HomeMy WebLinkAbout0123937-Plumbing
.e~
OSHKOSH
ON THE WATER
Job Address 1528 OREGON ST
Contractor J RASMUSSEN PLUMBING INC
CITY OF OSHKOSH
No 123937
PLUMBING PERMIT - APPLICATION AND RECORD
Owner GEFFERS LLC
( reate Date 03/12/2007
Flan
Category 410 - Residential-Interior
Bathtub Shower 1 Water Softner Wait. St. Shamp Sink Coffee Maker -
- - - - -
Whirlpool Floor Drain Local Waste - Ice Chest Flr/Wst Sink Int Grease Trap -
- - - -
Lavatory 1 Lndry Tray Clothes Wshr Exam Sink Catch Basin Ext Grease Trap
- - - - - -
Toilet 1 Disposal Bidet Sculry Sink Wash Ftn RPZ Valve
- - - - - -
Res. Sink 2 Dishwasher Beer Tap Hand Sink Urinal Eye Wash Statn
- - - - - -
Bar Sink Sump Pump Lab Sink Plaster Sink Standp Rec Wtr Sewer Mtrs
- - - - - -
Water Heater Classrm Sink Sterilizer Surgeons Sink Ice Maker Deduct Meters
- - - - - -
Site Drain Breakrm Sink Dip Well F Prep Sink Gar Drain Wtr Usage Mtrs
- - - - - -
Roof Drain Ejector/Grind Drink Ftn Serv Sink Soda Disp
- - - - -
Misc.
Fixtures -
Use/Nature Commercial/ Residential - Add entrance ramp, rear deck, gut & remodel north 1/2 of commercial space, reloca e restroom and add shower,
of Work add cabinetry in kitchenette in south 1/2 of the commercial space.
Size
Material
Type
#
Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
0304980000
Valuation
$3,000.00 Plan Approval
$0.00 Permit Fees
$35.00 0 Permit Voided
Issued By
Date 03/26/2007
In the performance of this work, I agree to perform all 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 w rk
described in this permit application within an easement, the City strongly urges the permit applicant to contact the
~'em"'l h~di""d to 11'<""' a,y ''''''''''''' app""a~ bet"", ,Ia"'. ,uoh aolM\y.
Signature . ~
Agent/Owner
Date
J-.1.'-o')
Address 1914 GREENBRIAR TRL OSHKOSH WI 54904 - 0000 Telephone Number 920-233-6747
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Perl hit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), y ur Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is rE ceived. Work may
continue if the inspection is not performed within two business days from the time the project is reac y.
,.
City of Oshkosh
"Inspection Services Division
POBox 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
~
ifHKOfH
ON THE WATER
Plumbing Permit Application
I hereby apply for a permit to do and install the following plumbing on the premises hereinafter described the work to conform to the
Wisconsin State Plumbing Code, in the performance of which all parties hereto agree to and are b d by said statutes.
. Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Se 'ces, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees being do bled or $100.00 plus the
normal permit fee, which ever is greater.
OR
] ou are a contractor artici atin in the Permit Fee Account S
if vou want this processed throuzh vour account n
Job Address /SJ.. r Of\~ "^-
Owner ?~~.J'
DSingle Family DDuplex
Value (Including labor and materials) . J D () 0, 02-
Contractor ::::r. Lfl..JIlA..f....j.J<--", P(
Date 3-:.1 i- 0 7
:r:;:J....c.
Dlndustrial
DMulti-Family
DRental
I;ktCommercia
Number of Fixtures:
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
o Gas 0 Elect 0 PwrVnt
Shower
Floor Drain
Lndry Tray
Lab Sink
Plaster Sink
Sterilizer
Misc.
Fixtures
{
-r
2
Disposal
Dishwasher
Sump Pump
Ejector/Grind
Water Softner
Local Waste
Clothes Wshr
Bidet
Beer Tap
Classrm Sink
DrinkFtn Catch Basin
Wait. St. Wash Ftn
Ice Chest Urinal
Exam Sink Gar Drain
Sculry Sink Soda Disp
Hand Sink Coffee Maker
F Prep Sink Comm. lee Maker
Serv Sink Site Drain
Int Grease Trap Roof Drain
Ext Grease Trap Standp Rec
R.P.Z. Valve Eye Wash Stn
Shamp Sink Wtr Sewer Mtrs
Flr/Wst Sink . Deduct Meters
Wtr Usage Mtrs
-L
Surgeons Sink
Breakrm Sink
Dip Well
Hose Bibs
Electric Contractor
OR
DElectric Installation Ver fication f~rm attached
(lfReplacement)
Use / Nature of Work
If fllJr
1fJ-J. I !S/f,.t;{
.J.
1C-- r-f~.J
Sanitary Sewer
Conn. Type
Storm Sewer
Water Service
Size
Material
Type
#
n/os