HomeMy WebLinkAbout0126489-Plumbing (water heater)
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OSHKOSH
ON THE WATER
Job Address 321 W 9TH AVE
CITY OF OSHKOSH
No
126489
PLUMBING PERMIT - APPLICATION AND RECORD
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Gri nd
Owner KNOLL STANLEY R Create Date 08/28/2007
Category 411 - Residential-Water Heaters 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 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 Duplex 1 Replace gas water heater. **DEBIT ACCT**.
of Work
Valuation
Issued By
Size
#
Conn. Type
Material
Type
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
0903270000
$600.00 Plan Approval
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$0.00
$25.00 0 Permit Voided I
Permit Fees
Date 08/28/2007
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 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
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 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.
~
08/28/2007 05:47
2335747
J RASMUSSEN
PAGE 01/01
City of Oshko:;h
Inspection Services Division
POBox J .130
~shkosh. VVlS4903~t130
Phooe: (920) 236.5050
F'ax: (920) 236.5084
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b1E1RQJR
ON T"'~ WA,TF.R
J hereby apply for a pmnit to do and install the following plumbing on the premises hereinafter described, the work 1.0 conform to the
Wisconsin State Plumbing Code, in the Performance ofwhicb all parties hereto agree to and are bOlmd by said statutes.
Plumbing Permit Application
F.~...f!;!Juntbstem Dtld lJav~.JHLt,lale fimds. check her€-.
.Job Address
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~Doplex.
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Valoe (locludj[lg Illbor llJ1d maleria/a) b f) 0 - Date pi _,}- ? _ () )
Contracto... .:J, f(ftt.fVI fA...JS f3/U r J ~ l~/U C. J
OMuJti-Family DRental OCommer~ial Olndbstrig,
Olnier
DSiDgJe FamJly
Nomber of Fixtul'es:
Bathtub
WIlirlpoo/
Lavalmy
T'oillll
Res, Sink:
J;I;u- Sink
Willer l-ICIItl!r --'--
~ 1..1 Elect u PWrVnl:
ShOWCT
Flo(lr Drain
Lndry Trn}'
f..llbSillk
PIll!lb:f Sink
Slenlizer
I)jllp(lsaJ
OiRhWaRher
SUl'Ilp "'Imp
BjectorlGrilld
Waler So1bJcr
.Loc;,I Waste
Clodlcs W8hr
Biclct
BcerTllp
Cla'lfll1ll. Sillk
Sl.rrgcn1l$ Sinlc
9realcnn Sink
Dip Well
Hose Rib<!;
DrinkFtn Csr.:h Ba::in
Wai~ St. W:t$h FIll
fee ClttlSl Urinal
clt8m Sinl( GIr !')min
Scully Si!1k Socb. om"
.Halld Sink Ccffi:cMBkcr
F Prep Sin/( c,mm. Ice MaJrer
Sa\, Sink Site t>n.in
1m ~e 'tnt~ RoofDl'Ain
E.xt Oml$c Tl'lIp StandpR.cc
1t..1' .Z. Valve Eye Wl$h Stn
Sbanlp Sink Wit s-w Mlr$
Flrl\Vsl Sink t>cductMcler$
Wtr U$;lge Mlrs
MI~c.
Fixturts
.Electric ContJ:-adol:"
OR
OElectrlc Installation Verificadon form attached
(If.kcplllCemCnt)
Use I Nature of Work
~ (/J-C ~.
~
L..J., tf ~
Size
Material
Type
#
Conn. Typo
~8q
lQ\lJ
Sanitary Sewer
Stonn Sewer
Watc.f Service
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