HomeMy WebLinkAbout0104850-Plumbing (water heater)OSHKOSH
ON THE WATER
.lob Address 1113 E IRVING AVE
Contractor GARTMAN MECHANICAL
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner MICHAEL J FREIER
Category 411 - Residential-Water Heaters
No 104850
Create Date 10/20/2003
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 power vented water heater. *ElY form from Beez Electric.
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 $20.00 ~ Permit Voided
Issued By
Date
10/20/2003
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 PARKAY 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
Inspection Servicca Division
P (~ Box 1130
Oshkosh, WI 54903-1130
Phone: {920} 236-5050
Fax: (920) 236-5084
OZFKO/H
ON ?H~ W^~SS
Plumbing Permit Application
hereby apply for a permit to do and install ttie following plumbing on the premises hereinafter described, the work to c,,nfonn to the
Wisconsin State Plumbing Code, in the performance of which all parties hereto agree to and are bound by said statutes.
Application(s) and fee(s) can be brought to .City Haft. Room 205 or mailed to Inspection Sci'vices, PO Bog 1128,
Oshkosh WI 54903-1128. Common:ina work without permit(s) will result in fees being doubled or $10C.00 plus the
normal permit fee. Which ever is greater.
OR
I[¥ott Ore O ~ontracto~- participating in the Permit Fee dc¢o~t~¢ $¥siem and have adeauate funds, check here
if I'Olt iba~tl this processed thro~tgh yo~r account N
Job Address/.,~X\5 ~' ~.~'JO?.q yalue (,nciudina,ahor~.~..a~:s) ~C~,r ~x.~
NU mbei~ of Fixttii'es:
Bathlnl~ Lndry Standp Dent. Op~r. Shamp Sink
~irlp~l Dis~sal Dip Welt FIr~st Sink
~va(o~ Dish~sher ~nk F~ Catch Basin
Toiidi - Sump Pu~ Wait. St. Was~m
Res. Sink Ejector/Grind Icc Ch~t Urinal .. ,
Bar Sink Wat~ So~ner Exam Sink Gar ~in
Water Healer ~ ~al Waste Scul~ Sink S~a D~
D Gas ~ Elect~P~VnI Clothes Wshr Hand 5~k Coffee Maker
ShOwer Bidet F Prep Sink ke Maker
Floor ~{n Beer Tap Se~ Si~ Site ~ain
~d~ T~y Class~ Sink Iht Grease Trep R~f ~in
~b Sink Sur~ons Sink Ext O~ Trap Standp Ret
Plaster Sink B~a~ Sink
Sterilizer
Electric Contractor
ISanitary Sewer
Storm Sewer
Water Service
OR. [--]Electric Installation Veriflcatl6n form attached
(If ReptaCement)
Size Material Type # Conn. Type
3/02
10/15/28B3 BEEZ ELECTRIC PA~ 85
2~: 47 92023~725~
Eh
etric Installation Verification
549~
l~ve b~m co~eracted to pmec m c~ec~c in~."~on work ~r ~~
[ .
~ - ' ~ ~ '~ ~e or De~ ~ N~ ~Wo~)
[ ~ ..... '-----h~m~ H~ ~ ~or ~C C~d~.
~ ~m~on or n~ ~ ~ r=v -l~e Wat~ H~
on or ~ ~it ~r r~ u '
~ ~' ...... J .-,-- · --m* ~.~.llafion. Note; N~
~~ or ~ ~ for ~ pm~dy ~P
Other
be performed by an employee of this compa~ and ~-ther verLfy the
~ be done ila comp~ wi~ n~mm~ ~ml Electric code
10/t6103
Tb lue ofthiswork is SL
Gary Biesin~r_