HomeMy WebLinkAbout0127095-Plumbing
.
OSHKOSH
ON THE WATER
Job Address 1116 HAWK ST
CITY OF OSHKOSH
No
127095
PLUMBING PERMIT - APPLICATION AND RECORD
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
Owner GLENN R HOUGE Create Date 09/28/2007
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 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 FRI Bathroom remodel* to include removing 2 non load bearing walls and installing an accessible shower unit and relocating the water
of Work closet.
Valuation
Size
Material
Type
#
Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
1602210000
$2,000.00
$0.00
$25.00 D Permit Voided I
Plan Approval
Permit Fees
Issued By Date 10/04/2007
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 applicatio within an easement, the City strongly urges the permit applicant to contact the
easement holder(s) anO\to secur ny necessary approvals before starting such activity.
Signature J Date J'b - tr .,. ...:l I
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.
~
.10/03/2007 19:47
.11
City ofOs11kosh
In!lPeCuOJ:! Servicc('. Divi(l.ion
p 0 :Box 1 \30
Oshkosb,VVl 54903-1 l30
Phone: (920) 236-5050
Fa>:: (920) 236-50M
2335747
J RASMUSSEN
PAGE 01/01
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Q{tj~Q{8
Plumbing Permit Application
I_y opply ">" "",nit lD do and i"tall th.1bU.win~ p1ombh." on fhe prenrl"" h=i.- d-- the w..-k .. ....fonn I. me
WiSCoMln State l)lulT\bing Code, in the performance ofwhicb an patties hereto agree t.o and are l)ound by said statutes.
. Awli<>abM(.). aod fee(&) ca. .. broughtto City Hall, Room 205 '" m.U,d to In,,,ection Se",iccs, PO 1I0J1 1128,
.()sbkosb \J\t1 54903-1128. C,""",,,,,,ing werk witb,,"' ponnil( s) wUl ,.,suit in - beiug dm.bled o"slOO.OO plus ...
If==:;:;:~::: ,.e~e ACco~S~~~MwtlU.d'Jb.dYe,e
J~Y1t th~'i.s_gfl_Jh.r-quU;h your ac~m{ ..
J'ob Address /1/1--1/ It w k
Owner _~~
1;llSingle Family ODuplex
'1 G~
Value (TT\c1\)(ling lnhot and mat(';l'i~J~) ^ t>\YU~
Contractor _..1" \ fLttJ ~I.o. JJ~ ,,\ ~
DM.ulti-Family ORental DCommerdal
Date.-Lc - 3 - 1.:) 7
-:;;,.. c
DIn dtlstri al
Number of Fb:tures:
Bafhtuh
Wblrlpl)()l
I..IlY:<tCIry
Toilet.
Re~. Sin\<
'Bar Sink
\Val;Qr lieaWl'
1I Gas l..: E!l,'lC1: L! l'wrVnt
-"T-
-'-
__1.-
Shower
Floor Dl1\in
Lndry Tru,y
Lab Sink
PlllStcr SInk
SIQ'ili<.Ol.
Misc.
fi:l:'l1Jre~
.-L
Electric Contrndor
DiapaRal Drillk Fin C""tch BaSin
DilJhwa!lher Wait. St. WlUlh Fl1I
SulTlI' p\,mll Ice Chellt t.!rinl\l
"Cice!or/GI'jn<l E~n!n Sink G"I' OrBln
W:o.l'cr S(\fiI'Icr ~culry Sink S<>dll Diap
tOCll' W<tf,re Hll.nd Sink Coffee MlI.~cr
Chldl~S Wshr F Prep Sink Comln. lee MakCl'
Bidet SC'IV Sink S,lilDmm
BQcrtt\1l Tnt Orca90 T\"l\\1 l1.oofDtl\.in
Cl,,~rm Sip\< Ell! Gl'CI\!lC Trap 9lRnop Rr.r.
Surgoon!: Sink it,!'.!" V~.1YC Eyo WMh St.n
B=krm Sink SI1l)l'(1pSink Wtr i.'lcwcr Mt.ra
Pip Well 1?1r/WYI,Sin\o: Deduct MI#:I1l
HMO t'~ibB Wtt U!lGg'~ M~~
-..,-'.----"'-.-,.-..--.---.,.--------..'-........;........-'--
QB.
OElectrie Installation Verification 'form at.tached
(If R('1'l'l\CC\meIlt,)
Use/NatureofWork~~ ~~t4(i'D'Vr\. - J"h,o->.-r ..-tb: Iff,- l-jJ(u___~
..-,---.-"---.SiZC."-~.-~teri~.-.. Typ~-----;;;-'--(.on~'
Sanitary Sewer
Storm Sewer
Water Service
____~._"--_._-,,----,._-~-.-M----.-..-'~-_..-~-.-.-,,.,..-
U/05