HomeMy WebLinkAbout0131970-Plumbing (water heater)CITY OF OSHKOSH
OSHKOSH PLUMBING PERMIT -APPLICATION- AND RECORD
ON THE WATER
Job Address 1336 WAUGOO AVE Owner MRlMRS GEORGE C PE'fERSEN
Contractor J RASMUSSEN PLUMBING INC Category 411 =Residential-Water Heaters
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
Shower Water Softner Wait. St.
_ Floor Drain Local Waste Ice Chest
Lndry Tray Clothes Wshr Exam Sink
Disposal Bidet Sculry Sink
Dishwasher Beer Tap Hand Sink
Sump Pump Lab Sink - Plaster Sink
1 Classrm Sink Sterilizer Surgeons Sink
Breakrm Sink Dip Well F Prep Sink
Ejector/Grind DrinkFtn Serv Sink
No 131970
Create Date 08/01/2008
Plan
Shamp Sink Coffee Maker
Flr/Wst Sink Int Grease Trap
-Catch Basin Ext Grease Trap
. Wash Ftn RPZ Valve
Urinal Eye Wash Statn
s Standp Rec Wtr Sewer Mtrs
~., Ice Maker Deduct Meters
Gar Drain Wtr Usage Mtrs
Soda Disp
Valuation $1,000.00 Plan Approval $0.00 Permit Fees $25.00 ^ Permit Voided
Issued By Date 08/01/2008
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
Address 1914 GREENBRIAR TRL
T_
AgentlOwner ''
OSHKOSH WI 54904 - 8887 Telephone Number 920-231-1289
... ~1V.16YY16 Ill~~,~..u~„~ N,esatie cau me ~nspeciion Kequest une at 236-5728 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.
07/31/2008 10:24 2336747 J RASMUSSEN PAGE 01/01
Ciry of Oshkosh
]nspection Services Division
POBmcii30
Oshlco~.h, W7 Sd903-I l30
Phone: (920) 236-5050
rat: (g2o) ~3~-soRa. ~!-~C
Plumbing Permit Applicat6on
t hereby apply for a Dermit to do and install the following plumbing on the premises heroinaiter described, the work to conform to the
Wisconsin State Plumbing C'.ode, in the pcrfomtance of which all parties heretc+ agree to and are hotmd !~Y safd stahite's,
~ Appiication(q) and fee(s) can be brought m G+ty HaII, Rem 20.5 or mailed m inspection Setvicr~s, PO aoz 1128, Oshkosh Wl
54903-1 i28. Cotnmcncing work witfiout Hermit(s) wi11 result in fees being doubled or 5100.00 ylus the Henna] permit ibex which
tver i9 gtratcr,
OR /
** ,~ldrisory - For applaeable praJects, an Electrical AnPtatlation Verifea~tion (E'I1~ for>ns, sighed by the Electrical
Cortttactor. ox IiomMwner (for ixtstallatianc alio~ved ta- be performed by fire homeowner) mxtstbe sab111U#ited,
rviiltbl the permit application. Applicatliolltls submilttcd watt$o~at aa~t FIV' Wlt~n traclt is required, Wlill >rxot l+e
processed for Permit Issuance a»d w1'11 be xetarned for oorapietion,
°~ 3
Job Addresa~ 3 L W'~ y Ott VA~tle flncludimz taAor anA rnataielsl ~D fl0 r I1t9tE ~~ ~ ~~
Uwuer ~'~~''' sue. Contractor ~, f~S MISS EN ~ I ~ ~Nc.
~(„Singte liamily ^1)aplex [aMalti-Family ~]Rcnltal ^Commerciai lmdgstpiAl
Number afFixtttres:
BAlhnlh ,~.__ lli9poxal _, ' Urink Fnt _ ~ C.aneh Aaain ~____~~
Whlrlpeol ..._~....., niahara~hrr ~ Wait. St. Wish Rrn
I.avatary ,,,.,_._. SennP Pomp _,,,.,~ j Ica C'.I>egt l,lrinal _
Toilet Eloac+tY(}rlnd ,,,~LL. Exam Sink
~.
Clar grahl _
Rc~. Sink Wnter Cp}7o,~ S~,Iry Sink Soda t>7
al+ ,.-_
Aar Cink I,ncpl tivastc __ Tiand Sink
Cot'~ec Maker
Water NeAtrr ~ Clothes Wyhr _ it F 1~rt.p Sink Comm
Iec• Maker
IJ C1as LI 1?Iccti;,(pwrVot .
//~ Aida _ Scrv Sink
Site I)toin
9hoNSr
Aeer Tap °__.._
Tpt (iraea¢ Tr2h• ~-°--~~-
Rnpf Ar»in
Fktor Drain _ Claaarm Sink _-_ ....`
I Fxt GrcagC Trip ._.
__ _
Braude RP.c
I.ndry Tray -- S nuns 3mk
r~ _._.__.. .
_
R.F.t. Valve _
Fee Urasb Skn
I.ab Sink ......... _. grc[,krnt Sirk
..._..___
Shame Sink
!
Wtt Sower Mfrs
P1r~slct Sink Wali
Dtp --- i FIr1VUgf Sink Tkclud Meters
Sterilizer
Herne Aiha
- _....
~ "- `
Wtr [laagc Mtra
Mi+c. _^_,,..
I•txcwes -_-,-
l;iectric Contractor (iFor projects not regniripg aln FxV Form)
L7ge / ~aklure O~ Worn _ ~ ~t .LaC.c ~ }~(
Size Matsrial Type # ~ Conn. Type
Sanitary Sewer j
Stol'm Sewer
Welar Service
D~/0~