HomeMy WebLinkAbout0131892-Plumbing (water heater)OSHKOSH
ON THE WATER
Job Address 474 WINDINGBROOK DR
CITY OF OSHKOSH
No 131892
PLUMBING PERMIT -APPLICATION AND RECORD
Owner BOYD J/KAREN J GIBBS Create Date 07/29/2008
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 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 07/29/2008
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
i o scneauie mspectlons 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.
Plan Approval $0.00 .Permit Fees $25.00 ^ Permit Voided
07/29/2008 06:44 2336747
>..uy ut uStiR03h
Inspection Services Division
• P U Box 1130
c~shka9h, W154903.1130
.Phone' (92p) Z3ErS050
Fax: (920)236-Sp84
J RASMUSSEN
plumbing permit Application
PAGE 01/01
4Y MF W/1T
i hereby apply for a permit, to do and install the following Uhlmbing on the Premises hereinafter described, the wt~k to conform to the
Wisconsin Stale Plumbing Code, in the performance of which all Parris hereto agree to and are hound by said st8hrtes.
~ Application(s) and fee(s) cart be bro ht ro C' _
54903- 1128. Commencing work w'rthotrt ~ Ha1~R ~sult m fees he g doubled r $100.00 glues thSnonxla permit fee, which
ever is GreBter_ ~~~~
OR ~
k~ Advisory -For applicable pro,1ecta, an Electxtiral linatalladon Verificatilon (EIS fozm !ii
Coatlractox or Ho~mrnravner (fox installatiolds mowed to be peri{oamed by the homeowner) naustdbe snbnntitted cal
vnitht the perntit appliicatio~l. App~~~o~ snbinouitted wiith.rnllt au E1V when such is xeQnllixed, will not l+e
pxoceReed fox permit L4suance and wFil be retttxned for cmaltpletlioa.
Jnb Add~s_Y7 ~ Gi1 i w.~ , ~•~kp ~ ab = Date ~~-l ~"D~
a~UfE (including lahnr and meterialsl
Owner -~i 6 bs __ contractor ~~ M SS~~N ~ ~ ,~,~~,
~ingle Family ~Duples _ ^Nlulti-Family ^Rcntal
[]Commrrcisi fndastrlal
Number of Fli><tareg:
Brnhtuh __ Dlapoval !i
Drink Ftn
Whirlpool _.~ Diehwaehhr .. i -._ ('.etch Rnein
~ Wait. St.
l.nvatory Sump ~~ ! Wash stn
Toilet
EjccemYt3rind ---- IccChest• T,Irinnl _
ReF. Sink __
Water SofEter Exam Sink
I' ~-
--- City Dram
9arSink
Local Waste Sty11ry $ink
--,
- Sodat)Isp
Water Heater ~
Clothat Wehr
I Hatx! Sink
~~ ! _
Goll`'cc Halter
~laa l1 Eloct U Pwrvnt - ~ 1=1'mf+3lnk Comm
Ire Mak
Shower
Pilo
,.- ~~, Scrv Sink _
,
er
9ccr Tap
-w Site grain
- ----
Flopr Urein Cla4arm Sink _,_ _ _ int Circave Trop - Roof lhain
- ~
l.ntlry Tray
~
Surget+n>a Sink Ext GttrRac Tnp
~! Stand Ree
--
p
rah Slnk
$tcaktrn Sink - R.F'.z. Vnlvc
I lEyc Wash 5m
PlashCt Sink
TAP Wcll Shnmp Sink
-•- Wtr Cewcr Has
~`
Stcrili2er
Hnsc Btbs __ ,__ FIr/1Vsl Sink
' •-- -
lkcluct Motes
Misc. !
~
Wtr [is+tgc Mtre
Fixtures ~"
electric Contlractox (for projects not requiring an F.,)(V Form)
Use / NAtnre of Work ..~.ou
~ ~.
Size
Sanitary Sewer
Storm Sewer
Water Service
Conn. Type
o~io-r