HomeMy WebLinkAbout0105403-Plumbing (water heater)OSHKOSH
ON THE WATER
.lob Address 1432 EVANS ST
Contractor GARTMAN MECHANICAL
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner GEORGE/SHIRLEY BLECHEL FAMILY TRUST
Category 411 - Residential-Water Heaters
No 105403
Create Date 11/19/2003
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 Replace gas water heater
of Work
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type
#
0
0
0
0
0
0
0
Conn. Type
Valuation $550.00 Plan Approval $0.00 Permit Fees $20.00 ~J Permit Voided
Issued By
Date
11/19/2003
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
Inspection Services Division
P 0 Box 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
0 O/H
P!umbing Permit Application
1 hereby apply for a permit to do and ingtall the following plumbing on the premigeg hereinafter described, the work tn eolaform to the
Wisconsin Stale Plumbing Code, iv 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 Hall~ Room 205 or mailed to Inspection gel'vices, PO Box i 128,
Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees lining doubl{:d or $100.00 plus
normal permit fe~, which ever iz greater.
OR
~)d~tt are O contractor particlpati?~g in the Permit Fee ,4ccount S ,Lrtem and have adeauate funds, cheek
if yon Wa~t [h~$ processed throueh yonr account
~Single Family ~]Duplex.- [-]Multi-Family [-']Rental [--]Comm,rcial
[~]lndustrlal
Electric Contractor
[-]Electric Installation VerificatiOn form attached
Savir!?y Sewer
Storm Sewer
{If ReptacenmnO
Conn. Type
Size Mater/al Type #
3/03