HomeMy WebLinkAbout0128047-Plumbing (water heater)
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OSHKOSH
ON THE WATER
Job Address 430 BOWEN ST
CITY OF OSHKOSH No 128047
PLUMBING PERMIT - APPLICATION AND RECORD
Contractor J RASMUSSEN PLUMBING INC
Owner ORELlNE V PALKO Create Date 12/04/2007
Plan
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
Water Softner
Local Waste
Clothes Wshr
Bidet
Beer Tap
Lab Sink
Sterilizer
Dip Well
Drink Ftn
Category 411 - Residential-Water Heaters
- -~--_.- -- - -"_...~
Wait. St. Shamp Sink
Ice Chest FlrlWst Sink
Exam Sink Catch Basin
Sculry Sink Wash Ftn
Hand Sink Urinal
Plaster Sink Standp Rec
Surgeons Sink Ice Maker
F Prep Sink Gar Drain
Serv Sink Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
SFR I REPLACE GAS WATER HEATER **de-6tacc't~-_._-'---------'------'-----~--------'---------
f
!
Sanitary Sewer
Storm Sewer
Water Service
Size
Material
Type
#
Conn. Type
Parcelld #
1100520000
Valuation .~
Issued By .
Plan Approval ______$OJ2g Permit Fees __ $25..:.00 D..-f='E;)r~~tY-,!~d~_cJ.i
Date 12/04/2007
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
WI 54904 - 8887 Telephone Number 920-231-1289
Address 1914 GREENBRIAR TRL
Agent/Owner
OSHKOSH
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
continue if the inspection is not performed within two business days from the time the project is ready.
12/134/213137
13:2'3
2335747
J RASMUSSEN
PAGE
131/131
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Plumbing Permit Application
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