HomeMy WebLinkAbout0130769-Plumbing (water heater)OSHKOSH
ON THE WATER
Job Address 125 KNAPP ST
CITY OF OSHKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
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 KRISTINE D BINDER
No 130769
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/Wst 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
~..~~~u~~~ n~apeciwns please can the inspection Kequest 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.
$600.00 Plan Approval $0.00 Permit Fees $25.00 ^ Permit Voided
^' - - -
06/18/2008 19:09 2336747
City of Ushkosh
Inspection Services Divisicm
P O Box ! 130
Oshkosh, WT 54903-1130
Phone: (920) 23G-5050
Fsx: (920) a3s-soya
J RASMUSSEN
REC
JUN
PAGE 01/01
C
PI~Imbing Permit Appiicat~~~F,,~,-M-UIVIT~YFRDEVELQPMENT
i hereby apply for a permit to do and instal I the frllowing plumbing on the premises hCrcNlnaf6e~doea,'~~~'~1• to the
Wisconsin State Plumbing Code, in the performance of which all patties hereto iigroe to and are bound by said statutes.
** Advisory - Eor r~licable ~xajects, an Electrical Itastallatiolo. Vterificaxion (~~ fo>;'trt, sighed by the Eleetr~it^al
Contraatvt or Homeowtner (for i»atallatxons aliowed to be p~lforrued 6y the homeowner) most be anbmuitted
with the peTtltliit apDlita#ion.. Applications submitted without Atli EiV whelrt such is retinilred, will sot be
processed for perYait 1L~nance stud will be returned fieyz~ courtpletaon.
D ~ ,~
aTOb Address ~ ~ ~ ~~~ Y ValQe (Inchtding lat+oeancl matcrialR) 6 ~ `' _ pate "~
Owner ~ ~ ~- ~ Contractor ~ ~ F1rS n-~ SS ~ 'P ti ~ .~ c, ,
Single Family ^~uplex OMnlti-F9miiy C]lttent9l ^Comrroercial industrial
Number of. Fixtures:
fiithtub _..r.- Tlhspe~ll -. .. Think T"ut _ - Catch Basin -,,,_
Whirlpool _ Dlehwnchcr Wak. St. Wash Ftn
Lawterv ..,,_ Samp Annp -.., , _ 1cc Cheat _ Urinal _.,.,_
1'oilct -_,_ ttijcctorK)rind _„ _ FXanlgink _„ ~ CtnrThain ...~
ReF• Sink ~__ Wazar 9o($ner _, - Srulry Sink Codn ~sP --
Bur $ink I,nrnl WBAtC Hand Sink ~_,_- Coffee Maker
/I
Warox Hearst
.--J~ Clothes Wshr F Prcp Sink ~ Cnrtmt. Ice Make ~._
.
~t7Cltua I : Bleed J PwrVnt Qidet _- _- Sen+ Sink 9iis Ikain ,
Shtnver ,--- tlexirTap _ _... TntGrea9eTrep -.. _ Rrx-fD[Pin _ --
Floor Drain -___ CIa3,erm Sink ___.., _ fiat Cmttsc Trap SlandP Rce
Lnclry Tray - Surg¢ona Sink R.P.Z. V91vc ~„ T F,yc Wr~ah Stn
Lab Sink .. Oteakrm Sink -- -- Champ Sink Wtr $cuvcrMtrs _..,
Pla.~tcr Sink ~p WCII ___, Plr/W.rt Sink Deduct Maters
Sterilizer _ .- Hens Fibs _.. WtrUsage. Mtra _
Misc.
Fiztttrw _-
.Ele~trlic Contrac#or (for prajectw no# rer~uiring an EIV Form)
Use /Nature of Work ~~tiuc /"' ~'~
Size Mffierial Type # ~ Conn. Type
Sanitary Sewer
Storm. Sewer
Water Service
4'T/n~
• Application(s) and fee(s) can be brought to City Hall, i2oom 205 or mailed to Inspection Services, PO T3ox 1128, Oshkosh WI
54903- 1128. Commencing work without pt~Tnit(s) twill result in feoc being doubled or X100.00 plus tha rcNmal permit fee, which