HomeMy WebLinkAbout0121898-Plumbing
e CITY OF OSHKOSH No 121898
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Addfess 1058 BISMARCK AVE Owner DANIEL W KELM/ERIN E REINKE Create Date 10/0212006
..
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
1
1
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
1 Water Softner
Local Waste
Clothes Wshr
Bidet
Beer Tap
Lab Sink
Sterilizer
Dip Well
Drink Ftn
Category 410 - Residential-Interior
Plan
Wait. St.
Ice Chest
Exam Sink
Sculry Sink
Hand Sink
Plaster Sink
Surgeons Sink
F Prep Sink
Serv Sink
Shamp Sink
FlrlWst Sink
Catch Basin
Wash Ftn
Urinal
Standp Rec
Ice Maker
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
SFR / FINISH BASEMENT BATHROOM '"debt acct
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
0608700400
Valuation
$1,500.00
Plan Approval
Issued By 75Yr1(.A )
$0.00 Permit Fees
$25.00 0 Permit Voided I
Date 10/05/2006
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the
easement holder(s) and to secure any necessary approvals before starting such activity.
Signature
Address 1914 GREENBRIAR TRL
Agent/Owner
OSHKOSH
Date
WI 54904 - 0000 Telephone Number 920-233-6747
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
i0/05/2005 05:40
2335747
J RASMUSSEN
PAGE
01/01
!
City 0,( Oshkooh
, Inspeotiel'l Servi~ Oivi!!iol1
PO Box 1130
O$bk(Jl~&, WI 549(}3-1130
Phose: (92e) 2.36-5050
Fax; (920) 236-5084
OCT 0 5 2006 - \
c..,\(0\Y
--'
.
~Q{B
Plumbing Permit Application
J bereby ~ly for a pelmit to do and inst$.41 tbe follQWin~ ~llwnbing on the premises hen::riMtier (1e~{''1'ibed, the w()rk. to conform to the
Wiscon~i" State Phunmng C()(!.!l. in the petfomlance of whioh an parties hereto agrc~ 1'(,' $.nd lire 'bound hy said staf.utes.
.. Applicatiosl(a)a.w:t fee(s} can be bronght to City Hall, &nom 205 or rrJail(;~d to InspectioD Service~, PO Box 1128)
-Oshkosh W.I :S-4?03~i 128. CO'I1l1IWt\cing work without permit(s) wm result in fees beiAlg doubled or $100.00 plus the
00tJl\1I.~ permit fee. which ever is greatcr.~~...,
oa.
If..y'<J!I (l.re a Co.u,i!:."4.f1fU..12.4rticip.(lti1'1lt i!J...l:ft...c..e~.rm..i ,_ds!1.9JJJJ..t...~Y-;~T1.1_f!.JlfLhave o.dtUl'iQM...f.1Jm_,-m-'-~....h.e..t.C..
if ~ou want this .Jlr:os:.f:.J.JJtti.1hJ:.QJI~h 110 u r (l{;J,'JllillL
OR-ental
DCommerdal
'Date~/D:;- 0 &
r tj.!... ~ rJ c.. ·
Dlndustrial
Job Addr.esl!I )0)'8 B {J M./A:~ k
. ~ ---.---.....--..,.,......
Owner .J J ~ "'" 1'_.
~tngle Family DDuplex
V slue (l!u:Iuc1ll3g Moor amI rnfJj.~'iIlIS)--L s-o D ~._~_
:r; -R AS Wl.\", S. S ~,J
Ccmtractol"
OM.ulti..Family
Number o:f'Fixtlll:res:
Res. SJlIl<
BlIl' Sink
W1llletRo!lt<< ........_..
I) GBA ~.I Blect LJ I?wrVnl
Shower I
Flam' Dmm
l.l'ldry Tro)'
lAb Sink
1'18ill0r Slille
s1l!:l'm!:fl~
M~.
Fixnm:ll
SUTf.!C<lns Sill\(
arelllk~Jn Si.flk
DiI'Wc.l1
rlt)~e 9ill$
Dr",I. Fill
Waif.. St
',~~Chl!:Ht
EXllm Sink
SClll,y Silll,
RJUl(! :) illk
F T'rc\'l SI...k
$<:l"YSi'lk
Inl Gm~RC Tral'
Ex,t GN!lR~e Trn'P
R,P.7.. V~'v"
$h~/I!\lll\1I
Flr/W~l 8illk
Caroh 13Ml"
W3~h Fnl
T.iri"al
():1I'1,)r:Ull
Sed!! r.>iRp
COWec: M Rkc.l'
Comm. Ice M!ll.;/,!t
SilC'Drllin
RoNfDI'lIin
Sfll,n<ll) R ec
f'.iyr. Wash 8l:n
Wr-r SC!\IIer Mtm
Dedur.:'L Mel,!!lr~
WI:r ulll\@Il M:lJ'll
.Bsrhttlb
Whirlpool
l,Q.vlltOrY
Toilet
-+..'..
Df~p:'l~nJ
Di~b\1I'8Ahcr
Sump ~1l1'O~
E;illcl.or/01'jnd
W~t~.r Sofu:u:t
L(l('.lIIWafl\:ll
Clothll.~ W~hr
f;lid~
accr Tap
Clmmrm Sin!,
..------.---....-.. ---.---....,-.......-..........,..,-----..-....-.....,...................-...-..,....
Etedr'le CctDtractor
OR
OElectrlc InstaUation Verification fonn attached
(II'!Wplllcomen,.)
Use.! Natul'e ofWork~~_.__f; I'l t~~_~~_~~~ ~ .R /.\ -f1- - 0 I"" pA L~.~~~_.!!--_r..
---------.....-.-----...---.-.,'............-.-..-.........-------------..."....,---------
Size
MaterillJ
Type
fl.
COnti. Type
Sanitary SlilVIrer
:Jtort11 Sewer
-..-..-\-............,."'...-..,..-..."'--..--............-..-...'-.,._,..., .....,...-"':""-......---..----...--.........-..'---...-...----"-.--...-
Water Service
1l/0r,