HomeMy WebLinkAbout0118034 P
G
OSHKOSH
ON THE WATER
Job Address 1135WSOUTHPARKAVE
CITY OF OSHKOSH
No
118034
PLUMBING PERMIT - APPLICATION AND RECORD
Owner PHilLIP R RUEDINGER
Create Date 01/30/2006
Contractor J RASMUSSEN PLUMBING INC
Category 411 - Residential-Water Heaters
Plan
Bathtub 0 Shower 0 Water Softner 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
Whirlpool 0 Floor Drain 0 Local Waste 0 Ice Chest 0 FlriWst Sink 0 Int Grease Trap 0
Lavatory 0 Lndry Tray 0 Clothes Wshr 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap ~
Toilet 0 Disposal 0 Bidet 0 Sculry Sink 0 Wash Ftn 0 RPZ Valve 0
Res. Sink 0 Dishwasher 0 BeerTap 0 Hand Sink 0 Urinal 0 Eye Wash Statn 0
Bar Sink 0 Sump Pump 0 lab Sink 0 Plaster Sink 0 Standp Rec 0 Wtr Sewer Mtrs 0
Water Heater 1 Classnn Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0 Deduct Meters 0
Site Drain 0 Breakrm Sink 0 DipWell 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. 0
Fixtures
Use/Nature
of Work
epiace electric water heater (unit C¡' EIV Schafer electric "debit acct
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 1307160000
Valuation
$500.00
Plan Approval
$0.00
Pennit Fees
$20.00 0 Permit Voided I
Issued By
Date 01/31/2006
In the performance of this work. i agree to perform all work pursuant to ruies governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is nota 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.
Signature
Date
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.
e
., OSHKOSH
ON THE WATER
Job Address 1135 W SOUTH PARK AVE
CITY OF OSHKOSH
No
118034
PLUMBING PERMIT - APPLICATION AND RECORD
Owner PHILLIP R RUEDINGER
Category 411 - Residential-Water Heaters
Contractor J RASMUSSEN PLUMBING INC
Bathtub ~ Shower 0
Whirlpool 0 Floor Drain ~
Lavatory ~ Lndry Tray 0
Toilet 0 Disposal ~
Res. Sink ~ Dishwasher ~
Bar Sink 0 Sump Pump ~
Water Heater 1 Classnn Sink ~
Site Drain ~ Breakrm Sink 0
Roof Drain ~ Ejector/Grind 0
Misc. ~
Fixtures
Use/Nature
of Work
Valuation
Issued By
Create Date 01/30/2006
Plan
Water Softner ~
Local Waste 0
Clothes Wshr ~
Bidet 0
Beer Tap 0
Lab Sink ~
Sterilizer 0
Dip Well ~
Drink Ftn 0
Wait. 51.
Ice Chest
Exam Sink
Sculry Sink
Hand Sink
Plaster Sink
Surgeons Sink
F Prep Sink
Serv Sink
0 Shamp Sink ~
0 FlriWstSink ~
0 Catch Basin ~
0 Wash Ftn ~
0 Urinal 0
0 Standp Rae ~
0 Ice Maker 0
0 Gar Drain 0
0 Soda Disp ~
Coffee Maker 0
Int Grease Trap ~
Ext Grease Trap ~
RPZValve 0
Eye Wash Statn 0
Wtr Sewer Mtrs 0
Deduct Meters 0
Wtr Usage Mtrs 0
eplace electric water heater EIV Schafer electric "debit accl
Size Material Type # Conn. Type
Sanitary Sewer 0
0
0
0
0
Stonn Sewer 0
0
0
0
0
Water Service 0
0
0
0 Parcelld #
0 1307160000
$20.00 0 Permit Voided I
$500.00
$0.00
Pennit Fees
Date 01/31/2006
Agent/Owner
OSHKOSH
WI 54904 - 0000
Telephone Number
920-233-6747
Address 1914 GREENBRIAR TRL
Plan Approval
In the performance of this work, I agree to perform all work pursuant 10 rules governing the described consiruction.
While the City of Oshkosh has no authority to enforce easement resirictions of which it is not a party. if you perform the work
described in this permit appiication within an easement, the City sirongly urges the permit applicant to contact the
easement holder(s) and to secure any necessary approvals before starting such activity.
Signature
Date
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Penmit 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.
0.1/28/2006 . 18: 41
2336747
J RASMUSSEN
PAGE 02/02
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Electric Installation Verification
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J.LfL [' /,~ 1.¿.
I (Electrical Contractor Name)
have been contracted to perform electric installatìon work for ~.ð«l"'u'~ ;::14. J/Ji
(Name of party contracted)
~ J? if ""ÞJR.,{. A
(Address)
71/"_./
(City)
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(State)
S¥9S"'t.
(Zip Code)
at the following address:
//3 S' e. ki/. <;"',.d r?~
(Address where work will be performed)
The nature of the work consists of: (Check One or Describe the Namre of Work)
/ReconneCtion or neW circuit for replacement Heating plant and/or NC Condenser.
Reconnection or neW circuit for replacement Electric Water Heater.
- Reconnection of the Service Entrance Cable, Meter Box, alterations to receptacles and
lighting fixmres'due to siding / soffit installation. Note: New Service Entrance
Cables will require a separate permit.
- Reconnection or new circuit for other permanently wired appliances / fixtures.
Other '
The value of this work is $
{,o . ttt> .'
I hereby verify tnis work will be performed by an employee of this company and further verify the
reconnection / installation will be done in compliance with manufacturer and Electric code
requirements.
r?d-I(Í~
(Signature of ompany Officer)
Fb'ú.... 5e-l,...( 41"-
(print Name of Officer)
l-f/rOr,
(Date)