HomeMy WebLinkAbout0127869-Plumbing
G
OSHKOSH
ON THE WATER
Job Address 816 W 5TH AVE
CITY OF OSHKOSH
No
127869
PLUMBING PERMIT - APPLICATION AND RECORD
Owner MARILYN K FURMAN
Category 112-- R~sidential-Interior _~______ Plan
Create Date 11/19/2007
Contractor J RASMUSSEN PLUMBING INC
Shower Water Softner Wait. St.
Floor Drain Local Waste Ice Chest
Lndry Tray Clothes Wshr 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
2 Hose bibs
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature ISFR / City rehab
of Work
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
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Size
Material
Sanitary Sewer
Storm Sewer
Water Service
Type
#
Conn. Type
Parcel Id #
0604620000
Issued By
Valuation ____!?,ooq.OO Plan Approval ___~-,~Q Permit Fees
~
$35.00 0 Permit VoideC!j
Date 11/19/2007
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the
easement holder(s) and to secure any necessary approvals before starting such activity.
Signature
Address 1914 GREENBRIAR TRL
Agent/Owner
OSHKOSH
WI 54904 - 8887 Telephone Number 920-231-1289
Date
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
cpntinue if the inspection is not performed within two business days from the time the project is ready.
11/18/2007
21:52
2336747
J RASMUSSEN
PAGE
01/01
!
C~ty of Oshlc:oeh
ln~pooH6n Servj(;<)rl Dilli,;iol1
I> 0 Box 11,30
OBhl,4;lsh, WI 5J.l:90:':l..\ '\ 3 fJ
Phone: (920) ].3/;.,50S()
l~l\x: (920) 2]6,.50R4
(I)
-=.'-tr-;;-=--~
Q~~J~!:j
J hCt'eby flpP(Y far l\l pc'.mh 1:':'1 do ,md instrlll the 'l(lllll'",!i~lfJ, phlmbing ~m ~J;\~\ pt'errl~~e~\ he;fdl'l~:f:I:ll1r t.l~';I';h"d, t.he wOfk 10 COOl'fOl'ffi IQ the,
Wiscm1,i1i,~ State ['llll'!('I\~il'j): <),de, in dll\'\ porfbt'l'Y\:lnee, of whk;\':l <\,,! j~l"UC$ herr-:ta" l.lgr~e 1~" :!.~',d >\1'<: 'bQu1111 by 1:l:!ic1 flta:tl,I1:C:!'l.
Ph"mnbing Panni! AJ)pUcation
. Appticati.;>A($) ~1"'ld, fee(A' l;:.w bm bl)')Ug;h.t t.<<.I' City H!lll, ROlUl:t, 2,05 <),l' m,llil::)(i to h~sT-lec~;io[l Servico!:!" PO H01(, 1128,
O~,hlf<(l$;b WI .54~'i)03~1, t28. 1:;ornn1C1.,.,~ing w~~i:k w:iJhonl permit.(s:"j will m~\\l.t. i1~ f(.~~;!; being J.oubk:d ~)r $100.00pll,l$ the
lun.-mal p.el;1'rut f(~\ which e-j',-W is f.';l:ea,t,!.:::t. ,,,../
O'R, -",/-'
lDL'1~JLfl.r;,g,..fL(;Q11.!l.:Q.f. .W.r.Jl.~r..fj~ .tf).g} iJ!Jt_i",~_.w.,It.,.l!.Q:.n1-U,:"j)'1!:.~i!:: ';;.Q.I:!.tJl'..S:I(,'i:.I'f..Iru,!!!.tL~ ~LY._e.-, .,~,{/j;.!J.1Lqi. (~__f..zl}lJi~.,,,.11h.f,l:Js,)1 {{l'g.
iLr_1JJL.!'Y..fllJ..L J.l1i~ ..P.1"Jl.<;'1.,'!l;'i...ad...!!:J.!' ~!J.rl$...h.,l!. (J NT ..(,.lj ~:9J)'1~l1L..J!1
Job Addr.,,_-1.L.L_.~_L ~_ VoiGt (I,d~J;";,,,., '"' """";.,')_~ n"_~_~~. Do..}!:: J.~~1
OWllel CO'Iro tnM~t@1f .",_,,'~,-, ,\.'i-_-',., ,f.' ',.'., ~'_,<;,~.",,_Iry\..,_,,_'~J.. 5".)0(_ if,:," "J ,.,__ D \';:.n (_....~,-_{,',.~.__/,-,..ff, ~ .~.-
'!i5S1n:,e F.~;;:----C-_,~.\:~~~~':;-'''['-''-,-.,l-, ~"'li_v"-'" - - -' - +-- --
r. ~ y' .. ''''''- DR..."" DO,mmerclal [JInd",lrlol
Number l()I'r ."b::hffil"eS:
1 ,ElI/lll,1) ry
Tnikt
R<,:~. Bl'1l1,C
)301.1' ~jl1~.
Watl:ll' .H<IlBtl"r
U OM Ll1'~l,l(\t I,! 1'",r"'1I,
~n"W41'
S11111\, Pump
l'..icewrl(\!'ind
W<lI'Cl" ~nfhl~1'
,._L.
'<:LlCho;'
(:ntch iJ,n~ill
Wafll,l"1I1
I Jrillo,1
l~lltl1l:ub
Whirl""I.?!
ni"l,nl",1
l')i~hW,uch~"
Drilll. FIJ'
V1Ij'tit. ~.~l,
E~~rll'i'l ~,~iTlk
~r..u'r~,1 5i~lc
(~~I' T)rfl,.h
1'1i~)W(,1l
H(~~,: EIi1>~
Y;lr/W"I.~;nl\
~(K1" ni~~
Cofi'~(: M"k..,r
Cr.'fllr~, lc;e Mr.,klll"
Si't; Umil)
!<nltffl\'F.I;11
~\I"'ldp fl e.:,
J',yo'.lIl'fI'1h ::;',11
Wh' ~,~"/cr Mi>:~
Dolll,,,:t Mi:'I,e'~
\,.''''''.1 '"NMlc
fhll1ll Sillk
c: 1"1'1,,,, 'M :.\1 r
....:.1.'.,.
I' 'I'r,'!) Sink
:,.:",.f,~'
Bidl,\l
B('~rTal'
Clr-I~~FII"O' $\n11,
~:~(,~v ;'~\ink:
Fl",tr 1)1'.\1;"
Lndll'Tri.lY
1_"lbSi'lik
1'/l11f,tcr ~nl1k
Sfi:01';!izer
Mi5C"
fil'.l,Ilfilll
In! (in ',:I~~' """11
"'"d' (;rrJl:l11 Tr~p
Slln!C,f.108 ~jl\k
l~.c,ak~I" Sit,l\
"........_.._1
I
R,,1'.7 'Ii'nlvc
r;h~n'w~ ~il,ll
.~.~~".
Wlr l.l$~'fl\' ~~'1:I'~
EW.edde C(lrn..t:r~:(':Ir~~J"
___,"~_'._"__ _.0....'"" .~.,_._"......,_.'._.~."..
Of!.
[]li~I~.C(.~ifl'k ~.lM.t:JI]1~~:~<lbn Vl0r~ficad.o1l1 f(Jlr.JrKk al'tt~ch0d
n l' ]<,(.'rl fll~~lnClI1)
.-'-" ..-.,-..... ..-....-".
......--.... ...~.....,. ,'"''-'''''''''
.,..,. .,.... ,...........-......- -_. ,.-...-.......-..,...-..
Us. I Na".r. .rW.rl<__~~t4_~_<1:h_l< \
, "'.....____....." ._._._........,----... _...._........._._.... I......._...p'...-..- . -.-..--........--......--
.,._.,__.._.._...."._............. n....
,...._..."H..."_".......-.....-..... . .", .-........ _...."....."...'."..,-_....."'..~. ".."," ..... .,. ... "
~>ir~ MMI.:.ri;;.1 T:ype -" ':;1-""-'-- "(::'~;~~~:'Ty';'; I
Sanitary S(lW~;l'
\ r~t(lnll 3eWf1f
L,:~ater,,~~E~~(;~~,_ ,
", .......-..... "..........- ... _.. .............. ..... "
.--..--.. .-......,... .....",...... .,.
....-." --'" .......,.... ,.......-.... ,.' ..-.... ...
U 105
6t:.
{J/-lV ~