HomeMy WebLinkAbout0123800-Plumbing (water heater)
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OSHKOSH
ON THE WATER
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Job Address 635 CEAPE AVE
CITY OF OSHKOSH
No
123800
PLUMBING PERMIT - APPLICATION AND RECORD
Owner KEVIN R DAWSON/JENNIFER D NEUMEIER Create Date 03/14/2007
Contractor J RASMUSSEN PLUMBING INC
Category 411 - Residential-Water Heaters Plan
Shower Water Softner Wait. St. Shamp Sink Coffee Maker
Floor Drain Local Waste Ice Chest FlrlWst Sink Int Grease Trap
Lndry Tray Clothes Wshr Exam Sink Catch Basin Ext Grease Trap
Disposal Bidet Scurry Sink Wash Ftn RPZ Valve
Dishwasher Beer Tap Hand Sink Urinal Eye Wash Statn
Sump Pump Lab Sink Plaster Sink Standp Rec Wtr Sewer Mtrs
2 Classrm Sink Sterilizer Surgeons Sink Ice Maker Deduct Meters
Breakrm Sink Dip Well F Prep Sink Gar Drain Wtr Usage Mtrs
Ejector/Grind Drink Ftn Serv Sink Soda Disp
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature Install new gas water heater serving Unit A, existing water heater relocated to serve lower unit.
of Work
Valuation
Issued By
Size
Material
Type
#
Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
0801050000
$600.00 Plan Approval
$0.00 Permit Fees
$25.00 D Permit Voided I
Date 03/14/2007
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), nd t s cure any necessary approvals before starting such activity.
Signature
Date
J~/o/-~/
Agent/Owner
OSHKOSH
WI 54904 - 0000 Telephone Number 920-233-6747
Address 1914 GREENBRIAR TRL
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (Le. 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.
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City "f Oshkosh
Inspectien Services Divi:>ioi1
POBox 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
I be_ '!'Ply fu, a pennit to do "'" io>tdllh< followlo~ plumbiog 00 lbe _."" bereio,"" """,;bed, lbe wo,k '0 coofoml "' !be
Wisconsin State 'Ph.lmbing Cooe, in the perf~)1111anCe ofwbich all parties hereto agree to and are bound hy said statutes,
Plumbing Permit Application
.. Application(s) and fee(s}Gan be brought t.o City Hajj, ROlOm 205 or mailed to Inspect.ion Services, PO Box 1128,
O~bkosh WI 5490:}M It 28. C01Umencing work withOlll: permh(s) wiU result in fees being doubled or $ I 00.00 plus the
nonnal pennit fee.) which ever is greater. ./"'"
OR ~
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fuou want ihj/LPE.Qj;f.sseCl~!:!]:~Q.1!.gJLYQJJLfl!;..f.Q.11.J1L -"
~DUPlex
V ahM~ (lnehld.ing leboI' and \11aterialR)__,_.~_~!.~:_._- Dat:e ~- ('1-0_?-.
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_..__._.._._..______,___-,---d-----~---
DRent.al []Commerdal Dlndustdal
C6ntr~H~t.or
Job Addr,eSs__._b_3 ),_._C:..f? ~t-'!:._..-
__._1) A-~~~._--_._-
DSingle Family
Owner
DMU1!ti-F~uuny
Number ofFb::tuxes:
Clothes Wshr
BidCl
Beer Tap
Ciassl'm Sillk
I('~; Che-~t
Exam Sink
Seulry Sink
Han(.I'Sink
!< Prell Sink
Caleh Basin
Wash Ftn
Orinal
BathlUb
Whirlpool
Lavatory
Toilet
Res. Sink
BllrSink
WllterHClll1e!' ~~.~
)liJas U Elect U PwrVnt
Shower
Floor Drain
Lndry Tray
[.~b Sink
l'lasl~r 31nk
Sterilizer
Misc.
Fixtures
Dis\lOSal
Di,hwasher
Drink FlH
Wait. St.
Surflp Pump
qector!Orind
Oar Drain
Dip Well
Hose Bilxl
lllt Grease 'I'mI'
Ext. Grcase. Trap
R.P.7.. Valve
Shllll'lp Sink
Flr/Ws1. Sink
Soda Disp
C'Alffee Maker
Comtl1. Tee Maker
Site Drain
RoofOrain
gtalldp .R ec
Eye Wash Stll
Wll' Sewer Mln
Deduct Meters
Wlr Usage MIl'S
W<lter Softner
Loc~J Waste,
Serv Sink
S<lrgc{>J~s S.illk
Brcaknn Sillk
Eiectd.e C(!rntradOill"
_,_......_h______....h_._.___.._....___.....-
QB
OEledric lnstallan\\llll Verificatiou form attached
(If Rep'laeement)
Use J Natmre ofwork____Js~L~~-.-1_.-._-lY.il-1-.--".-
Size
Material
Type
'#
Conn, Type
p-~I 0 ~ -I-e I
/)JH ~too I
SanitaiY Sewer
St:0n11 SC'I.vel'
Water Service
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