HomeMy WebLinkAbout0126564-Plumbing
e I CITY OF OSHKOSH
:~:::::~130 N WESTFIELD ST PLUMBlr=:::~ ~:::~:~:;R::ND RECORD
Contractor J RASMUSSEN PLUMBING INC : _ Category 440 - Industrial-Interior
I ----....~-----------
Water Softner Wait. St. Shamp Sink
Loc~1 Waste Ice Chest FlrlWst Sink
Clot~es Wshr Exam Sink Catch Basin
Bide~ Sculry Sink Wash Ftn
I
Beerl Tap Hand Sink Urinal
Lab Sink Plaster Sink Standp Rec
SterIlizer Surgeons Sink Ice Maker
Dip kell F Prep Sink Gar Drain
Drink Ftn Serv Sink Soda Disp
I
Use/N".... Fel',emem comm.,ity I Comb',e .,it, L6 oed 1047 to emote eoe 'bed.' b,th eo"
of Work
I
Bathtub
Whirlpool
Lavatory
Toilet
Shower
Floor Drain
2 Lndry Tray
Disposal
Dishwasher
Res. Sink
Bar Sink
Water Heater
Sump Pump
Classrm Sink
Breakrm Sink
Site Drain
Roof Drain
Misc.
Fixtures
Ejector/Grind
No 126564
Create Date 07/18/2007
Plan
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
L
, Size
Material
Type
#
Conn. Type
._~--1
Sanitary Sewer
Storm Sewer
Water Service
Valuation~,OOo.oo Plan Approval J
Issued By ~
- I
$0.00 Permit Fees _E~:OO 0 Permit Voi.<!~
Parcelld #
1608640000
Date 09/04/2007
In the performance of this work, I agree to perfor~ all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an eas1ment, the City strongly urges the permit applicant to contact the
easement holder(s) and to secure any necessary approvals before starting such activity.
I
Signature i Date
I
I Agent/Owner
Address 1914 ~REENBRIAR TRL J-- OSHKO_SH_ _ WI. 54904 - 8887 Telephone Number 920-233-6747
To schedule inspections please call the :Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, ~tc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, w~ will assume the project is ready at the time the request is received. Work may
continue if the inspection is not perfornied within two business days from the time the project is ready.
I
I
I
i
y
09/03/2007 13:01 2335747
J RASMUSSEN
PAGE
01/01
City i,fOshk~h
'Insl'e{~t,jM SeJvi(:~1; nivi:~il)'l
PO&\l1 1.130
()~bkO$h, 'VT54901-1130
Phonel (920) 2::16-50::;0
Fax: (920) 236"SOR4
~
a"n~l<T"-..t~J
~rn~$QJ .
Plumbing Permit AppUcation
r I:lcl>eby ~.pply fOT a pel'mj~. t~) do $00 inSf~ll rh'~ r(\lIo;~lin\~ ph~mbi!ig on the premi!"l:!l h'.l7"<'Jioll'fR:er described, the work 1:0 (;on'fCl1".1l1:0 th.e
Wisc~'n~,il'l SfiM:c PhJiT1,hi ng C:()de, q!l ~hc p(;)r~!:m.nE!ncc of wh ich all pl0J31ks ht'l'Cl:1) agfm:~ to and lire llOl)11d by 1:'.Iiid stMtll:ef.J.
. AppIiQ~.ti.oIH$} ;a,tl..l r:~l(;;(") C:;l.nbc ij:~nght 1"1 CnW H.f1.lJ. Room 205 or 1lrj~~kd to l:ospe(~tion Servi.(:,t~S" ])0 Box' 128,
OB4~o.sh WI j49():.i..1.12.~. COmmFC1!1'!,S work "'.I'i;'.~1mll' p~~I'mi1:(~) wl11 m:m.'J i.n fees hdl'hg (im.lbk,(l :Ii :S 10().~!) ph'~~ rh..,.
~~ollU3;l p.el:m-it fee., wtJich ever iii gt,'I;'.3,tOf. . ,.......
lill.!,uH.~-i!...-':'!1.}? f.~:~!Ql:...l?f;l.f I i.d[1.~(lg,.!.rJ_i.f1~_.E:~,I:.v~ f t~;;::!]l.SY'~J~.w...(.f:f1d.JutJ~{l.!2P.1!:.IJ.!ljJ.Jg..lil !JA.,~:.....t12fl..dLiJ..f!H.
i.f..:J!1J..'!...:w.!W.L.t.hhJl.! P_<;.e.s..Sji4J.h.t.!1!JJl..fi ..l!.52YLlltkP i2.y.nL..m
.I~
,Job A.ltlfJr.es,~ IIJb p W~J+f'i
.,.---....., .-.-......... "-'-"''1''--
t'J .(..!' 'f1L ~ RIl. t; ~ J
_._..._.~....,.__._-_.~_.t-..
DSftn.gie li'a:mfily OX)~lr!ex []lVh*1\~lii"~N\~ny
Own.e.,.
.,v ~h~lt {l1u~1IldiI1g l"h..\l' A1\i\ t\w(lri"J,:.) ...i':...~~~.....=-__.... .orJtcJ.-=~J.::, ~.
Clfmt~"[It.t:<Otr ...:"'"G.~~..~!~~,~~:~.s .!:?:.' ,.,j -_.t1d..!......;;E!:~. C::'L
'-']R~;m11:;\]!
J3.ltthmh
Whirlpl)ol
t..jw~tnry
Tolle!:
'f!:M, ~;.jonl(
.I'lllr Sil1k
;WHiL r.~I;.
....!"~11 Fin
(~:::d'WI1_
L.._..
1_,..
1...__._...
L...___
L.__._
L_..._
~Cm:jl'ftmet'cfill~
Numher d)ni'h::tm'.e~:
_i:'~
ni~')(I,~nl
OJ&''''rn~he,.
Prink 1'1,11
_.t.._..
81l>'llJl 1>1''''11
r,.i~c:I'{lrl(lriT1d
ll):d'c,1 S"tbl'"
L1<,~.1 W:!l.<lf'C.
(hd~l\~ W"h,
l'lit.k:t I
"lceI'T'lJl
cr~~arrn ,SlI\k I
flllrg~m\s $,';lkl
. I
B"~~.l(tlll ;,i Ill,
"::C; (:11'l~lt
r:,1rnm Sink
&.1)11'.'1 ~illj(
11M" "in"
'..''1'I'I::'ll8jr\11
$lei" SiOl k
Inl (;l'I'M~ 'rr:\\1
Nx:t (,IN.;A:4~ Tl'ap
fU'.'? \!;dvc
Sh~l'Y.Ip mlll,
tJl"i,,~l
(lnr nl'~in
S()<.1~ Disp
C"fli:e MA.kc.r
SI10W(1\'
Wal~~U<:Ill'''1'
'.1 (ltt.q 1.1 F.1oc.'. U ~~/rVnl.
__.L_
1;01)1111. 1('1) t0~I/,(:r
l'la-"l'Cl',':;lnl..
.'H t!: r.1raill
R(Xlfnll1in
~t;lJ)d!l Rt::,;
1;,)".\ W":lh Al.n
WII' f\~"'C:I' t,,1l:m
Pl(l1)r Dr~in
Lll.dry .rr~y
LobSi"l,
rli~) Well Flr/Wr-il. ,o;!ink f)lldllct. ~c:lr.l'll
~U::rili7.er r) 1'" l
n~c .1.11~l Wtl' U:1"~C Mil'.
E::ic C"......,..,r -=-~~=t~~- OB--C]"l;;:;i~ -;;';~I.~~~ V.r1llcotmn r...,. .It :00
I ,('r r R":!,II~.:~~"()nl:\ j
Use / Na.~;ull:'c ~jlfW-lWk_I\~~..~.~_.(_~~.......+._.~~~_~,!,..?,,'::j..._'::"'__&.~_~......!t Cg_~~,..= 't_!..._ __..~._.
........--.....-......-.-.--............ ...........-l~!.~.y. ,....._.._... _...l<::- ~~._ ,_~~_...~_ . A <. (. "~ t. K,' r-c~
Size MIJll':0ri..~1 Type -.... Ii' ... -'(:;~~ri~' ;:l"Y~;~''''
Sanitary S~i\!Cl'
I
_Y.t!~.:'3.~!~I!:.~.._._..........__.._.__... . ....__.....1._ ,.
_N.N_""..._,~_~,...~. .... ,...., '_,'_'" "_"OM' "'MO M,., _... _...~, ....., ~.
.9tOn)1 Sewer
l€q
\'}.\q'?
1.1.( 0 !'r