HomeMy WebLinkAbout0130767-Plumbing (water heater)OSHKOSH
ON THE WATER
Job Address 815 W SOl1TH PARK AVF
CITY OF OSHKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
Owner EUGENE G/JONE L GRIESE
t'.OntraCtOr J RASMUSSEN PLl1MRINf~ INC
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
Valuation
Issued By
Category 411 -Residential-Water Heaters
_ Shower Water Softner Wait. St. Shamp Sink
_ Floor Drain Local Waste Ice Chest FIr/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
No 130767
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
To schedule inspections please call 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.
$600.00 Plan Approval $0.00 Permit Fees $25.00 ^ Permit Voided
~-gin ~_-_
06/18/2008 19:06 2336747 J RASt+~JSSEN PAGE 01/01
Ciry of Oshkosh
Inspection Sorvices Division R
P O Box 1130
C~shkaalt, Wi 54903-1130
Phone: (920> zap-solo JUN 19 2
Fax: (920) 235-5084
DEP{~R ,~,-
Plumb~n P41r1111t A lice~~'``COMMUNITY DEV~'l!
g Pp PI~TICN SERVICES DIVISION
i hereby apply for a permit to do and install the fttllowing plumbing on the ptemisaa hereinafter described, the work to conform to the
Wisconsin State Phmnbing Code, in the perfolrrianct: of which all parties hereto agree to and arc bound by said stttttrtos.
o Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed tp Inspection Services, PO Box 1128, Oshkosh Wi
54903-1128, Commencing work without p~nit(s) will result in fees being doubled or $100.00 Pius the Hormel permit fee, which
ever is greater,
OR /
*~ Advisory -For applicable projects, an Electrical ;Intstallation Verification (El[V) fo>•m, si,gxted by the Electrical
Contrractor or Homeowner (for installatior-s al],nWed tp be per~xrleed by the hoateowmer.) nnur9t be submiitted
with the p~,>1t applicatlio>a. Applicahions snbntitted witbrnut a>a EN When such is regnircd, grill not be~
processed for Permit LQSttance and a-i,il be returned fior compicixo>t.
e~.e ~o
,Toh Addrews- ~1 ~ ~• ~', P~~~ Value (InchtdmRlahorandmatcrials) ~~ bate ~ ~ i'~-0~
Owner _ ~ ~-S ~ Contractor ~. QR~ M 11S S E d~ 1 ~+c,
~ln~le Family [].lDuplca QMalti-Family ^Rcntel ^Co~lmnneircil~ll laduatria•1'
Number ol'Fixtures:
f3atbfla6 .",........ _ Diapnaal _ .. Drink Ftn
--
Catch Basin
Whirlpool _ biaFrwaahcr
wait
yt ~.~,.....
L.nv~tory
Sump Pump .
. was-t -•~fl
_~ __ lcc Cheat
W
Llrinel
Toilet )•jcctor/f~rind - - tttam Sink ! gar hmin
Rte. Sink _ Wela 9ot~tcr _ _ Sculry Sink
,Rode. Diap
Bar Sink
Loce1 Waste
Hand Sink ._,,,.~
C~ Make
Water 1•leater _[,_„_
I ; lrlcct I ' PwrVnt Clothcq W91tr F Prep Sink
Camm. lee Maker
4hower 13itlet
--" Stxv Sink
$ilc Lkaln
Floor Drain Beer Tap
-- ' Itrt QrmlSe Ttyp
....._ Rnof larnin
-._
..
..
_
I.ndrv Tray
Clagsrm Sink
-
~~ct Ctrnsc T
"'~' -.- _
_
_
_
Standp Roc
,'..'"'-
Lab Sink Surg¢nns Sink R,P,7 V~Ivc
, ,...~. [;yc Wailt Stn
-
Plavtcr Sink $reakrm Slrk
-'- Sha ~tnk
'- ~ •
Wtr 5cvvcr Mtra
Sterili~r Uip Wnll P1r/1Ygt Sink
.. ....__
Deduct Meters
1•lose Aibs - "
Mlcc. -' - Wtr 1!~r. Mtrs ___,,..._
~Ixtutca
Electric Contractor (for prrojects not rc.q>uiring an EN Form)
Use /Nature of Work ~wGt
Size Materi
Sanitary Sewer
Storm Sewer
water Scrvica
Type
Ty~
o~io~