HomeMy WebLinkAbout0105141 POSHKOSH
ON THE WATER
,;ob Address 815 W 20TH AVE
Contractor GARTMAN MECHANICAL
C~ITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner DR ROBERT F MANN
Category 440- Industrial-interior
Bathtub 0 Shower 0 Ejector/Grind 0 DipWell 0 F Prep Sink __
Whirlpool 0 Floor Drain I Water Soffner 0 Drink Ftn 1 Serv Sink
Lavatory 2 Ludry Troy 0 LocaIWaste 0 Wait. St. 0 Shamp Sink __
Toilet 2 Lndry Stndp 0 Clothes Wshr 0 Ice Chest 0 FIr/Wst Sink __
Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 2 Catch Basin __
Bar Sink 0 Dishwasher 0 Beer Tap 0 Sculry Sink 0 Wash Ftn
Water Heater 1 Sump Pump 0 Dent. Oper. 0 Hand Sink 0 Urinal
Site Drain 0 Classrm Sink 0 Lab Sink 0 Plaster Sink 0 Standp Rec
Roof Drain 0 Breakrm Sink 1 Sterilizer 0 Surgeons Sink 0 Ice Maker
No 105141
Create Date 11/04/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn __
0
0
0
0
0
0
0
Use/Nature
of Work
~IEW COMM/Plumbing work for a new office and hangar.
Sani~ry Sewer
Storm Sewer
Water Service
Size Material Type #
Conn. Type
0
0
0
0
0
0
0
Valuation $16,000.00 Plan Approval $0.00 Permit Fees $72.00 [] Permit VoidedJ
Issued By
Date 11/04/2003
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 520 W 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 O Box 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
RECE WD
NOV p
D£PARTI I£1 T OF
O'O /[ Lf FF D£ £LOP E T
P!umbing Permit Application
Q/k OffH
1 hereby apply for a permit to do and install the following plumbing on the premises hereinafter dcscr/bcd, thc work to conform to the
Wisconsin State Plumbing Cod.', 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 .q~'vices, PO Box 1 !28,
· Oshkosh W! 54903-1128. Corem-ricing work without permit(s) win result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
[f~,£u are a contractor particlp_21ing (n thc permit Fee Ac¢o.t~t S)Lvtem and have adeauate funds, cheek here
LF~EOu want this processed through_ ¥ottr account
[-]Industrial
Number of Fixtures:
Electric Contractor
Use / Nature of Work
Roof Drain
]-']Electric Installation VerificatiOn form attached
(if Replacement}
Sapitary Sewer
Storm Sewer
Water Service
Size Mater/al Typo #
Conn. Type