HomeMy WebLinkAbout0130765-Plumbing (water heater)OSHKOSH
ON THE WATER
Job Address 642 W 10TH AVE
CITY OF OSHKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
Owner MR/MRS DAVID GREY
No 130765
Create Date 06/20/2008
Contractor J RASMUSSEN PLUMBING INC Category 411 -Residential-Water Heaters Plan
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
_ Shower Water Softner Wait. St. Shamp Sink
Floor Drain Local Waste Ice Chest FIrIVllst 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
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
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Valuation $600.00 Plan Approval $0.00 ~ Permit Fees $25.00 ^ Permit Voided
Issued By ~~~1 ~- Date 06/20/2008
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
Agent/Owner
Address 1914 GREENBRIAR TRL OSHKOSH
WI 54904 - 8887 Telephone Number 920-231-1289
i o scneauie 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.
06/18/2008 19:03 2336747 J RASMUSSEN
PAGE 01/01
City 01~(~ft~osh ~ .
[n~tl0~ SCfY1Ges Aivision ®~
~'S~~p4'~'~14973-"~Q JUN 19 2008
Pfirme_ (92(1) Z'1Fi-5050 pN Tfi~ ~vnYSR
Fax: (9Z0) 236-5084 ENT OF
Plumbing Permit Ap~~'~~~~hEVELOpMENT
NN P~CTT Ohl SFFRRVI ES. I~v/I ION
lambing on the)p'fe~l', es 6eretna'fter ~t:scn~d• ~c work ~ conform t4 the
1 hereby apply for a panrnit to do and install the #ollowing p said stRtilres-
Wisconsin StAte Plumbing Code, in the pcrf°cmattce of which all parting hereto ;tee to a»A arc bo`md by .
e Application(s) and fee(s) can be brottght to City kTal`lM, Room 205 or mailed to Inspection Services, p0 Box 1128, Oshkosh WC
esult in fecc l>Ging doubled or $100.00 plus rho normal pcrtnn fee, which
54903-t 128. Commencing wrnrk witl-oiat permit(s) t 1 .
ever is greater.
OR _ .. ~ .___.._. c.,.•iprn end have ade.~u, re vns/s ch ck hcr~
1....Y..4u ,ne.,. ,.,._ ~..,.,.-,.~-- theE~lectritcaa
~ For applicabic projects, a>a Electxical i>astaUation Verification i~l~ forms ~gned by
Advisory - pe d b the hameow+><ex) >oaust be Fub»tittted
Contractorr otr ~Iomeowner (far inl ~ a~ omitted without as E~~V molten such is rec~tixe8., will. not be
with t11c peslnnxt application. App .
processed fox Permit Issuance and will be treturned fur completion. "~~°
JOIb Address D ~ a "" / ~ Va111C (U,c1ud'mg lalx,r and,TM'trriitlRl~--~
~ ~ M SS ~N ~ 1 , ~NL ,
Contractor industrial
t?wner ~- --~~-~' Rental [~Cemmcrcial
~Siag-c Family ^Daplex ^Multi~-Family ^
Number of Fi~tures: ca~lt Einain ~-
~
Drink Fm
LL9thtub .-.--. Dis sal --
1"' -
Wait. SI. ~ WashFtn
.
WAIrlPool _.-- ~
Drthwe~shcr _ .,.
IccChcat ,_ ^ f.lrinal -.
Lavatory _.- Sump Pump .~-. -
Exam Slnk Gar Dnln --
Tollet .~ ElatadCrind _,~ ~_
Swlry Sink -- -
Soda.Aisp -•-•
,-
Sink
Rct Water Snftner -- -. f:ai:fCe Maker -
__
.
1STr Sink - l:at~l Waste ___- .. Nano Sink.
c;nmm. Ice: Maker
_
Waocr Heatcc ~ CIntI,C.+ WFhr ~.- F Prt~ Sink _
. - ~ ,
$ite Drain ~ --.
~`tas L Elea. i ~ pwrVnt Clidct -, - Scrv Sink ^ _ - -
Rtaf Drain
int. Gidlgc Try -
$howar _.,. F)cerTap •- StandpRat
FlnoriRain -, _ Classl'm Sink __. _. F,;tCitcaseTriU!
~e vVavh Stn
Entity Tray - -- Cut¢anns Sink .-- R.P,7,. Valve _.
.._ -
Wtr Scwtr Mtrs
dab Cink _,_ _ Jjrcaktm Slt:k ___ -_ Shamp Cink --
1]erluct Mctc~ - -
Pla~ter Cink _ __ DiD Woll _.- Flr/Wst Sink _
_ ~ _
~^
R'tr 1.):aage. Mtrs
Steriii»' ... - - Floss BiNs r- -~.
Misc.
Fixnn~ ...~
Electric Contractor (for projects loot regalri~a; an EIV form)
Use / Nature of Work ~ ~ ~
fbnn-
Sanitary Sewer
StR,rm Sewer
Water 9crviice
~'1 / o~