HomeMy WebLinkAbout0125058-Plumbing (water heater)
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OSHKOSH
ON THE WATER
Job Address 630 W 17TH AVE
CITY OF OSHKOSH
No
125058
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PLUMBING PERMIT - APPLICATION AND RECORD
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Owner GERALDINE G BASLER LIFE ESTATE 1_ Create Date 05/31/2007
Category 411 - Residential-Water Heaters I Plan
Wait. St. Shamp Sink I Coffee Maker
Ice Chest Flr/Wst Sink ~ Int Grease Trap
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Exam Sink Catch Basin i Ext Grease Trap
Sculry Sink Wash Ftn -r- RPZ Valve
Hand Sink Urin~1 ~ Eye Wash Statn
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Standp Rec +- ,Wtr Sewer Mtrs
Ice Maker ~ Deduct Meters
Gar Drain -1- Wtr Usage Mtrs
Soda Disp I
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Contractor J RASMUSSEN PLUMBING INC
FR 1 REPLACE GAS WATER' HEATER **debt acct
Bathtub
Whirlpool
Lavatory
Toilet
Shower
Floor Drain
Lndry Tray
Disposal
Oishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
Water Softner
Local Waste
Clothes Wshr
Bidet
Beer Tap
Lab Sink
Sterilizer
Plaster Sink
Surgeons Sink
F Prep Sink
Serv Sink
Dip Well
Drink Ftn
Sanitary Sewer
Size
Material
Type
#
Conn.!Type
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Storm Sewer
Water Service
Valua,tion $600.00 Plan Approval
Issued By ~~
Parcelld #
1302150000
$0.00 Permit Fees
$25.00 D Permit Vpided I
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Date 05/31/2007
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In the performance of this work, I agree to perform all work pursuant to rules governing the described construction. i
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform ithe work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the I
easement holder(s) and to secure any necessary approvals before starting such activity. I
Signature bate
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Address 1914 GREENBRIAR TRL OSHKOSH WI 54904 - 8887 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 ent\y), 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 i~ ready.
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Agent/Owner
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05/31/2007 07:01
2336747
J RASlvlUSSEN
PAGE 01/01
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