HomeMy WebLinkAbout0130766-Plumbing (water heater)OSHKOSH
ON THE WATER
Job Address 537 W 6TH 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
Valuation
Issued By
Owner ROBERT L LABUWI ETAL
No 130766
Create Date 06/20/2008
Category 411 -Residential-Water Heaters Plan
_ Shower Water Softner Wait. St. Shamp Sink
_ Floor Drain Local Waste Ice Chest Flr/Vllst 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
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
Agent/Owner
Address 1914 GREENBRIAR TRL OSHKOSH
Date
WI 54904 - 8887 Telephone Number 920-231-1289
~ o scneawe 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.
CITY OF OSHKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
$600.00 Plan Approval $0.00 Permit Fees $25.00 ^ Permit Voided
06/18/2008 19:05 2336747
City of Oshkosh
lnspoetion Services Aivision
P O Box 1130
Oshkosh, WI 54903-1130
Phcme: (924) 235050
Fax- (920) z~~-sosa
J RASMUSSEN
RECEIVE
JUN 19 2008
PAGE 01/01
Plumbing Permi# Aa~l'~~li~'ENT OF
EVEI.OPMENT
1 hereby apply for a permit to do and install the fallowing 1-lumbing cd the~i`tt'a~ct~~~ittt~work to conform to the
Wisconsin State Plumbing Code, in the performance of which all parties hereto agree to tmd tyre bound by said ststtrtes.
*'~ Advisory -For alvplicable projects, act Electrical YnstaU.ation Verification (E~ .form, cigmed by the Electrical
CnntractoTr or ~omeov+rncr (f41r inste.Uations allowed to be per6ormed by the homeowner) mast be submtiltted
with the permit appl%cataon. Applications submiitted ~-itbaat a» EIV vvlten smcb is required, will not be
processed for Pelrmit Issuance atnd wiill be returned fmr completion.
Job Addrec4_, W ValoC (inchdinglaM+rancl maicrials) ~ ,_,~ ~atC
Owner ~`+~ b ~ "u i Co>tltractor ~..~~ ~-'~ kSS ~ N ~ ~ ..~~" c.
" ,tie~lc Family []Duplex ^Mnlti-Family ^Rental ^Cammercisl indastriAl
Number of Fixtuil"es:
Bathhib •--•-° nlSpnsal _...._ Drink Ftrt _~ _ Catch 13t1e1n _,.-
Whirllxxrl _-- Aishwa5ltet __.. _ Wait. 5t. -.,.- -. Wash t~ln
L.avarory Sump ~P ICr.. Cheat ,_- Urinal ~.-
'Tnilct F,jcctor/Grind _ RxamSink ~- (;,arT~rtln
Rep. Sink _ .._ Water Spltncr _ 4culn+ Sink _,... ... SndaDisp -•-
_
Aar Sink _ T.ncnl WnSOC _„ __. Hand Sink C.nffce Maker __w ._
I
Waver Hcaur -_L- rlnthcv Wshr _•,.__ I~ Prey Sink (:pmm. Ter: Maker -T_
~~ I I Elect I i Pwrvnl
/ pidct -~ •• Sere Sink 9ir¢: Amin
S
howrr r,,, _ AccrT9p ~_. IrrcCm~PoTrap :. RnnfDrnin _.,,_-
Floor Thain Clasttm Sink •---- •• Cwt Groaxc Trip ____ _ Sm»dP Rec
Lnrlry Ttay -... _ Cur~»5 Sink __ .., li.F,Z, Valve •_-- F.yc Wash stn
Lab Sink •.,___ R~akrm Sink ^____ champ Ci»k __ ~.. Wrr Searor Mlrv -,-
PlnstcrSink -, _ nip Wcll -_ r•INWSt Sink • _- - DcduetMemrc ~.._
Sterili~,cr _., _ FTnAC Dibs _,__ Wtr l7angC Mus -...-
~9iss.
Fixtures _._-
quirin~ >;tn FIV Forlm)
s loot re
Electric Cot>ttractor (for project
Use /Nature of Work nn
a
14~ `~`~ ~~K,
SiiT-e
Sanitary Sewer
Suorm Sewer
Water Service
Type # Conn. Type
o7/0'T
• Application(s) and fee(s) can 1-e brought to City Ball, Room 205 or mailed to lnspcctior Services, AO »ox 1128, Oshkosh Wl
54903-I 128. Commencing work without permit(s) will result in feet being doubl~*d or X100.40 plus dte normal permit fee, which
....w. ~n m.oo~nr