HomeMy WebLinkAbout0104973-Plumbing (water heater)OSHKOSH
ON THE WATER
.lob Address 341 BAY ST
Contractor GARTMAN MECHANICAL
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner JEANETTE M REITZ
Category 411 - Residential-Water Heaters
No 104973
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 Soffner 0 Drink Ftn 0 Serv Sink 0 Soda Disp 0
Lavatory 0 Lndry Tray 0 LocalWaste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
Toilet 0 Lndry Stndp 0 ClothesWshr 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. *EIV 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 ~J 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
Impection Services Division
POBox 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
OCT 2 2 2003
DEPARTMENT OF
CS div t NITY DEVELOPMENT
Plumbing Permit Application
OJt-KQ/H
I hereby apply for a permit to do and install thc following plumbing on thc prcmiscs hereinafter described, thc work to conform to the
Wisconsin State Plumbing Code, in the performance of which all panics hereto agrcc to and arc bound by said statutes.
· Application(s) and fee(s) can be brought to .City Hal[~ Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without p~rmit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
1[ you are a contractor participating in the Perm~lffee Account S¥cteta and have qdequate funds, check here
i[¥ou want this processed through your account IKI
JobAddress ~\ (2"~A-- Value0ncludinglahoranamatoriam _r~4)(_~t.k"{~'') Oate\~"~\~-~
~Si~le ffamily ~plc~ ~ulti-~amily ~ent~l ~omm~rcial ~I~da~tri~l
Number of Fixtures:
Batht,lb ~ Lndry Standp'~ Dent. Oper. shamp Sink
Whirlpool Disposal Dip Well FIr/Wa! Sink
Lavatory Dishwasher Drink Fta Cat*h Basin
Toilet Sump Pump Wait. St.
R¢~, Sink Ei~ctor/Grind 1¢e Chest Urinal
Bar Sink Water Sofmer Exam Sink Gar Drain
Water Heater } Local Waste SouSed Sin~ Soda Disp
D Gas 13 Et¢ct~PwrVnt Clothes Wshr Hand Sink Coffe~ Makla'
Shower Bidet F Prep Sink Ice Maker
Floor Drain Beer Tap Sen' Sink Site Drain
Lndry Tray Classrm Sink Int Greas~ Trap Roof Drain
Lab Sink Surgeons Sink ExI Grease Trap Standp RCC
Plaster Sink Breakrm Sink
Electric Contractor
Use/Nature of We/kLm? ~ \ ~.~C~
O-R [~]Electric !nstall~tion Verificatidn form attached
Sanitary Sewer
Size Material
(If Replacement)
Type # Conn. Type
10/21/2003 08:52 9202317255 BEEZ ELECTRIC PAGE
Electric Installation Verification
(I) (We) B_Re_cz Electric, Ine,
521 W 12th .Oshkosh WI 54902
have been contract~t to perform electric installation work for
at the followi~ address:
The nature of the work consists of: (Check One or Describe the Nature of Work)
[] Reconnection or new circuit for replacement HeaQng Plant and/or A/C Condenser.
[] l~conne~tion or new ckcuit for replacemen~ Electric Water Heater.
[] g,~,onnection of the Service Entrance Cable, Meter BOX, alterations to r~o~ptacles and
lighting f~tu~s due to siding / soffit installation. Note: New Service Entrance C~les
will require a separate permit,
[] Reconne~on or new circuit for other permanently wired appliances / fv0~ures.
[] Other
The value of'&is work is $150.00
I hereby verify this work will be performed by an employee of this company and further v~rify the
reconnection / installaQon will be done in compliance with manufacturer and Electric code
quireoents,
(Signature of Company Officer)