HomeMy WebLinkAbout0127229-Plumbing (water heater)
G
OSHKOSH
ON THE WATER
Job Address 1716 MINNESOTA ST
CITY OF OSHKOSH
No
127229
PLUMBING PERMIT - APPLICATION AND RECORD
Owner JULIE/JOAN ERICKSON
Create Date 10/11/2007
Contractor J RASMUSSEN PLUMBING INC
Category ~~ Re~<!~ntial:lJIJater Hea!~~______ Plan
Bathtub Shower Water Softner Wait. St. Shamp Sink Coffee Maker
Whirlpool Floor Drain Local Waste Ice Chest FlrlWst Sink Int Grease Trap
Lavatory Lndry Tray Clothes Wshr Exam Sink Catch Basin Ext Grease Trap
Toilet Disposal Bidet Sculry Sink Wash Ftn RPZ Valve
Res. Sink Dishwasher Beer Tap Hand Sink Urinal Eye Wash Statn
Bar Sink Sump Pump Lab Sink Plaster Sink Standp Rec Wtr Sewer Mtrs
Water Heater Classrm Sink Sterilizer Surgeons Sink Ice Maker Deduct Meters
Site Drain Breakrm Sink Dip Well F Prep Sink Gar Drain Wtr Usage Mtrs
Roof Drain Ejector/Grind Drink Ftn Serv Sink Soda Disp
Misc.
Fixtures
Use/Nature ISFR / Replace gas water heater. - -- -------------]
**DEBIT ACCT*'
of Work I
I
__ ___._..__...______..n.."___.~___..._.. ___i
Size
Material
Type
#
Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
1403720000
V",""OO ~'," App,"val
Issued By
__~_~OQ
Permit Fees
$25.00 0 Permit ~oid~~.J
Date 10/11/2007
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
OSHKOSH
WI 54904 - 8887 Telephone Number 920-231-1289
Address 1914 GREENBRIAR TRL
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.
i
J RASMUSSEN'
PAGE
01/01
10/10/2007 18:5g 2335747
City of Oflbkosh
1nspectiOl.'l $erviC(:s Division
POBox 1130
crnhkosb,VVI54903-1130
PboRe: (920) 236.5050
Fax: (920) 236-5084
'<:'::;';".f,)
.
0{!j~gL8
Plumbing Permit Application
J bzreby apply for .iI. permit to do and inflt:ll:ll the following plumbin.g on the premises hereinailcr described, th.e work to conform to the
Wi:'lconsin Slate Plumbing Code, ill th.e performance of whi.ch all parties hereto agree to and arc hound by sllid statutes.
e. At>plicati()n(l'l} alldfec::(s) call be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
'Oshko,';h WI 54903-1128. COlTl1neocing work without. perroit(s) will re~;ult in fees being doubled or $100.00 ph3S tne
no.rmal permit. fee, wbi.ch ever i.s greater.
OR
~_u are a {;OI'JP'l2ctor 1Jar..t,k1P-azing)n the Per.mit Fee Ac.~au"t Svstcw. and hay,.!/. adea.M.qj.fJundL".~(hC{::k &.1ll:1L
if I'OU W<lU1 thj.~ TJI'o~p..sse.d thrq,ugh )'our 1?_~.c..Qmu.J:l
Job Addr.eSli_ /71 ~
Owner
pingle Family
Number of Fixtures:
13lIlh','I\'I
Whiflpool
La.vatory
Toilet
'~,SiTlk
Bar SJnlc:
WlltorHClItcr -L
~lllll..1 B.1eet I.J l)wfVnl
Shower
FTClOT'1)r3;n
Lndry 1m)'
Lab Sink
PIQ9tl.'r SInk
Ste.fUi~
Misc.
Fixturca
Electri~ ContrftCt.or
Use I Nature of Work
Sanitary Sewer
Storm Sewer
Water Service
M ~,.J joJ~ !.,,, 1" p.
Da,t.e / D - 1(-07
~fr..J fl",.~JJ~ , lJ 7;";-L ~
DRental DCQrnrnerctal. Dlnllllstrial
, o-D ( D ~
V sin e (lnc;\ud;1)fl lelKlr and \'I1~.I(!l'ial~)
Contractor
DMulti-F~milY
ODuplex
DtRllO$al prink Pm Cal:(:h B~~in
Di~l:lw.Q~hCl' W;lIt:.Sr.. Wash Pm
Sump Pllmp IccCb<i:sl: UrjMl
J::;jedorlGrina ElCsm Sitlk Gar 1'm1in
We.j~ !3(,\n.1lCl' Sr.1l1ry Sink Sada DiRJl
Local Weale Hanlt Sil1l, Coffee Maker
ClotllCR Wehr F l'rep Sink Comm. Ice Milker
13idel~ Scrv 5i1'l": Site rlra.in
F,lCCf T3.I' 1.111. C".ca!;lC lfR.J1 Roof Drain
C1Q,.~rlTl Sink Em. OrclWI Trnl' Stllndp Rae
Surgoon9 Si1'\k R.P.Z. Valve Eyc Wallh Sill
Brolllmn Sink SIl01Ylp Sink WI:r Scwer Mtr~
Pip Well Flr/W~: :'1.illk DeducT. MetCl's
Ht'1'C 8ihs Wtr Uaal;" Mlf~
....----..,._--..--.--.....'-~-__----.,
OR
OElectric Instal1ati.on Verlfication form attached
(If Replncell1c;or.)
~l4.c.I-
~ J lJ.l< ~j_
Size
Material ._.--~..-Typ;--.#.~-(:onn. i}1;'
1l/0~
.;23/ 1..:< ~7
-'7 ~_ fA "'-r
~fl"'/
LfIO- d..V/~
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