HomeMy WebLinkAbout0128045-Plumbing (water heater)
e
OSHKOSH
ON THE WATER
Job Address 2005 HAZEL ST
CITY OF OSHKOSH No 128045
PLUMBING PERMIT - APPLICATION AND RECORD
Contractor J RASMUSSEN PLUMBING INC
Owner WILLIAM C HINTZ Create Date 12/04/2007
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Categ ory ~l'L.:-_I3~~ls!e_n.~i,!I~YVatEl.l".f1_e(3.tElE~.~____._____. _ Pia n
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 S te rilize r Surgeons Sink
Breakrm Sink Dip Well F Prep Sink
Ejector/Grind Drink Ftn Serv Sink
UsefNature SFR / REPLACE GAS WATER HEATER **debt acct
of Work
Valuation
I
l_
Shamp Sink
FlrfWst 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
Plan Approval
$0.00 Permit Fees
Parcelld #
1521250000
Issued By
$25.00 D Permit Voided I
_._---~---~
Date 12/04/2007
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the
easement holder(s) and to secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address 1914 GREENBRIAR TRL O~rtK()~_H_._ WI.. 54904_. - 888.7 Telephone Number 9~0~231-1289
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (Le. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
~.. 12/04/2007
13:38
City of Oshlw~lh
In~c:.Ctil!lt1 5t::!'Vic.c~' D;vj~iQrl
P () Box 1130
09hkosh, WI ~i4.903-1130
PhOlfle: (920) 236-.50:-;0
Fax:(920)236~5a84
2335747
J RASMUSSEN
PAGE 01/01
e
r~--rrff)7T3
~~-
Phunbung Permit, Application
I _ "",,'y fur' """'II I. do ",d i."'" d'" fo'''''''" pl"""';'" o. 1M _''''' .""i.,fttt do.~'ihod, dre woo' to conform "' lb,e
Wil'loor'l~in Stl<ltc J"hll"\'lh;~'g C:ode, 11'1 tbe: pt;lrCbn<j"i-lc" Clfwhkb ,~n i~l;Ir,jes hl~reto ll.grr.:': t" ll,nd <Ire bt)mul by s.'lid ~tatu.1t.~s.
. ~"(.}..d foO(.) "an b. "mughr '" CilY Ball, \WO'" 105 ,,' r,,,U cd In lru;~",joo stn'k<$, PO B'" 1128.
O~,b~cf.lh WI 54t)[b3..\ 1..28. Comlt1etl<~T:lilg '1'Iork '.1I7H.I')(~\\\ rt:,,.mit:(~) \)l.rjil re,,'ltl: in f('Jt~S bet:J.)g doubled or $1 ()().OO plus the
mnwa.i pl;:t'lUi.t f,,~e:, wbicb e'ller ifl gt.elH,cr. /", ."
O~ "..//
~,,-,,-=!L,J;1..UlOL(.i<i.JUUiM, 1"...<l1Li'gWi~,," <U!."1~,.'iM!JJ..J1.d }!2),u.rk~!!JWJJ!.d'.-"1I1f!.<tl er'"
ii.J!./.ll!.._lA! cU'1.Lads .11l:f)J:.,eJi!i..C-"Uh.L!~..t{fl,tLJ!...Q.I!J.'_. 53!;. r;.<~1!-"1 LL
.1~)b :A(MrL~ss.~._g 9C.~..,t!,rP::"I~..,,--_..-
Ownei' ._,..__._.H.~-:::, iJ.~.--.,- ...._._.. O)'Illltn:o,d~n'
&;\ 0 [""1
pSfingh~ [i'iaI,nU:y . OU.l.~'~j, "_J!V[~,~Ux,..FilII~~ily
. f 00 . 12...1(-0 ')
V :nh~~~ (11\,~lUt,I;\~g \"".::,. !lll!1 In':lf.r:)"al~L~_l:?. ~....::::-.__,.._. l)91til1:__,~,_,-_..~
,', _1~_~~~;-?,l~;lJ\~?. f.;:r) .,._t~,,~;[~:!-~~.-
ORe:1llta~ [JO:\Il11~lUle1l"d:ld. OIndustrrlaJ
NUlmbel'" iOlfJi'bd,mres:
l~lIl:b\l.\b
Whir1p\\lll
'LO,Vll:I,()ry
,o;.ile/,
Ren. ~;nlc
l~ar Sink
W~i1;U'H<:~It:r ..._..l__.
"j.!illll '..1 mecll.! p",/'Vn1,
SflnW(:r ,--' .-
FI.lor 1)ro j"
1.n<II')I TI'~IY
L~t\ :; iri~
I'I1IJ;Ii.~rSlnk.
!)tt:I'il;7.cr
Mi~c,
r-'idll1'll"
J\~"lelC:t.ri~ C<<~~tt.l.dq:r,f
[)i:;l'O~~l Dril,\,l'Ln C-<li'o:.h ~l'l~i!'
f)\sh~r.~:,hI.lT W"if,.Sl'. W!I;:hl"I,I'\
C-;l1lrl\ll'1.lr"l' ke Ch~~ {)riMI
q0Cl'll/,IG,;1\d r.:.'J,;~~m S i1'IK (l'II' Pr~in
...~: ~l:er ::lI',ftJ1('" ~:k.l.,h'V Sil1h S<,,:l:1 r.)\~f)
LI\""IWfl","~ H:m" ,~lil\l" Cc/'l""l~ M,lI<C!'
CI~I~f,,'!I "lMHhr l' l'rr~D Sir\I.. CI.!!H!'. l(:'~ M3klll"
Bii,l.',' S<.'!f'\.'Sh'llr:. SiT';; Dm!'l
l~(,cr '\:11' 1.\1 C;"".;l~(, 'f'mn R"nf 1)1~lh1
('1~"'ll,n 8;,111 '<.".1' (;"I~I~(:. T"31' 1'!1>lOc!I7Rt,r.
:::.lrt!<:'.(lMSllnk "J'.7.. V ;11'1 C F"r,lW'''lll !5t.o
Brl...llkcrn Si nk ~.hll'YIII ~~i,,1\ '~rtl' Sc:\l/l.:f Mtr!,:
1)iIIWt.lj "lrIW~t $in,( 1)t>dll\'l MCltcrn
H"j;C aihH WI'" lJ~n[te M1~'r.
.-- .~--~..._....".........."-" .._...-~_..,..-.."
...__""."_" ._..._.' __...._"N ~_.,.~
-- --.-..---- ..-.---... _.......,,~-_. ..,-..-
O!i
DJI:i~ged:rk hISt:lli8hfl~:il(Jlll1l Vedi~catfi.oll (4)i~ f1i:t:ached
(\rilc:pl ~t~\7l"ll1)
lTse ll'1atl\~lrcf; OfW<<l:B"~f....__._....__.f1..~_b_..__~.... ~, =-...
.~_...... _.... ~_~... __._.._"__HI'-""-~ 1_____I~-....---
,....,..__...~,._.......I...__........~. ... __.1"--......
".- .._,,'.----......__.._.~,'-.,
Cmm, Type \
SlU11t\1ry Sewe!.'
..".___...--_.....~_..'... ..-...".-..-....____.'1... ...,.,,-.-'-"-'''' .,..-,..,..-.....
31:(.1:\ M;~~(:rj(\l
Type '#
IS I.Orm s~,we,"
Watelr. Hervlc-..e
.._,_.. ,.. ,.....,,_.. '._'_" .~..'._"._..... ,,_...1
'..m '" _. ...1"--' .,.-. ,.,.,.-......
.I.J I(\~j
-,.,.--_. ..,..._-,. .--