HomeMy WebLinkAbout0130768-Plumbing (water heater)OSHKOSH
ON THE WATER
Job Address 2005 HAZEL ST
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
Owner WILLIAM C HINTZ
No 130768
Create Date 06/20/2008
Category 411 -Residential-Water Heaters Plan
_ Shower Water Softner Wait. St. Shamp Sink
Floor Drain Local Waste Ice Chest FINV1Ist 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 Date 06/20/2008
In the performance of this work, I agree to perform ail 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
~~~~awu~~ ~~~aNa~~wna please can ine mspecnon Kequest line at 236-5728 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
06/18/2008 19:07 2336747 J RASMUSSEN PAGE 01/01
City of Oshkosh
[nspoetion Services Division
P O Box 1130
Oshkosh, W154903-1130
Phone: (920) 23b-5050
Fax: (~20) 23t;"sos~ JUN 19 200
4N sfiF wA.1F
Pla~mbing Permit Appl' ~'TMENT OF
~'~RDEV~E~LOPMENT
1 hereby apply for a permit to da and install the frllowirtg pUmfbing on the prey 1~.~~~i~r ~~~esVcn-t~eSd.D~eiw~ to conform to the
Wisconsin State Phnmbing Gode, in the performance of which all parties hereto agree to xnd are bound by said stadutes.
• Application(s) and fee(s) can tte brought to City Hall, Room 205 of mailed to Inspection Services, PO 13ox 1128, Oshkosh W1
54903-I 128. Commencing work Without permit(s) will result in few being doubled or 5100.00 plus the normal parrnit fee, which
ever is grest¢r.
OR /
''~"' .A,dvicoay -For applicable ~rojecta, an Electrical InstiatUiat~ioatl Ve*ification (EIS forms, s~iglnted by the Electlritcal
Contractor or Ro>tlneowner (for iastallaiiloas allowed to be performed by tote btoalbte4~tnner) most be sobririitted
with the pertntt applieatlionl. Applications sabmitted wilthoat an ExV when such is recputred, w;al :not be
processed for ~etmlt Issuance and willl be returned f»>r rn~letiun.
Jab Address o~,0 n 5' ~q- j ~ Q 0 c~ _~ ~ ~~„ 9~
VAllne (Including lalx~r and materiels) natC
Owner ~%w ~ 3 Co>tractor ~, QA~,S lh k SS ~ N ~ 1 ~ ~ ;~r ~.
~Siiagle Family ^Quplex ^Malti-Family []Rental
^Camlmercial li ndas4rlia#
Namber of ptiztares:
13adttt,b --- Disposal --- DrinkTtn
Whirlpool Dishtvashcr WAIL. St.
I.svatnry --~_„^- Sump ['ump Itc Chest
Toilet _ ... IicctorJGrinA Bxam Sink
Res. Sink ,_- WatcrSotincr _ ,5culry9ink
Tfar Sink l,nca! Waste __._... Nand Sink
Water Heater ~_ CIoNrcw Wahr F Prep Smk
~irua I I Elect i. i PwrVM
~idzt Suv Sink
Shower
..°-.,,,..r _ Acxr Tap .... _. lm Graasc Trap
Flnnr Drain
--`..~~~ (.lA,¢Cmt Rink _ E.xt tirCAie Trap
Lndry
7ruy
, Sur cans Sink
G ,~
_
R.P.Z. Volvc
Lab Sink "'
-•-w f~rcaknn Rink _ Champ Sink
Plaatcr Sink
I7ip Wclt _,,,
f~lr/Wst Sink
Sterili~.er 1•lose ri;~
(disc:. -
T'ixturev
Electric Contractor (for pro/ejects aot regairlie$ An FIV Form,)
Use /Nature of Work R ~ f ~. ~c ~ r~
Catch Basin
Wash Ftn
-- I,Irinal
Char 1)rsin
Coffee Mttker
Comm. Tcc Maker
Site Dram
....._..._ R.nnfAmin .,.-..._.....
St<indp Rec
__ .__ Gya Vlt~ch Srn
Wtr 5~~cr Mfrs
1)educr Mete _.. ... .
Wn• T1c9gc Mtra ~..»...,,_
- Size ~ Matcrigl Type # Goan. Type
Sanitary Sewer
Storm Sewer
Water Sdvice
o~/a~