HomeMy WebLinkAbout0130770-Plumbing (water heater)OSHKOSH
ON THE WATER
Job Address 78 80 LAKE 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 JOHN P/SHARON K ENGEL
Category 411 -Residential-Water Heaters
_ 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
No 130770
Create Date 06/20/2008
Plan
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
aa~~esuu~es rnspeciions please can 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.
~.DO Plan Approval $0.00 Permit Fees $25.00 ^ Permit Voided
06/18/2008 19:12 2336747
•~~,- vx va11Rl1YIi
Inspoction Servile 17ivision
PUBox ]130
Oshkosh, WI Sa909-1130
Phoney (s2o) z3~-soso
Fax:'(920) 236-5084
J RASMUSSEN
PAGE 01/01
JUN 19 2008
DEPARTMENT OF
Plulmb`~g Permit AY cq~MU~~,rrr DEVELOP N n+F wA,~R
I hereby apply fora ~~~VICES DIVISION
permit to do and install khe fogowi>tg pl,~b;r,S on the premises heminafter described, the work to cortfom, to the
Wisconsin State plumbin¢ Code, in the pcrformatice of which all parties hereto agree to qnd are bound by xaid stadutes.
• Application(s) and fee(s) can be brought to City ,Hall, Room 20S ort'nailed to Inspection Serviecs,l'O 13ox 1128, C>sltkosh W
54903-1128. Commencing work without pe*o+ins) will result in f~ hang dotrhted t)r $1(x1,40 plus the normal p1;iTn;tfee, which
ever is greater,
OR ~
't''~ Advisory - Foz appUicable I~t'o.1eMs, attl Electlaical Axtstallatiolit Vex~ication (E~
Cc>natractor or .>ifomeowaex (for imstallations allowed t4 be e>rfo for~ln, signed l-Y the Bllectrical,
with the perxtuit a~licatian. Applications submitted wtitLaalt an .EIVdw~heit lto~wner) ,r~ltnst he anbrgitt~ed
processed for Permit Issuance and will be rcturned.,far completion, 8°~ is x+egwizecl, will not be .
~Tob A.ddress~8 L''Q''~ s,~- vo L ) p
Vaige (IltClrrding Inlxlr and rrr<ttt:rislsl~ d ~ / I)IAt~* ° `~/ ®`~~
Owner l w Contractor ~', ~ ~ ~
~]SlnRle lFamilY u lex kS ~~ ~ ~ ~ ~"G ,
h ^Multi-1Family ^RentA1 []Commercial
IAd~ustrial
Nntlulber oi' Fi;etulrce.
Bnthhfi .-. DISl+oltel
Whirlpool
-~--
Diahw:tahcr •- Drink Ftn ~
. (..9tch Basin
-
tavstnrv Sump pump Wait. 9t,
- -~- Wliah Ftn .
Toiler
Flcctor/prlnd - IccC,ltest
- 1)rinal •-
~
Ras, Sink
---
Water SnAn;or -•- F.xsln Sink
-- Gnr Dtailt ~.
Rsr Sink -.cxsl Wastc Sculry Sink
- •- Sodst Wisp
Water Fl<atcr
~7'IS 11131
Clnthcn Wshr ---•_ 1•land Sink
~ CnfF<e Mxker ~-
~
Cs;t I ~ Pwr nV t F Prep Sink
Shower
Bidet
Sere Sink Comm, Ice Maker
-.r
Floor t~fain ..
8crr 9'ap
'
..._ Int t'rreaVC Traap 9 i1e Drain
---
I.ndry Tr:ly --
°'- C
IASSrm Sink -•-
--•-- Fsxt Grease Trap Roof Drinn
-.._-
4nbSink
._ Surgmns Sink --^
- RP7., valve 5tandp Rx
-
.-
Plaster Sink 13resktrtt Sink -•-
-- ... Shamp Sink Epe Wash Stn
3teri)i7.cr
Dir Wcll
__. _ Ftr1Wst Sink Wtr SCWcr Mats
Mix. 1•ktsC Bibs -• •
-,_ - Acduct Mcterg
__... .
Fixtures Wtr 11xrSe Mfrs
-
.Electric Contractor (for projeci:~ I~ot regaining an ETV Form)
Use / Nai~re of Work ~.•.~.(,,-,. , t _ . , .
Sanitary Sewer
Storm Sewer
Wetcr Service
Size &
Type
Conn_ Type
0/07