HomeMy WebLinkAbout0118479-Plumbing (toilet/sump pump)
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OSHKOSH
ON THE WATER
Job Address 1009WBENTAVE
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
No
118479
Owner SHERYL A ROSSOW Create Date ~
Cate90ry 410 - Residential-Interior Plan
Bathtub -.J! Shower 0 Water Softner -.J! Wait St. -.J! Shamp Sink 0 Coffee Maker -.J!
Whirlpool -.J! Floor Drain -.J! Local Waste -.J! Ice Chest -.J! FlrlWst Sink 0 Int Grease Trap -.J!
Lavatory 0 Lndry Tray 0 Clothes Wshr -.J! Exam Sink 0 Catch Basin 0 Ext Grease Trap -.J!
Toilet ~ Disposal -.J! Bidet -.Q Sculry Sink 0 Wash Ftn 0 RPZ Valve -.Q
Res. Sink -.Q Dishwasher -.Q BeerTap -.Q Hand Sink 0 Urinal 0 Eye Wash Statn -.Q
Bar Sink 0 Sump Pump 1 Lab Sink 0 Plaster Sink -.Q Siandp Rec 0 Wtr Sewer Mtrs -.Q
Water Heater 0 Classrm Sink -.Q Sterilizer -.Q Surgeons Sink 0 Ice Maker 0 Deduct Meters -.Q
Site Drain 0 Breakrm Sink 0 DipWell 0 F Prep Sink -.Q Gar Drain 0 Wtr Usage Mtrs -.Q
Roof Drain 0 Ejector/Grind -.Q Drink Ftn -.Q Serv Sink -.Q Soda Disp 0
Misc. 1 HOSE BIBB
Fixtures
Contractor J RASMUSSEN PLUMBING INC
Use/Nature
of Work
REHAB PROJECT NEW TOILETS,SUMP PUMP AND HOSE BIBB "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 1207950000
$2,500.00
Plan Approval
$0.00
Permit Fees
$28.00 0 Permit Voided I
Valuation
Issued By
Date~
In the performance of this work, I agree to perform all work pursuant to rules governin9 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
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.