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HomeMy WebLinkAbout0130772-Plumbing (water heater)OSHKOSH ON THE WATER Job Address 522 CENTRAL ST CITY OF OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD Owner JACK Y CHANG/KHOU XIONG No 130772 Create Date 06/20/2008 Category 411 -Residential-Water Heaters Plan 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 _ Shower Water Softner Wait. St. Shamp Sink _ Floor Drain Local Waste Ice Chest FlrlVllst 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 call the Inspection Request lime at 238-5128 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. '___$6~ 0 Plan Approval $0.00 Permit Fees $25.00 ^ Permit Voided 06/18/2008 19:22 2336747 J RASMUSSEN City o:f Oshkosh Inspection Services Divicipn P O 13~ox 1130 Oshkosh, W7 54003-1130 Phone: (920) 236-5050 Fit:{920)2.3-so~4 JUN 19 2008 PAGE 01/01 Plumbing Pernnit ACQM~~II~~~NT 01= VELOPMENTTn~ 1 herehy apply for a permit to do and install the following plumbing oo th~~ls~.~~~rd~i~~c~tPfe work to conform to the Wisconsin State Plumbing Code, in the perforRiance of which all parties hereto agree to and are bound by Said sttmltes. ** ,Fl~dviisory - For applicable pmjecca, an Electrical Tnst$ll,atiionVarification (EIV) fermi,, xigrred by tixe Electrical Contractor or Homeowner (for i>sstallati4ns allowed to be performed Iry the homeowner) mast be aubnliRted with the permit application. Applications trnb~nllitted without an EiIV when such is ~goitred, Will. not be processed fofi Petnal~t Jss/n~an~lcea~nd, WDial be retwtted for compl~tionl. dolt .A,(l(lre3S ~ ~~ ~-'`~v`rl ""~ Va~uC (Including labortnd maturials) ~ ~ ~ r~ DatE ~..•~,~ •~~ Owner C ~'~-~'"'$ Contractor 5~ _ R,~°t5 M k S S ~ N ~ 1 q , ~r L , ~Sin~le Family ^Duplex []Maki-Family ^Rental ~Comnucrcisl ir-tl`astlFial Namber of Fixtures: 9Athtub •-- Disposal _... think Fm t;atch Basin ~~_. whirlpool .~,_ ni.haashcr wait St Wes, ~ I.avatnry Ramp T'rrmF ........_ Icc C'hcsr. ~_ M..~ Urinal Tnilot Ejaetor/Grind L'xum Sink tzar f)rejn Rora. Slnk Warex $aflner _.. _. Sculry Cink ,,,....r.. Soda 1)i~ Bar Sink l:t~l Waste ,,,~, _ li,~nd Cink Coffee MskKr Water Hearee ~ Clothes Wshr r• Prep Sink Comm Tee Makcr ~a L' Elecl ~~ FwrVpt 8i4ct S . _ Shower ay Sink g me Drain -- Floor Drain Bccr Ta P _. Int Grcaae Trsp _ ~ ' R~nf Drain --• - Cla9srm Sink ....-...-...., Fytt Greoe Trap 5ritndp Re.: I.nclry Trsy , 4ab Sinlc S~~om' Sink R.P.7,. Valve _._ •,• • Eyc Wrtah Ctn -- Dnakrm Cipk ~,,,_._ Sharttp Cink Wt Sowcr Mfrs Planter Sink _. Ui Well P _ Flr/W!rt Sink Deduct Meters SteriH7.cr ...---• -..... ,.. F7oscliilxa -"_~ Wtr Usago Mtn Misc. Fixtures Electric Contractor (for proje~ctsn ot r e q uiri~ag an EIY Form) Use /Nature of Work ~ Q ~ ~ ~ ~~'"l"~'"`-c ~~. Size Material Type # Conn. Type Sanitary Sewer Storrs. Sewer Waller Service n~/~~ • ApplicAxicm(s) and fec(s) can be brought to City Fiall, Room 205 or mailed to Inspection Services, p(? I3~x l 12R, Oshkosh Wf 54903- 112A. Commencing work without pexmit{s) will rtrsult in fees being doubled or 5100.00 plus the normal permit feo, which ever is grcatcr.