HomeMy WebLinkAbout0117818-Plumbing (remodel)
G
OSHKOSH
ON THE WATER
Job Address 217 W SOUTH PARK AVE
Contractor J RASMUSSEN PLUMBING INC
CITY OF OSHKOSH
No
117818
PLUMBING PERMIT. APPLICATION AND RECORD
Bathtub -----1 Shower ~ Water Softner ~ Wait. St. a Shamp Sink ~ Coffee Maker a
Whirlpool ~ Floor Drain a Local Waste ~ Ice Chest a FlrlWst Sink a Int Grease Trap a
Lavatory 1 Lndry Tray ~ Clothes Wshr 1 Exam Sink a Catch Basin a Ext Grease Trap a
Toilet ~ Disposal a Bidet a Seulry Sink a Wash Ftn a RPZ Valve a
Res. Sink 1 Dishwasher 1 Beer Tap ~ Hand Sink a Urinal a Eye Wash Statn a
Bar Sink ~ Sump Pump ~ Lab Sink ~ Plaster Sink a Standp Ree a Wtr Sewer Mtrs a
Water Heater ~ Classrm Sink ~ Sterilizer ~ Surgeons Sink a Ice Maker a Deduct Meters a
Site Drain ~ Breakrm Sink ~ DipWell ~ F Prep Sink a Gar Drain a Wtr Usage Mtrs a
Roof Drain ~ Ejector/Grind a Drink Ftn ~ Serv Sink a Soda Disp a
Misc. ~
Fixtures
Category 410-Resldential-lnterior
Create Date ~
Plan
Owner GEFFERS LLC
Use/Nature
ofWork
REMODEL HOUSE "DEBIT ACCT
Size Material Type # Conn. Type
Sanitary Sewer a
a
a
a
a
Storm Sewer a
a
a
a
a
Water Service a
a
a
a Pareelld #
a 0901540000
Valuation
$3.000.00
Plan Approval
$0.00
Permit Fees
$35.00 0 Permit Voided I
Issued By
Date~
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 approvais before starting such activity.
Date
Signature
Address
1914 GREENBRIAR TRL
Agent/Owner
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.