HomeMy WebLinkAbout0117604-Plumbing
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OSHKOSH
ON THE WATER
Job Address 670 EVANS ST
Contractor J RASMUSSEN PLUMBING INC
CITY OF OSHKOSH
No
117604
PLUMBING PERMIT - APPLICATION AND RECORD
Create Date 12/1512005
Owner MANIKHONE LUANGPRASEUTH
Category 410 - Residential-Interior
Plan
Bathtub 0 Shower 0 Water Softner 0 Wait St. 0 Shamp Sink ~ Coffee Maker 0
Whirlpool 0 Floor Drain 0 Local Waste 0 Ice Chest 0 FlrlWst Sink ~ Int Grease Trap 0
Lavatory 0 Lndry Tray 0 Clothes Wshr 0 Exam Sink 0 Catch Basin ~ Ext Grease Trap 0
Toilet 0 Disposal 0 Bidet 0 Sculry Sink 0 Wash Ftn 0 RPZValve 0
Res. Sink 0 Dishwasher 0 BeerTap 0 Hand Sink 0 Urinal 0 Eye Wash Statn 0
Bar Sink ~ Sump Pump 0 Lab Sink ~ Plaster Sink 0 Standp Rec ~ Wtr Sewer Mtrs 0
Water Heater 1 Classrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker ~ Deduct Meters 0
Site Drain ~ Breakrm Sink ~ DipWell 0 F Prep Sink 0 Gar Drain 0 Wtr Usage Mtrs 0
Roof Drain ~ Ejector/Grind ~ Drink Ftn ~ Serv Sink 0 Soda Disp ~
Misc. 0
Fixtures
Use/Nature ~:;~ ~i:~~, ~~~~~~T~E~~~L~~PA~~A~:¡~~~:~,T~:é~~~~~~Á~~':T, CAP WATER LINE, REPLACE CLEAN OUT ON
of Work
Size
Material
Sanitary Sewer
Storm Sewer
Water Service
Type # Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
$20.00 D Pennit Voided I
Parcelld#
1104550000
Valuation
$2,500.00
$0.00
Permit Fees
Plan Approval
Issued By
Date 12/15/2005
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 perfonn the work
described in this pennit 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
Address 1914 GREENBRiAR TRL
Agent/Owner
OSHKOSH
Telephone Number 920-233-6747
WI 54904 - 0000
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.