HomeMy WebLinkAbout0131891-Plumbing (interior)OSHKOSH
ON THE WATER
Job Address 1511 WESTHAVEN CIR
CITY OF OSHKOSH
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
Category 410 -Residential-Interior
_ Shower 1 Water Softner Wait. St. Shamp Sink
Floor Drain Local Waste Ice Chest Flr/V11st Sink
1 Lndry Tray 1 Clothes Wshr Exam Sink Catch Basin
2 Disposal Bidet Sculry Sink Wash Ftn
Dishwasher Beer Tap Hand Sink Urinal
_ Sump Pump 2 Lab Sink Plaster Sink. Standp Rec
_ 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 131891
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
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
~ o scneauie 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 pertormed within two business days from the time the project is ready.
Plan
PLUMBING PERMIT -APPLICATION AND RECORD
Owner JOHN J PROCKNOW/DARREN VASS Create Date 07/29/2008
3,000.00 Plan Approval $0.00 Permit Fees $49.00 ^ Permit Voided
--~~j/''~~ Date 07/29/2008
07/29/2008 06:39 2336747 J RASMUSSEN
City of Oshkosh
Inspection Services Division
F O Bax.ll30
Oshkosh, WI 54903,1130
.Phone: (920) 236-SOSO
Fax: (920) 23fr5084
Plumbiri~g Permit Application
PAGE 01/01
*~ Advisory -For applicable pxo,~ects, aze Electrical Installation Veriflcatilen (~'.'~ £orm, signed. by the Electrical
Contractox ox Homeowner (for instaltatioxtc allowed, to be perFermed by tlye ltomleownier) mt>tst be sabmitteai
vaith. tbie peermit application. Appiicatio>rAS sabnaitted without an. EiV when such is ,regailrcd, will n~nt he
processed fior Permit Issuance and will be returned for compiet%onl.
,IOb Addre.4,g,,,_, /S"/l /,/ Qll~~~'~'s" Vafue (~nc;ludn,F lahor arta maxeri.~l,~ 3 ~''d° E "~_ Date ~~-'~"6~
Owner ~~ SJ Contractor _ _ ~. (Z~; M k SS E_,~v ~ 1 , ~ ~, ,
[~fiingle Family ^Duplex ^iVlolta-Family ^Rental ^Commercfal~ind>,strlei>I
Number pf Fixtures: I .
Bathtub Diapnsal ' Drink Ptn
Wh~rlPool
r
--~^_ Aiahwa¢her Wait, St.
_..._.~~
.evatory sump Pump Z r~ char.
Toiler ~. FJ~odCirlnd
~.,
Exem Sink
Rte. Sink Wafer Softncr
3culry Sink
Tsar Cink .., . _._
_
T.ncal waste . ,.. ', . __
19snd Cink
Water Hcttem Clothca Wshr
I P Prep Sink
I !CAR I~ EICCt L
t !
Shower % Bidet Saty Sink
---~-
Floor l?rain ~* TaP ___ i Tnt Grease Trep
L T
1 C-asgrm Sink
•• -^•-_ ~
F.xl Grease Trap
ndry Trsy Strc~ons Rink
~ R
P
7
~alvc
i.ah Sink _
~
~ .
.
.
greakrm Sink
_ Shame Sink
Plavttr9ink
S I' Di Wch
P ___
FIr1W.gt Sink
rer Iner
Hnac kiih4
Miac.
Rixwres _-- !
Electric Coatractox (for projects not regnNrMng an EIV Form)
Use / Nature oI' Work ~ l~~.a!-. ~'Zq'~ ~ 1a ~e
catch Beam
Waah FM
1 Irinsl
r3ar Drnin
Soda Digp
CniPta Maker
Gomm. Tee Maker
$ilc Drnitt
Roof Drenr
Smndp ACc
Ryc wash 9m
Wtr 9cwer Mtr.¢
1)eduet fylctera
Wtr Usage Mtra
~;~~'",_
,~~ S
Size Material (Type # Conn. Type
Sanitary Sewer
I
Storm Sewer
water Service ~I
o~~n~
f hereby apply for a permit to do and install the following plumbing on t1TC premises hereinafter described, the work to conform to the
Wisconsin State Plumbing Code, in the performance of which all parties hereto agree to and are hound by said statutes.
• Application(s) and fee(s) can be brought to City Hall, Rcxim 205 or mailed to Inspection Services, l'O Box t 128, Oshkosh Wi
54903-1128. Commencing work without permit(s) will result in fees being doublod or $100.00 plus the normal permit flee, which
ever is greater_