HomeMy WebLinkAbout0130269-PlumbingOSHKOSH
ON THE WATER
Job Address 1551 SOUTHLAND AVE
Owner ELIJAH'S PLACE
No 130269
Create Date 05/28/2008
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
Valuation
Issued By
CITY OF OSHKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
Plan
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Date 06/02/2008
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
AgenUOwner
Address 1914 GREENBRIAR TRL OSHKOSH
WI 54904 - 8887 Telephone Number 920-231-1289
I o scneaule mspectlons 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.
Category 410 -Residential-Interior
_ Shower Water Softner Wait. St. Shamp Sink
_ Floor Drain Local Waste Ice Chest Flr/Wst Sink
Lndry Tray Clothes Wshr Exam Sink Catch Basin
_ Disposal 1 Bidet Sculry Sink Wash Ftn
Dishwasher 1 Beer Tap Hand Sink Urinal
_ Sump Pump Lab Sink Plaster Sink Standp Rec
1 Classrm Sink Sterilizer Surgeons Sink Ice Maker
_ Breakrm Sink Dip Well F Prep Sink Gar Drain
_ Ejector/Grind Drink Ftn Serv Sink Soda Disp
$3,000.00 Plan Approval $0.00 permit Fees $25.00 ^ Permit Voided
05/29/2008 06:41 2336747
City of Oshkosh
Inspection Services Dii~sion
P p Box 1130
Oshkosh, W154903-1)30
Phone: (920)236-SOSO
Fax: (920) 236-5084
J RASMUSSEN
Plumbing Permit AppliGatian
PAGE 01/01
~~N rNk 1vATFR
i hereby apply for a permit to do and in5tA11 the following plumbing on the premises heroinafter described. the work to conform tp t{le
Wisconsin State Plumbing Code, in the performance of which all parties hereto agree to and :ire bound by ;:aid ztettrtes.
** Advisory -For applicable lsxoject~, an Electtical Itastallatao>o. Veti#3cadon (EIS form, 4iglned by the Electclical
Corlbractor of Homeowner (for itastaUations allowed to be performed by tble bomeowx>ver) lolttast be stolbmitlled
with the peanit application. Applications submitted without an EIV when such as regaited, grill not be
processed for 1'ernut Issuance An~d(will be retarncd for completion.
Job ,tllddrea4 f .~S_1 ) cw', `. L a~'d V?lltle (Indvdit+g labcrcand matnriatay ~ yOb D s Date -s y~' ~ "~
Owner Q ~_~~ ~°`^'~ Contractor ~• ~ ~ S S ~ iN ~ I , ~' G
^4ingle Fsmil~r ^Daplel< ^Multi-IFamily ^Rentsl ^Commercial iadastri>il
Numlter of Fixtares: ~ C' g Q'
RaNmrb .__.__ nixfwfaal _j ,_ Drlnk FUt G~b:NBt~.cin _„ _
Whjripool __~_ 1)ichwavhcr __ ' Wait, St. _,,,.,,,. ,_ Wa91.r Ftn
I.avatt-ry _ Sutnp Pimtp tee Cheat _ _ l Jrinal
Toilet __.,, J-nrtor/Crrind ..,__., __ BxemSink -,_,,,, ` t:~arpr~in
Rea. Sink Water Buttner _ __ Sculry Sink _ _ Snda Diap _,
Bar Sink local Wostc _ _ Hand Sink __, ^ CnffceMakcr
Water Hwttx ~ Clotlras Wshr _ _ F Trop Sink C:emm.lcc Maker
~t;aa IJ L•'!xt I..I f`wrVnt
1'iidct Cnrv Cink __,._ ,^ $itn [xain _,__„___
Slrpwer RcerTap ,,,__, 1ntCrenAe'1'rap Rr•ofDrain ___
Floor bruin _ Claaern, Sink _ Ert C'rtcaac Trap StandD Rer:
l.ndry Tray __ Sur~eona Sink R,T,7..~ Valle EYC Wagh Cur
~Ah 3ink __ $rcaMm Sink _ __, Shump Sink Wtr Scwcr Mtra
Plantar Sink 1?ip wall __.... ..__. FldWst Sink ... „ 1)cduG Mctcri .._,.. -•--
Cteriliacr •- Hoar, Ril+s _ _ Wir I 1 Mtra _.-,---
~ti4c.
FixartEa
Electric Contractor (for projects not reclairing an EIV Form)
Use / Nature of Work ~•~ lid ~ ~~ ~ 6~-~-~. Ir-~ w-t-~r ~e-~ ~
Size Mabcrial Type # ~~C'onn. Type
Sanitary Sewer
Storm Sewer
Water Service
07/07
o Application(s) and fee(s) can be brought to City Nall, Room 205 or maiieti to Inspection Services, PO Rox 112R, pshkosh VU[
54903- I'128. Commencinfi work without permit(s) wilt result in fees being doubled or $100,.00 plus the normal permit fee, which
ever is ereater.