HomeMy WebLinkAbout0118032-Plumbing (misc)
e CITY OF OSHKOSH No 118032
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Adðress 817 W 5TH AVE Owner GAVINILISA ROLSTON Create Date 01/30/2006
Contractor J RASMUSSEN PLUMBING INC Category 410 - Residential-Interior Plan
Bathtub 1 Shower 0 Water Softner 0 Wail.SI. 0 Shamp Sink 0 Coffee Maker 0
Whirlpool 0 Floor Drain 0 Local Waste 0 Ice Chest 0 FlrlWst Sink 0 Int Grease Trap 0
Lavatory 1 Lndry Tray 1 Clothes Wshr 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0
Toilet 0 Disposal 0 Bidet 0 Sculry Sink 0 Wash Ftn 0 RPZ Valve 0
Res. Sink 0 Dishwasher 0 Beer Tap 0 Hand Sink 0 Urinal 0 Eye Wash Statn 0
Bar Sink 0 Sump Pump 0 Lab Sink 0 PlasterSink 0 Standp Rec 0 Wtr Sewer Mtrs 0
Water Heater 0 Classrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0 Deduct Meters 0
Site Drain 0 Breakrm Sink 0 Dip Well 0 F Prep Sink 0 Gar Drain 0 Wtr Usage Mtrs 0
Roof Drain 0 Ejector/Grind 0 Drink Ftn 0 Serv Sink 0 Soda Disp 0
Misc. 1 hose bib
Fixtures
Use/Nature
of Work
Valuation
Issued By
ity rehab project. Install shock arrestors on water supply to dishwasher and clotheswasher, install strainer in floor drain, install AAVon
aundry tray, discharge clotheswasher in laundry tray, install AAV on bathtub drain.
Size Material Type # Conn. Type
Sanitary Sewer 0
0
0
0
0
Storm Sewer 0
0
0
0
0
Water Service 0
0
0
0 Parcelld #
0 0604510000
$1,000.00
$0.00
$28.00 0 Permit Voided I
Plan Approval
Permit Fees
Date 01/3112006
In the performance of this work, I agree to perform all work pursuant to rules goveming 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 suclh activity.
Signature
Address
Date
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.