HomeMy WebLinkAbout0131916-Plumbing (water heater)OSHKOSH
ON THE WATER
Job Address 1100 E MURDOCK AVE
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
Owner ST ANDREW EVAN LUTH CHURCH
No 131916
Create Date 07/30/2008
Category 441 -Industrial-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
Valuation $600.00 Plan Approval $0.00 Permit Fees $25.00 ^ Permit Voided
Issued By _ ' Date 07/30/2008
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 sVongly 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 scneawe 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.
07/30/2008 06:19 2336747 J RASMUSSEN PAGE 01/01
Ciry of Oshkosh
Inspection Services Oithsion
f O 13ox 1 l30 .
Oshkosh, Wl 54903-1130
Phone: (920) 24Cr5050
1'AX: (920) 23fr5(784
• fYN THfi 1pATF.
Plumbing Pernaifi Application
t hereby apply for a perniiE to do and instajl the following plumbing on the premises heTeinaftcr described, t11e work to conform to the
Wisconsin State Plumbing C,od4 in the porformsxlen of which all parties h®reto agree m and are bound by said ctawteg.
~ Application(s) sand fee(s) can he brought to City Hall, Rnetm 205 or mailed t>,- Inspection Services, PO 13nx 1128, Oshkosh WT
,54903••1128• Commencing wpt~lc without permit(g) will result in fees being douhled or $100,00 plus the normal permit foe, which
ever is greater. ;
OR ' /'~
** Advicolt~ - )for ap~rlicable grnjectc, ~ Eiectricat Irisltalla.bion Veri#%catxon ~~ form, sirg>taed by the F~t~etr+ical
Cottractor ox AomctraprRer (foe ~sta>aations allo'ared to be perFnrcrned (,y tlae I~omcownet) must be subxniitted
with the permit appW~.ti!oa. AppirScati.olns 9nbaaltitted ~ovithont an EIV whc~tt slack its re~nired, tarit~ t*ot br
prncessed fax Pertnlilt tssvxace rand wi>El be retnxned for crnlltpY<edom.
/I FJU ~
JobAddrevs,~~p ~. h1.>`t~' Vallee(tntludmglahorancl+lM>arl~tl3) b a0- ,,,,, Date?-~~Q~oB
()wlaei• ~'~ ~as rJ~., Contractor ~, ~ Mt1SS ~~- ~ 1 ~NG, r
^SingleFgmily ^Duplex QMulti-Fnnlily QRcntal ~Contm~ercisl~induslrlal
Namlber of I~'i>Etutres:
Brrthtub ...__...... Di~oaal Drink Ffi CPtch 13aain
Wlnrlpnot ,~` 1119t1pM~RhM ~„-,,,,. Wok St W""ash Ftn .
lavaroty -_.r.`_ Sorrm T'un~ -.,.~...._ ', Ice Che6t Urinal
'I'o;ler. -- Ejcct~r/C>rind T, ExanlSink __- C~erllrnrn '.~..
Rct, Sink „ ,.~. CGe1er $eftrnx _,,.,,._ :ally Sink 3odn 1>ia
$qr Sink ,,,. T.acnl 1Wa.;re _ ''~ 1~and Sink CoE1'ee Maker
Water Heater ~ Clothes WSItt ~,,,,. F Rrcp Sink Cnmtn tee Maker 1
~GGax I,I Fleet LI 1'wrVut Bidet .
_ _ - Sara Sink $irc Tkoin
Shover p~ Tap .,,-__.. ' int CNerdsc Trt~
I Rrx+f Dmrn
Floor Drain --- C.laasrnt Si»k ' --
Ysxt CmAAC Tray - ...... -,
Sfandp Res
t.ndry Tray ~ R.P.7., halve P.ye wash Sin
---W^-~ Strr¢cnns Sink
I,.ah Sink „`---_ EtrcAkrm Sink -.
___ Shamp $Ink ~, Wtr Cewer MtrB
Phuicr Sink Di wctr
P _~_ FIr/Wer Sink txducr Metro
Stcritiner ,,,.,,,,,,_„ Ftnacl3ihs --- ~.
Misc. - ~i Wtrt,f,~geMtrc
Fixs~rE.w
~iectric Cantractor (for projelc~ts not regnirin~ a>a FXV' Form)
Use / Natnre o~ Work _ ~~~ •1N~ 1~ - --
Size Material Type # Conn. Type
Sanitary Sewer
i
Storm Scw¢r
Vl/stcr Service
07 / p'r