HomeMy WebLinkAbout2008-Plumbing (water heater #2)OSHKOSH
ON THE WATER
Job Address 1433 WITZEL AVE
CITY OF OSHKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
Owner DAVID W/SUSAN N ALBRECHT
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
Shower
_ Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
1 Classrm Sink
Breakrm Sink
Ejector/Grind
Water Softner
Local Waste
Clothes Wshr
Bidet
Beer Tap
Lab Sink
Sterilizer
Dip Well
Drink Ftn
Category 411 -Residential-Water Heaters
Wait. St. Shamp Sink
Ice Chest Flr/Vllst Sink
Exam Sink Catch Basin
Sculry Sink
Hand Sink
Plaster Sink
Surgeons Sink
F Prep Sink
Serv Sink
Wash Ftn
Urinal
Standp Rec
Ice Maker
Gar Drain
Soda Disp
No 131915
Create Date 07/30/2008
Plan
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 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
Date
WI 54904 - 8887 Telephone Number 920-231-1289
~ v scneawe ~nspeciions please can 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 06:17 2336747 J RASMUSSEN PAGE 01/01
City of Orehkosh ''
Inspection Services Divition
P O Box I l30
Ashkosh, Wi 54903-I J30 I.
Phottc: (920) 236-5050
Fax: (920)236-5084 '
Qy rHF w^7FR
Plumbing Permit Application
1 hereby apply for a permit to do attd install the followinS plumbing on the premises hercinafler described, the work to conform to the
Wisconsin State filumbittg Code, in the perfq~pancc of which alt paRies hereto agree to and Ate bound by said statutes.
• Application(s) and fee(s) cart be brought to City HAiI, Room 205 or mailed to Insp¢ction Services, PO Box 1 ] 28, Qshkosh WT
54903- 1128. Commencing world withol>t permit(s) will result in feos being doubled or SI00.00 plus the normal permit fee, which
ever is greater.
aR l '
** Ad~triao*Y -For applicable pr~ect~, an JElectrical Itnstallation VeriAcation (Ei~ .forlnol, siigncd by the Electrical
Contractor ar Aomeownier {for installatirnta allowed to be perfot;~trted by the homeowner) mumt be subr>ttiitted
with the pe*r»it application. Applicaeiorts taubmtitted withoat art IwIV when such ils required, wi;1a not be
processed for Yerunnit Issuance and will lbe retaztned for comtpletion. /~
Job ltlddres,~ ~ 1 3 ~ ~ 6 ~~' ~. Valtle (Including latx~r and tnaterlms) ~ g ~ Aate ~~'Z- T `" O
Owner A~ ~ b r - ~~, L ~ Contractor ~. Pry M S S fr N Q 1 ~N G. ,
[]Single ~'9mily ~Uupie>< ~A'Inlt}.p'amily ORentul
[]Commercial 11 rlydtnstrlsl
Nlamber of IFixta>res: ~
8athn..ib ._.. ....,,_ Disposal ~ j
Drink Ftn
Whi~lpnol Dishwaxhez ', Wait St
L.nvrlory S~.mlp Pump I; Ice Chce
Coilct Eic~cmr/Grind ~
Exam Sink
Rea. Sink W~tcr ~,R„Q i
5cu1ry Sink
Bet Sink LncAl Wa+te
-._, .._. ; IixrM Sink
Waecr Htatcr Clothes WAhr
~ ~ P Rep Sink
LJ Elect ll nVnV 1.
i
Shower g
da
--.,.. Serv Sink
Floor Drain Hoer Tap __ I tut Grease Trap
~ I
Lndry Tray _ G7agStnt Sink EM GrrAae Trap
Lab Sink 5vrgonna Sink __. ~ R.P7_. Valve
-"'
PlssrcrSlgk t3toakrm Sink ' Shtamp Sink
-_-
3 DipWcll ,.__.__ F1r/Wst Sink
terlllzer HnSe $iba
Misc. '
1"ixtures
Electric Contractor (for projects not requiring an F,iV Form)
Use / Natare of Work J~-'~tc ~*~- ~ ~.(
Size Mr~rial Typ¢
Catdtary Sower ~~
Storm Sewer
I
Water Service ~
Catch BAST
Wash Ftn
_ ..~,,., 1JrinA1
--,_ Crar Drain
Sala Dlsp -~
CafFec Maker
_ C.onrm, tee Maker
Sits Droin
-_.. RnofDrnin
_.^..~ StAndp Rec --
Eye Wash Sm
Wtr Scwcr Mtra
-~.,, lhdtxx Meters
Wtr Usa£t Mfrs ,,,~__„_
Type
07/07