HomeMy WebLinkAbout0117995-Plumbing (tub)
e
OSHKOSH
ON THE WATER
Job Address 805MINNESOTAST
Contractor J RASMUSSEN PLUMBING INC
CITY OF OSHKOSH
No
117995
PLUMBING PERMIT - APPLICATION AND RECORD
OWner GERALD HENDRICKSON
Create Date 01/26/2006
Plan
Cate90ry 410 - Residential-Interior
Bathtub 1 Shower 0 Water Softner 0 Wait St. 0
Whirlpool 0 Floor Drain 0 Local Waste 0 Ice Chest 0
Lavatory 0 Lndry Tray 0 Clothes Wshr 0 Exam Sink 0
Toilet 0 Disposal 0 Bidet 0 Sculry Sink 0
Res. Sink 0 Dishwasher 0 BeerTap 0 Hand Sink 0
Bar Sink 0 Sump Pump 0 Lab Sink 0 Plaster Sink 0
Water Heater 0 Classrm Sink 0 Sterilizer 0 Surgeons Sink 0
Site Drain 0 Breakrm Sink 0 Dip Well 0 F Prep Sink 0
Roof Drain 0 Ejector/Grind 0 Drink Ftn 0 Serv Sink 0
Misc. 0
Fixtures
Shamp Sink ~
FlrlWst Sink 0
Catch Basin 0
Wash Ftn 0
Urinal 0
Standp Rec 0
Ice Maker 0
Gar Drain 0
Soda Disp 0
Coffee Maker 0
Int Grease Trap 0
Ext Grease Trap 0
RPZ Valve 0
Eye Wash Statn 0
Wtr Sewer Mtrs 0
Deduct Meters 0
Wtr Usage Mtrs 0
Use/Nature
ofWork
r~'~' _00_.'
Size
Type
Conn. Type
Material
Sanitary Sewer
Storm Sewer
Water Service
Valuation
$1,500.00
$0.00
Permit Fees
Plan Approval
Date 01/26/2006
Issued By
#
0
0
0
0
0
0
0
0
0
0
$20.00 D Permit Voided I
Parcelld #
0903070000
In the performance of this work, I agree to perform ail 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
Address
AgenUOwner
OSHKOSH
WI 54904 - 0000
Telephone Number 920-233-6747
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.
i
I
I