HomeMy WebLinkAbout0130764-Plumbing (water heater)OSHKOSH
ON THE WATER
Job Address 2040 MENOMINEE DR
CITY OF OSHKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
Owner JAMES D/SALLY 8 SHARPF RFV TRI icT
No 130764
Create Date 06/20/2008
Contractor J RASMUSSEN PLUMBING INC Category 411 -Residential-Water Heaters Plan
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
_ Shower Water Softner Wait. St. Shamp Sink
Floor Drain Local Waste Ice Chest Flr/V11st 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 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
Agent/Owner
Address 1914 GREENBRIAR TRL OSHKOSH
T. ~L~J..1~
Date
WI 54904 - 8887 Telephone Number 920-231-1289
• ~ -+~..~M ~.~r ...J'JaYN V11J N,~a~~ tea„ ~„e ,nspecnon Kequest une at z36-5128 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.
06/18/2008 19:42 2336747
City o.~Oshkosh
In&peetion Services .Division
P O Box 1130
Oshkosh, WI 54903-1 T30
Phone: (920) 236-5050
Fax: (920)236-SO$4
J RASMUSSEN
RECEIVE
PAGE 01/01
JUN 19 2008 ter, r„F ~v~ F
PlumbNng Permit Ap~~F
Thereby apply for a permit eo do and inPtap the followin lumbin { OMMUNITY DEVELOPMENT
Wisconsin State Plumbs Code, in the g D gh' "~~~~~1~ the work to conform to the
R4 pe1'formance pf whic a p ICS ereto agrl;o to and are booed by said statutes.
'~* .A.dvisory - For applicable pxojcctg, a>n Electrical lnstaUada>tx VerificaNan (,1~)~ form, signed by the Eler-t:;cal
Contractor or Homeowtaer (for installations allawed xo be petrforntcd by the homeow>dter.) nmst be aabnuitted
wlitlt the permit appliarrtion. Applications submitted witho><rt an ENV when such is required., wiJX not b1e
processed for Permit Issnaaltce and. art~ll be xeturned for cv>'ntpletion.
.rob Addreaa ~0 ~ y ~Ce w61».~.c,eZ ~ b ~,~'°
V91~Ile(Includinglalxlranrtm~tcrials)- f ABt~ ~ ~~~~~
Owner S l.. A-r` C~ Contractor ~, M
n Ie F9nri ~Q ~S IG~ ~ ~ ~L
~ h' ^nnplex ~1Vlalti-Family ^Rental OCaenmorcial indastlris!
Number af. Fixtares:
r;athtub _.. Dis~nsol -,..,` .- skink Fqt
Gttch Baain
Whirl I
Pia
Dishwaphar
WSIL !Ir -_.
..
1,RV9C01)' ..
$111r1pl~nlnP . Wash Cln
1'oilct .. 1CCCIIC9l
~ ~
Urinal
~
__• , __ IijccoorM.rrind Exum Sink Ijt1r f)tSln
Rev. Sink WatEr St+Mcr
Scurry Oink
Soda ~•
Writer Heater ~- ...
C:Ipth~ Water Hlr»rl Sink Celfee. Mekcr
-...
~Q Caa I I Plrxl I. I PwrVtrt "' 1° IYep Sink Comm. Iec Maker
Shower
A1dct
Sean Sink _-.
fi~
ne Drain
FloorTarylin Fctx Tai 11rt Cmoapp'1't'ap
- •---
- RonfDnain
~' ~, _
1. T ClaealnSink
-, .' Flit c'masc
~
Stand Res
P
l.aq,gink
--- S1lrgcons Sinl4
- R.P,7„ Valve
•° , .~ F.ye W~ch Stn
PlavterSink JjnctkrrnSirk __ __ SharrrP$ink.
-~ --
Wtr Saver Mus
~
Creril!>,cr Ihr Well FIrIWat Sink
_ lkdact Mcte1K
-'" ' Wpgy 13iba
Misc. -° Wtr ilSAae Mtr>;
Fixmreq
Elec#ric Contractor (for proj~~ loot requiring .an FTV Form)
Use / Nature of Viiork ~_ lr:J,1~,
Size
Sanitary Scvver
Storm Sewer
Water Service
~atertal TYPO # C:ontt. Type
~~/l?~
* /~ppilosAon(s) and fee(s) can be brought to City Nall, Room 205 or mailed bo lnsptxtion Services, PO 13ox ] 128, Oshkosh WI
54903-1128. Commencing work without permit(s) will reauk in fees being doubled or S1(N1.00 plus the normal permit free, which
ever is greater.