HomeMy WebLinkAbout0127659-Plumbing (washers)
G
OSHKOSH
ON THE WATER
Job Address 1130 N WESTFIELD ST
Contractor J RASMUSSEN PLUMBING INC
CITY OF OSHKOSH
No
127659
PLUMBING PERMIT - APPLICATION AND RECORD
Owner EVERGREEN MANOR INC
-_.__.~-~---_.~~~-~'--
Create Date 11/05/2007
Category 440 - Industl:ial-ln~elj<:J~___________-_ Plan
Shower Water Softner Wait. St.
Floor Drain Local Waste Ice Chest
Lndry Tray Clothes Wshr 2 Exam Sink
Disposal Bidet Sculry Sink
Dishwasher Beer Tap Hand Sink
Sump Pump Lab Sink Plaster Sink
Classrm Sink Sterilizer Surgeons Sink
Breakrm Sink Dip Well F Prep Sink
Ejector/Grind Drink Ftn Serv Sink
Bed pan washer
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Natu re R50MM fINsi' ALCSEDPANWASHERAND2-clofHESW.tisHERS**debfacCt
of Work I
i
,
I
L
Shamp Sink
FlrlWst Sink
Catch Basin
Wash Ftn
Urinal
Standp Rec
Ice Maker
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
2 Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
___I
Size
Material
Sanitary Sewer
Storm Sewer
Water Service
Type
#
Conn. Type
Parcelld #
1608640000
Valuation $4,000.00 Plan Approval
Issued By 8n)~
_$9,QO Permit Fees_ ____E~:.2Q D_~~rrT1~V_~~~~d j
Date 11/05/2007
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 ~20:?~]-1289_
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.
11 /05/2007
11: 31
2335747
J RASMUSSEN
PAGE 01/01
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