HomeMy WebLinkAbout0128274-Plumbing (toilet)
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OSHKOSH
ON THE WATER
Job Address 517 GEHRES CT
CITY OF OSHKOSH
No
128274
PLUMBING PERMIT - APPLICATION AND RECORD
Owner BERNARD A RADIG ETAL Create Date 12/26/2007
Category 410 - Residential-Interior Plan
Water Softner Wait. St. Shamp Sink Coffee Maker
Local Waste Ice Chest FlrlWst Sink Int Grease Trap
Clothes Wshr Exam Sink Catch Basin Ext Grease Trap
Bidet Sculry Sink Wash Ftn RPZ Valve
Beer Tap Hand Sink Urinal Eye Wash Statn
Lab Sink Plaster Sink Standp Rec Wtr Sewer Mtrs
Sterilizer Surgeons Sink Ice Maker Deduct Meters
Dip Well F Prep Sink Gar Drain Wtr Usage Mtrs
Drink Ftn Serv Sink Soda Disp
Contractor J RASMUSSEN PLUMBING INC
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature SFR / REPLACE TOILET "debt acct
of Work
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
Size
Material
Type
#
Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id #
1109210000
$0.00
$25.00 D Permit Voided I
Valuation $200.00 Plan Approval
Issued By BnJ8-
Permit Fees
Date 12/26/2007
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
OSHKOSH
WI 54904 - 8887 Telephone Number 920-231-1289
Address 1914 GREENBRIAR TRL
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.
i
12/24/2007 08:25
2335747
J RASMUSSEN
PAGE
01/01
City of Oshl((lsh
l.IL'lfle<lticn Senri O{'S Piv i s i (111
P OBo1{ 1.130
Otlbkosh, WI 5490::1-1130
?hone: (920) 236.5050
Fax:(920)23~5084
~
a{J~7)~QttJ
Plumbing Permit Application
. I b(:ret~y FlPl)'Ly for a pem,il to do .\'l.nd install the following plumbin.g ol.'l the prc]l1j~el1 her~ina:(l:er doscl1'ibed, the work: t(l conromn t~ tlle
Wi~col'lllj1\ Stat.r. Plmnbing C~)de, in the peTfon11l~.nce of which all par!:ics hCl'etO agreC: In and 3rt} bOl1nd by Raid $t:lltlltc~.
.. AppHcsa,t.i,@tl(9.~,Ju~d fco(s) can. be b1Xl11ght 1.0 City H.3.l1, Room 205 o.r maHcd to Inspectiot) Services, PO Box 1128,
Oshk.osb WI 54003-11.:J.:8. Commencing wod( without. pCl'tnit(s) wm reRult in fee!\ being doubled ()f $100.00 l'llul\ the
oormal petlnit fee, which ever is greBl:cr. ./-.
OR
!W~ {1 .ccl'IIJ,:tLf..!.2!:..JL'1.r:Jjll.i.n.atil?,:l ill the..f.t:..I' it F ..._ A(~.c.r>U'nt Sv,f,le1JJ..J!.l!g_hl~J!jL!Lde!1.1u.rff! r,mgJ.,..,gl1...?'.dr..here
liJ!JJ..r.tj!Ul!Jl..!.hl.t.J~r" c e ~ s qpJ,l1J::.QJMllLJI...'1}!.!:..11 c t;~) lL1J.l._
J()h AddJ'.e.s..~_SD~~..~tfl. J~t;?f Value (lne.hYJingIOl:")T~n'1I\'1nl'crilllS)_~~Q'i)~O ."_ J)ate--L~ -2. 0 -r'J'
Oml:cr __~ (J,J..,/:,$_.. Contract~r _ :r:._,~_115 J'It\ u._~5 c;.,-) ._.fl;).' ~,~
~i.ngJe J?amily DnupleJ!: Oi\"hdti-F:mmily DRen.t:a1 DC~mmefeial DllldllstriR.l
Number 4)f:Firlmre~:
81.tbtlll'>
Whil1r.ol>l
Lp.v,'Il:ol'y
Toilet
R.o~. Sink
\UrSinI<
WIIUlr .l'-l:mm."
I, J GllR LI Rlool U I'wrVnt
_..I........,,...
(
1)jRIl"Ilo~l
Oi$b""J1>4l\o..
~hllTlJl P\lItll'I
l'iiccrcn-lO,ind
W a.lcr SClf)"~",
J..o"111 WJlSfC
Clothe!' W~hT
AldCl'
Bcer 1'^"
CID,,*I'O'1 Sink
S'/"gCClNiSi01:k.
BI'e:'\knn Sink
Oip Well
nl)~c BiM
Drink Fl;n (",tell R:\Ain
''lJa,;f" St.. WMh PIn
Icc Ch~"1t Urlna,1
J:."IlIlI\lSillk C1~ r Omin
Sct.1hy Sillk Saol..Dil\fl
HlwIS,,,', Coffee MAleeI'
r; P,'I!!) Sink Clllmn. Ice Me.kl.'t
Sc:rv Sin k S;1l) /)r~ in
101 (lro,1SC Trap R.Mf Drllil)
J:.k." (l''llnAC Tmp I'IMdl\ RIlc.
'R,j:'.7.. V~ktc f::.yc W 11$11 SrI)
Shnmp Si,,"- Wtr Scw/:t Mrr~
FlrlVJst S;nl< P~~III';1 /lot" eI.c~
~nr UMge HtrA
Sh(l'I(l't~
1'1"01' n"h.ln
Lndty TI'I'Y
L~b Sink
Jl!IlRlOr SI.,l..
$t:C:\Ii1i:zcl'
Mi,c.
Filrtllrr.:;
_..__.__.........a'._.-.._.._._____...
Qlf
Use I Natln:e on~or.I~____,,_...._~ ._'h~ 1~
DElectll'ic !gsf:an~til()n VeriflcatiO:!a form. Bt,ta.~hed
(H RCI'f\lacclm:l1l:)
El.ectric Cnntn.ltto>r
Type
.....J....,,---'---..~-.l
'N. . COlln. Type '
.U._____--.I....l......-.--.----.....-..,.. ........,--
S;l,e Mal.c:rial
Sanita:ry Sewe!'
Storro Sewer
___..,."._. ___.._._._...--..-,.--.----........,....m.-....-.---.-----..--... -...... -..----
Watet Service
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