HomeMy WebLinkAbout0128370-Plumbing (water heater)CITY OF OSHKOSH
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1149 W SOUTH PARK AVE
Contractor J RASMUSSEN PLUMBING INC
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
No 1283717
Owner PHILLIP R RUFDINGER Create Date
Category, 411 -Residential-Water Heaters Plan
Shower Water Softner Wait. St. Shamp Sink
Floor Drain Local Waste Ice Chest FIr/Wst Sink
Lndry Tray Clothes Wshr Exam Sink Catch Basin
Disposal Bidet Sculry Sink Wash Ftn
Dishwasher 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
EjectorlGrind Drink Ftn Serv Sink Soda Disp
01/07/2008
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Valuation $500.00 Plan Approval $0.00 Permit Fees $25.00 ^ Permit Voided
Issued By ~~ Date 01/07!2008
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
AgentlOwner
Address 1914 GREENBRIAR TRL OSHKOSH WI 54904 - 8887 Telephone Number 920-231-1289
To schedule inspections please call the Insoection Reauest line at 236-5128 notina the Address. Permit Number. Tvae 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 pertormed within two business days from the time the project is ready.
~ 01/06/2008
16:20 2336747
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J RASP~1USSEN
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PAGE 01/02
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01106/2008 ` 16:20 2336747 J RAS~IUSSEN
Clry of Oshkosh
17i»sion of inspettinn Services
Z1S Chweh AvEnuc
PO $o: t 130
(~ Oshkosh WI 5g9p2•t I3p
`'-'~ Office 92(].Z;i¢SOSD
ON THE WATEp FAX D20.23G-$QP4
PAGE 02/02
Electric jnstallatzon Verification
ectncal Contxactot- Name)
(Address)
('
(State) (Zip Code)
have been cor~tra~cted to perform elECtlic installation work for e~E. ~ '
. ~Nam.e of party contracte ta)
at the following address: // ~/~ Q__~r/; _~~~~~ .
(Address whore work will be pe~'ormed)
The xlature of the work consists of : (Check Onc or Describe tl~e Nature of Work)
)EZeeo~,neetion or new circuit forrep]aeetnent Heating Plant and/or IVC Condenser.
Reconnection or. new circuit Fox replaeeznent Electric Water Heater.
Reconnection of the Service Entrance Cable, Meter Box, alteratiozts to receptacles and
lighting fixtures due to siding / soffit installation. Note: New Service Entrance
Cables will require a separate permit.
Reconnection or new circuit For other pe>;znanezttly wired appliances / .fixtures.
~_ Other
The value of this work is $,~,~p . ~''
I hereby verify this work wi Il be performed by an employee of this corxtpany and ;Further verify the
reconnection /installation will be done in corrzpliance with manufacturer and Electric code
requirements.
(Signat,ure of orn an Off car "-'~0~~
P Y ) (Print Narne''of Officer) (Date)