 0 Surgeons Sink 0 Ice Maker 0
Use/Nature SFR/ #1423/ Replace power vented water heater.
of Work
Size Material Type # Conn. Type
Sanitary Sewer 0
0
0
0
0
Storm Sewer 0
0
0
0
0
Water Service 0
0
0
0
0
Valuation $800.00 Plan Approval $0.00 Permit Fees $0.00 ~ Permit Voided
Issued By
Date
10/07/2003
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
Agent/Owner
Address 520W SOUTH PARKAV OSHKOSH WI 54902 - 0000 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.
80.o%
¥
City o f Oshkosh
Inspection Services Division
POBox 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
I hereby apply for a permit to do and install the fail,wing plumbing on the premises l~e3'¢i~ft~
Wisconsin Stats Plumbing Code, [~ the performance of which all partig~ heret,~ ~lgr~c {o ~p~ ~,r~
CffHKO/H:
Application(s) and fee(s) can be breught lo ,City B.al~ R0~m :205 or mailed .to
OshkoshWl 54903-1128. Commencingworkwjth0utpe~it(s)
n,>nr~al pem~it fee, which ever is greaser,
OR
\
Ns,tuber of Fixtures:
Dip Well
Drink Fm
Wais. Si.
Icc Chest
Exam Sink
Sculr/Sin~;
H~nd Sink
F Prep Sink
Se~ Sink
Electric Contractor 0~. [~Elech ie !nstall~!!o~ Ycriflc~lO&s form
(If Replacement)
Size M~erial T~o ~ Co~. T~c
Sa~th~ S~wcr' :
Storm Sewer
Wa~er Service
3/02