HomeMy WebLinkAbout0127147-Plumbing (water heater)
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OSHKOSH
ON THE WATER
Job Address 1616 LIBERTY ST
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner WAYNE F/MARY BOSS
Contractor J RASMUSSEN PLUMBING INC
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Category 411 - Residential-Water Heaters
No 127147
Create Date 10/08/2007
Plan
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Pupiex) Replace gas waterheater~ -**DEBITACCf**--:-------- -------~-- - ------------------- -- ------------- "I
I
I
I
L__
Use/Nature
of Work
Shower Water Softner Wait. St. Shamp Sink
Floor Drain Local Waste Ice Chest FlrlWst Sink
Lndry Tray Clothes Wshr Exam Sink Catch Basin
Disposal Bidet Sculry Sink Wash Ftn
Dishwasher Beer Tap Hand Sink Urinal
Sump Pump Lab Sink Plaster Sink Standp Rec
Classrm Sink Sterilizer Surgeons Sink Ice Maker
Breakrm Sink Dip Well F Prep Sink Gar Drain
Ejector/Grind Drink Ftn Serv Sink Soda Disp
Size
Conn. Type
Material
Type
#
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id #
1207830000
Valuation ___~OO.OO Plan Approval ________~Q,9.Q Permit Fees _______ $25.02 0 Permit Voided I
Issued By a~
Date 10/08/2007
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.
~
10/07/2007 10:37
City of Oshl<os1:l
lnspectiell SelVices Divitllon
PO '60,," 1130
~lkosb.VV154903-l130
Phone: (920) 23&-5050
Fa~: (920)236-5084
2336747
J RASMUSSEN
PAGE 01/01
~
D~~Ql8
plumbing Permit Application
I betebY owly far 0 penoIt '" do and ......11 ,he following plumbing an the p....'" ...dn_ - the wark to eonfutm to th<
Wisconsin State p\wlIbing Code, in the performance of which all parties hereto IlgrOC 1:0 3nd arc botlncl by said 1\ta\l.rt~.
. N>PliooUon(o} m. ..e(4"" be brougb' to city BJ>lI, Room 205 or mailed'" l.spectio. SO<Vi= pO Box 1128,
0sIllr0.'lh WI 54903-1 un. Commeodllg wor!< wilbout permit(.) will =11 ill fees being doable<! ar $\ 00.00 plu. the
oo.nnal perroit. fee, which. ever is greater.
lUa. arc a ~a.:,'or-11<l"/.W!ali~' I'e:~&<w'" !W"ellL1>-nd '."e Q<!MWJd..~het<
if voU want this r.noc~t!..1l1r.1l..Y.z]:u!.!2Y.Lj!f.fJl1J!.!t
Job Addr.ess.--L1/' Li'"~ Lilv ~
_~L>1>J.,
OSingJe Family )?3Dople:x
OWD:er
Number ofFixtllres:
Bathtul:-
Wltir11'ool
Ls.vnlmy
Toilet.
Res. Sinlc
Bat' Sink
Wl\1:cr.HeGW' __L
'(!a811 LI Elter U l'wrVnt
Sho\1l/tlr
Flo('ll' OrlI.ill
Lndry TnlY
Lab Sink
1'1a1lte'l'Sln1,
Stcri\i:1Cf
MIsc,
r jx.t!ltOg
EI.ectr'k Contr*c.t01"
Use / Nature of Work
Sanit3l)' Sewef
S1.(mIl Sewer
t 0'->
Value (Tncllldilll.llnbor IlTlcl ml\!onn.h) ~_ -- Date J ~ () 2
r ~ P-A:.1 fA tt. 1 J~ .p ~_ :t: ~ (..,
ORentaJ OCommerc:ial Dlndnstrial
C()ntraetor
DMulti-FaroUY
Di~pos:l.l '!)rillk Ftn Ctll.cl1 ~3sltl
Di\,hW\l~hcT WAiL St. W~$h FIl:l
SUTYlP P\lmp Icc ChC'.1t Urilll\l
r-Jcc;ttlt'/Orind 'P.u1\'1 Sink G~r Omin
Water Sofl1'lcr St;l.llry Sin\< Sadn p;~p
1.0<::\1 W:\~t~. H~nd SllIk CA'lffcc MilkeI'
CI(ltbC\~ W~hr f' l'rcp Sink ('..amm. Ice Maker
Bidet scrv Sink Si~ or1lin
'flcr.r t llI' tIll. Gr<lMe 1'1'llp RoofDrllin
CI~IlRI'lf\Sjr\k Ex!. GroMO Tr.ap S1~ndp Reo
S\l1'gool\~ Smk R.'P.Z. Vn.lvc Eye W",~b SUI
BroakmI Sink 5h~mp Sink WIt Sewer Mtl'R
OipWcl1 'f'lrfWsl. !link Dcdu<;t M~el'l'
Ho~e Bih~ Wr.r U!l9.gc M:11'~
_,_,._._-,-_..-w..._.---'-~_.._-_.---
Ql!
DEledtiC Installation Verifieation form attathed
(Tf nc:plnceml.'lnt)
l:~
~~~u--.
,,-----,-_.
..-..--'--'-
Si?:e Material Type
# Conn. Type
.~._...---'._.,-'_.--...,_.~-,-_..--'-_...-...-~_.
D.105
Water Sel";ce
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