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HomeMy WebLinkAbout0104970 POSHKOSH ON THE WATER ,Job Address 1118 WAUGOO AVE Contractor GARTMAN MECHANICAL CITY OF OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD Owner JOHN H/MARTHA L WALLACE JR TRUST Category 411 - Residential-Water Heaters No 104970 Create Date 10/27/2003 Plan Bathtub 0 Shower 0 Ejector/Grind 0 DipWell 0 F Prep Sink 0 Gar Drain 0 Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 Serv Sink 0 Soda Disp 0 Lavatory 0 Lndry Tray 0 LocaIWaste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0 Toilet 0 Lndry Stndp 0 CIothesWshr 0 Ice Chest 0 FIr/Wst Sink 0 Int Grease Trap 0 Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0 Bar Sink 0 Dishwasher 0 Beer Tap 0 SculrySink 0 Wash Ftn 0 RPZValve 0 Water Heater 1 Sump Pump 0 Dent. Oper. 0 Hand Sink 0 Urinal 0 EyeWash Statn 0 Site Drain 0 Classrm Sink 0 Lab Sink 0 Plaster Sink 0 Standp Rec 0 Roof Drain 0 Breakrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0 Use/Nature SFR/Replace gas 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 $500.00 Plan Approval $0.00 Permit Fees $20.00 ~ Permit Voided Issued By Date 10/27/2003 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. City of Oshkosh Inspect/on Services Division POBox 1130 Oshkosh, WI 54903-1130 Phone: (920) 236-5050 Fax: (920) 236-5084 RECE]VED OCT 2 4 2003 DEPARTMENT OF 12,OMMU/tlTX DE~ELOP. MENT Wumbing v'ermlt App~rcauon I herzby apply for a permit to do and install the following plumbing on the premises hereinafter described, the work to conform to the Wisconsin State Plumbing Code, i- the performance of which all parties b,reto agree to and are bound by said statutes. · Application(s) and fee(s) can be brought to .City Hall~ Room 205 or mailed to Inspection Seixiccs, PO Box 1128, ©shkosh WI 54903-1128. Commencing work without pbrmit(s) will result in fees being doubled or $100.00 plus the normal permit fee, which ever is greater. OR If Vo are a contractor participaH.ng in the permit Fee Account System and have adetluate funds, check here i[¥o t want this processed through your account ]~ ~'~gle Family [--]Duplex ['~Multi-Family []]Rental F-lCommercial [--]Industrial ~0mber of Fixtures: n~;ht~,b Lndry Stan4p Dent. Oper. Shamp Sink Whir'pool Disposal Dip Well FIr/Wst Sink Lavatory Dishwasher Drink Fm Catch Basin To!lc~ Sump Pump Wail, Se. Was~.FJn Res. Sink £j¢¢lor/Grind lee Chesl IJdnal Bet Sink . Water Soflner Exam Sink Gat Drain Electric Contractor o~ [--]Electric Installation Verifieatidn form attached (If Rep!ecement) Use/~ature of Wor (~c v_. (~3c~.~v ~,~ ~ ~ Size M~**rial Type # Conn. Type Sanitary Sewer Storm Sewer Water Service