HomeMy WebLinkAbout2006-Plumbing (water heater)
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
G
OSHKOSH
ON THE WATER
Job Address 1119SMAINST
Owner GERALD F HENDRICKSON
No
117819
Create Date ~
Plan
Category 411 - Residential-Water Heaters
Contractor J RASMUSSEN PLUMBING INC
Bathtub ~ Shower ~ Water Softner 0 Wait St. 0
Whirlpool ~ Floor Drain 0 Local Waste ~ Ice Chest 0
Lavatory 0 Lndry Tray ~ Clothes Wshr ~ Exam Sink 0
Toilet 0 Disposal ~ Bidet ~ Sculry Sink 0
Res. Sink ~ Dishwasher ~ Beer Tap ~ Hand Sink 0
Bar Sink ~ Sump Pump ~ Lab Sink 0 Piaster Sink 0
Water Heater ---1 Classrm Sink 0 Sterilizer ~ Surgeons Sink 0
Site Drain 0 Breakrm Sink ~ DipWell ~ F Prep Sink 0
Roof Drain 0 Ejector/Grind ~ Drink Ftn 0 Serv Sink 0
Misc. ~
Fixtures
Shamp Sink ~
FlrlWstSink 0
Catch Basin ~
Wash Ftn 0
Urinal ~
Standp Rec ~
Ice Maker 0
Gar Drain 0
Soda Disp 0
Coffee Maker ~
Int Grease Trap ~
Ext Grease Trap ~
RPZ Valve 0
Eye Wash Statn 0
Wtr Sewer Mtrs ~
Deduct Meters 0
Wtr Usage Mtrs 0
Use/Nature
ofWork
r~~' 00 ~ ~"" ~
Size
Material
Type
Conn. Type I
Sanitary Sewer
Storm Sewer
Water Service
#
0
0
0
0
0
0
0
0
0
0
Parcelld #
0303220000
Valuation
$650.00
Plan Approval
$0.00
Permit Fees
$20.00 0 Permit Voided I
Date~
Issued By
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 appiication 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.
Date
Signature
AgenUOWner
OSHKOSH
Wi 54904 - 0000
Telephone Number 920-233-6747
Address
1914 GREENBRIAR TRL
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.