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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