HomeMy WebLinkAbout0127819-Plumbing (water heater)
. CITY OF OSHKOSH
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 579581 MOUNT VERNON ST Owner DAIN HENDRICKSON
Contractor J RASMUSSEN PLUMBING INC
Category ~F3~~<:l.~~t!~~YVater _f:i_e_~~~____
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
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
DishINasher 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
DOPLEX(581~A)TFfEPCAcE GAS WATEFrHEA1'ER-"debtaca--
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No 127819
Create Date 11/14/2007
Plan
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Size
Material
Type
Conn. Type
#
Sanitary Sewer
Storm Sewer
Water Service
$0.00 Permit Fees ___~25.00 0 P~~'!1~~\t'c>~~dl
Parcelld #
0402120000
Valuation $600.00 Plan Approval
Issued By ~----
Date 11/14/2007
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
Address
Agent/Owner
1914 GREENBRIAR TRL OSHKOSH
WI 54904 - 8887
Telephone Number
Date
920-231-1289
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.
~
11/14/2007
07:01
2336747
J RASMUSSEN
PAGE 01/01
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T'hol-le: (920) 236-5fl50
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