HomeMy WebLinkAbout0106174 POSHKOSH
ON THE WATER
.lob Address 1639 KNAPP ST
Contractor J RASMUSSEN PLUMBING INC
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner EARL R/DONNA RASMUSSEN
Category 411 - Residential-Water Heaters
No 106174
Create Date 01/26/2004
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 DUPLEX/REPLACE AN ELECTRIC WATER HEATER*EIV FROM DREXLER ELECTRIC ATTACHED
of Work
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Valuation $400.00 Plan Approval $0.00 Permit Fees $20.00 ~J Permit Voided
Issued By
Parcel Id #
1307180000
Date 01/26/2004
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the
easement holder(s) and to secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address 1914 GREENBRIAR TRL OSHKOSH WI 54904 - 0000 Telephone Number
920-233-6747
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
01/27/2004 07:08 233G747 ~ ' .J~"RASMU$SEN PaGE 02/02
E/ectric Installation Verification
~ (We)~~_~_~~~." r-," '' '
7 (Stat~) (Zip Code)
at the following address: ~& ~ ~
The natu?e of thc work consists o~ (Check ~e or D~be ~e Nam?e of Wo~)
~cfio. u or n~ cimuit for r~acem~t Hea~g Plant ~or ~C Cond~ser
Reeonnectwn oftl~e Service/?:ntrance Cablc, Meter Box, ahcra}Jons to receptacles
and lighting fixtures due to siding / soffit installat/on. Note:
.Entrance Cables will require a separate permit. New Service
Rec°nnc. et/en or new circuit £or the replacement of other permanently wired
apphances / fixtures, ·
New circuit for thc addition of A/C to an &di~id~al d~elli~£ unit (house er the
elecirical outlets.
o~d~¥tdual systems m a dugleX °r e°nd°rnn~um), ineludin§ requked service
Thc value of this wofl{ is $~ ~ ~
I hereby verify this work will be performed by an employee of this company a~d furtl~er verify
(Signature o£ C~mpany Officer)-"
(P~ Name of 6-ff2.,ceO-
(Date)