HomeMy WebLinkAbout2006-Plumbing (interior)
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OSHKOSH
ON THE WATEB,
Job Address 2025 ROOSEVELT AVE
CITY OF OSHKOSH
No
122199
PLUMBING PERMIT - APPLICATION AND RECORD
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
2 Hose Bibs
Owner DEL TRITT Create Date 10/02/2006
Category 410 - Residential-Interior Plan
Water Softner Wait. St. Shamp Sink Coffee Maker
Local Waste Ice Chest FlrlWst Sink Int Grease Trap
Clothes Wshr Exam Sink Catch Basin Ext Grease Trap
Bidet Sculry Sink Wash Ftn RPZ Valve
Beer Tap Hand Sink Urinal Eye Wash Statn
Lab Sink Plaster Sink Standp Rec 2 Wtr Sewer Mtrs
Sterilizer Surgeons Sink Ice Maker Deduct Meters
Dip Well F Prep Sink Gar Drain Wtr Usage Mtrs
Drink Ftn Serv Sink Soda Disp
Contractor J RASMUSSEN PLUMBING INC
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
Valuation
Issued By
2
2
1
NSFRI New Single family 1 story home and 2 car attached garage 22' x 20',6' x 12' patio and 6'x 14' covered porch.
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
1212840000
$7,500.00 Plan Approval
-~:;:;;;;.o
$0.00
$119.00 D Permit Voided I
Permit Fees
Date 10/23/2006
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the
easement holder(s) and to secure any necessary approvals before starting such activity.
Signature
Date
Agent/Owner
OSHKOSH
WI 54904 - 0000 Telephone Number 920-233-6747
Address 1914 GREENBRIAR TRL
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
_ ~ 1B/22/2006
:::
15:41
City (1(' Oshkosh
l~en Set\lices Divi$ion
'PO O})ox 1130
Ch-hkoM. WI 5490:3.1 130
PhODe; (920) 236-5050
F8X: (920) 23(i..50M
2335747
J RAS~1USSEN
PAGE 01/03
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Plumbing Permit Application
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Bose Bilm
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J bll:lCby apply for a pemi4: 1:0 do and install the. f:bll(.lWin~plumbing on the premi!le!l hereina.ft'er dt!lcribed, th~ work to confbTTJl to the
Wiscoosin Stllte Pbunbitlg: COOe. in the penonTW\Ct or-whi.ch all partiCll hel1cto ngl'(le to and are bound by said Sl'a11lt.es.
Eledrle C&l1tract:(M"
Use I Nature OfWOfk~_._
., Applica.tioD(s}and fee(s), can be bwnght to City Hall. Room 205 or maih~d to Inspection ServtcC9, pO BoJC: 1128,
'Osakiosb WI 54'9(}3~', l.2&. Comnwncing work without permit(s) will result in fees being dO\lbted or $100.00 plus the
pQtMal permit. f<ee, which ever is grelillcr. ~,... .
oa
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Job Addr.e.~s~S_to D.).t.~ .e..j f Value (lI\CIIJt.lIll.gl8bOr~ndl\1l\I:OI~III~L}.J'"D\)
Owner .__~l -r ~,tt+ Contractor __~. f: f\.-? ~ u. .s$.~,J
r:Msingle Family DDnplex DM\l1lti-Fl.mily DRellt,,-) DCommel'dal
pate_I()-/~-O'
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D.lndnstria[ 4/0 ~ O?Lfj
Numbe,1t' ofFixtnrres:
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Blllbllltl
Whi,lllool
Lav~
Toilet
R=- Sink
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1-
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..._---_._-_.._._.,~_._----.---_.._-
Size Marori:~
Drink Fl1I Catch ~lIin
Wl,lf..St. 'WM"I'1t1
l,cI:C"e.<ll Unnlll
E~llm Sillk (;r,Il'1;)rn;in
Selllr)! Sitll' S<-dll, Dl~p
Hand Sillk Ctl~Fec Mllker
"rl'llPSillk C"mm. Ice Makt-.l"
.~,.y I!.i Iu.. Site J:m.m
Inl Gmllfic '1\'<11' Roof DraII1
Ex.! (lreARC '('r~.\l $mod" Roo ~,
l\.P.z. VAlve 11)'<' Wliah Sm
~tmmr Sil,k Wtt Sl:\VCT'Mtl'S
MrlWAt $oi11l, t)edu(:t, Meter~
WfI' lJila8~ MU'.9
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OR
DElectric: Installation VerRflcation form attached
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of'~ I
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Btlr Sink
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Wrmrr HCllator ~__.___
\tOgR U IlIC(;'l U PwrVnt
I
Shower ..____
PIMI'Drt.111 _,__
Lndry'Troy
(,.Ill) Sink
Plaster Sin\:.
Sr.:rilizcr
Mille.
FnclUtCll
Sll,nittuy Sewer
Storm 8C'Wer
}J ~ f~
Type
#, Conn. 'tYPfl
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