HomeMy WebLinkAbout0130773-Plumbing (water heater)OSHKOSH
ON THE WATER
Job Address 630 W 17TH AVE
Owner GERALDINE G BASLER LIFE ESTATE
No 130773
Create Date 06/20/2008
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
Category 411 -Residential-Water Heaters Plan
_ Shower Water Softner Wait. St. Shamp Sink
_ Floor Drain Local Waste Ice Chest FIr/V1Ist 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
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
~ v scneauie inspections please Galt 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
,~ $6.00 Plan Approval $0.00 Permit Fees $25.00 ^ Permit Voided
06/20/2008 06:27 2336747 J RASMUSSEN PAGE 01/01
City of Oshkosh ~ ~ ,
[nspextion Services pivisipn
P O $ox 1130
Oshkosh, V/i Sa903-.11,30
Phone: (920) 23(x5050
Fax: (92O) Z~6^50R4 UM T~1 l~/ATF,R
Plumbing Permit Application
hereby apply for a permit to do and install the following plumbing on the premises hereinafker described, the work to conform to the
yVisopnsin State Plwnbing Code, in the pcrfotmance of which all parties hereto agree to and are botmd by said at8tutes.
** ,p-dvlsary - klor applicable projects, ¢l» Electricc;l Installation Vezl~iici;+ti~an (E~ £ozm, s~ned by the Electriical
Conltracto>Y or Homeewnex (for installations allowed to be perfo>nmed by the honoleowtter) rx111st be submitted
with the permit appbication. A,y~Pti~cations snhnmxtted without an EIV when such is Iregvircd, will plot be :.
processed for Permit Istaualoce amd will be returned for completiio>a. ~ l ~` a ~
6 ~ a ~ ~ ~ ~ VA~Ue (Including laimr and materials) d ~ °p Aate
Job Address
Owner ~ ~"~ ~`~ Contractor ~- .PtS M SS ~ ~- '~ ~ ~'" L
Ingle Family []Duplex Multi-Family []Rental OCommercial industrial
Number of )F'ixtnres:
,-
Bstthtub Disposal __N - Urink Ptn _ CACCII tlaein
._
Whirlpool Di4hwnSher
Wail. St,
_- .
Wash Ftn ---
L,~vatnry , _. Lump Tamp __ (cc Choal. - - - llrlnal
"
Toilet E,I~O~~ _.-_ Exam Sink - rNr main
C
_ r
RG, Sink Water $oflncr Sculry Sink __ , Soda 1?iap ~-
_„_
Liar Sink
iacal Waste
~.,,,__ Hand Sink ~. CtrFlee Maker
-'-
6~'alcr f leAtcr ~._ (,.`Mnc~a Wahr ,_--. „ F Prep Sink Cemm. lx Maker ,,,
~ACsis lJ Elect IJ PwrYnt Ridct _ Serv Sink Site rhnin ~.. -
Shnwcr _ ~~ Tap •_-., lnt C~r'C0.ae 7Yap ~_ Roof Drain - .
Ploer drain .. _--• Clas.°,rm Sink F.xt C.•n•nae Trpr ...._- - 5rnndt+ Rcc
Lndry Tray -...- Sureeona Sink - R.P.7--. valve Y'.yc Wnah 9m
Lab Sink -„ _ Rrcakl'm Sink ~,._-_ 5hMnp Sink _„ Wtr Sewer Mtrs -,,.~
Tlaatcr Sink L1ip Wcll . _--- FlrlWar Vink -_. ... K>educl Metcr4 -- •-
Wh LiW~C Mlrs ..
StCrlli~er _._ i{ncc Riha _•__,
Mira:.
flXmrt;s .._. ,
Eiectric Contlt'actor (for projects not requiring an EIV Form)
~ ~'~ "' r'`~'~`
Use 1 Nature of Work
Size
Sanitary Sewer
Storm Sewer
Water Service
Type #
Type
a~/c~
• Application(s) and fee(s) can be brou.~ht to City Hall, Room 205 or mailed to [nspection Services, PO Box 1128.Oshkosh Wi
SA903-112$. Commencing work without pemtlt(s) will result in fees being doubted or $1 p0.00 plus the normal permit fbe, which