HomeMy WebLinkAbout2007-Plumbing (shower stall)
e
OSHKOSH
ON THE WATER
Job Address 808 WOODLAND AVE
CITY OF OSHKOSH
No
127339
PLUMBING PERMIT - APPLICATION AND RECORD
Owner STANLEY R KNOLL Create Date 10/18/2007
Category 410 - Residential-Interior Plan
Water Softner Wait. St. Shamp Sink Coffee Maker
Local Waste Ice Chest Flr/Wst 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
UselNature
of Work
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
EjectorlGrind
~_h~_____ _________ ___ .____!
fFR / REPLACE SHOWER STALL **debt acct
I
i
I
______J
Size
Material
Type
#
Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
0504210000
_ ___ $25:QQ 0 P~_~_~,-~oidedJ
Valuation $1,500.00 Plan Approval ____~~QQ Permit Fees
Issued By ~-
Date 10/18/2007
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the
easement holder(s) and to secure any necessary approvals before starting such activity.
Signature
Date
Agent/Owner
OSHKOSH
WI 54904 - 8887 Telephone Number ~~0-231-~289
Address 1914 GREENBRIAR TRL
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (Le. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
~
10/18/2007 05:38
City of Osh.kosh
tnspectill(l Services t'livision
p 0 SO~, 1130
~hkosb, Wl54<J03-1130
I)hon.e: (920) 236-5050
Fax: (920)236.5084
2335747
J RASMUSSEN
PAGE 01/01
~
D~ti~g,8
plumbing Permit Application
1 _ apply ror . p"""lt to do """ ioatal1 the follaw'''$ pl.robing o. the pre'"''''' h.rd..ib>: a""ribed, the work f() _r_ to the
Wi!1oonstn State Plumbing Code, in tbe performance of which an p3,rtie9 hf:l"eto 'agree to and ~re bound. by ~aid statul;eS.
. """liea-(s}''''\ fee(s) can be brought to City Hall, Room 205 or mailed '" Io.pection Se<vicea, PO Box 1 12&,
o.l<1<<>sb WI 54903-1118, C<nn"","ciog war\: withon' permtt(s) '<<'ill ,..,.,It in fc"" belo& doubled", $1 (}(),(}() plus the
normal permit fee, which ever lS gre3xer. .
OR
/DI!IJt dr, d co"r~licJiMr,.,U/1.1h. l'e<J!JiLE. Mc&MJ!L$We'"-!J1ld.ha.. ~are.iJL.d" ch'.d.ere
iivQU wan f th i.i l1r()~,,~,~ed..1..~.l1_Jljlll..r..Mj;.!1J!.l1t
Job Addr...J b 2. IY D") L...0- V.lue 0~"';" bM "" ~~;"l-./.)O" · c Date~ -/7- 41
0""'" _~" I( ~ Contractor ":J~'" ~ jJ...... ...E.l..1. 'P.... <.
'ijlSlng\e Family [JDupl.ex DMu1tl-F....lly OJ,l.entaJ Deo.......rclal DI"d"striA!
Number ofFbhu"cs:
BM'htu\'l
Wltirlp(Wll
Ln,Y:\tory
Toilc\
Rc~. Sink
Bal" Sink
Wa1m" HtIlItCr __.~
U GaR 1..1 Rlc:et IJ 1'wr\lfll.
ShoWer ,
Floor Dram
Lndry "~f1Y
Lah Sink.
rlalM\' Sink
St:c.ri1i:lcr
MiRe.
1';xtur(l~
Electric Contractor
Use J Nature of Work
.h._---~_.--.....-'
Sa,n;1:ary Sewer
Stom'l $eVlTeT
Di~!l(l9~1 Drmk Pt:" Caleh B~5in
Dl~hwa~hcr Wait.S!" Wash FIl.1
Sl1t1\tl PlIMp I,ce Chca'; OrinI'I
l~joolor/Gril'ld Ex~m Sink Gnt' Pr~il\
Wate Sofl:ner Sculry Sink S(ldll J)i~p
l.e>cal WalrtC Hnn(t. Sink C'"offoo Makc.r
Clothe~ W~hr F Prep Sink C.<:1mm. Tee MakCT
Bidel', scrv Sin~: Sit:c Drain
Beer Tap In!. Gtoa!'iC Tm\) RO'lf Drain
Cb93flTl S,nk EX,1: Orcnsc Trap S18Tld~ t:I.CC
5hJrRcMlsSin'K R.P 7.. VlIlvc 'Eye W3!lh SLn
Brmlmn Sinlt ShAmp Sink. W(:I: ge\l'Cl Mlm
Dip Wen FlrlWr.t Sink OeduCT, MCllml
HOllC Bibs WTr U!lllIlC Mil'll
_,~_"__,__,___'-'_R"_..__..-,,..-_.-t,----,,,~,_,r-
------.___---OR
OR
OEI.ectric J.nstnllatlQn Vel"iflcation form attached
(1 f nel"ll\Ccmellt)
L~ 1A..f.; ~ ..J ~.~
sM
S1~e
--Mat~W'-~T'ype -.-.~'--. Conn. Type
Water Service
---_.,-,._,---,~_.._._.----'''~'-'-------''--_..
l.1/05