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Home My WebLink About0131967-Plumbing (water heater)OSHKOSH ON THE WATER Job Address 288 N CAMPBELL RD #C CITY OF OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD Owner LOU J/DONNA J D'ANDREA Contractor J RASMUSSEN PLUMBING INC Category 411 -Residential-Water H t 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 Classrm Sink Breakrm Sink Ejector/Grind 1 Water Softner Wait. St. ea e s Shamp Sink Local Waste ' Ice Chest Flr/Wst Sink Clothes Wshr ' Exam Sink Catch Basin Bidet ' Sculry Sink Wash Ftn Beer Tap ' Hand Sink Urinal Lab Sink ' Plaster Sink Standp Rec Sterilizer ' Surgeons Sink Ice Maker Dip Well ~ F Prep Sink Gar Drain Drink Ftn ~', Serv Sink 'I r Soda Disp No 131967 Create Date 08/01/2008 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 ~J ' I 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 I Date Agent/Owner Address 1914 GREENBRIAR TRL OSHKOSH WI 54904 - 8887 Telephone Number 920-231-1289 ~~~~~~~~~ ~nsp~ciivns please can the inspection Kequest 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. 08/01/2008 06:27 2336747 i J RASMUSSEN PAGE 01/01 City of Oshkosh ', Jnspection Servicese Division P 4 Sox 1 l30 ~~ Oshkosh, W) 54903-1]30 Phanc: X520) 236-5050 Fax: (920) Z~fw3(1?.14 '~ Plumbir>fg Permit Applicat~or~ 1 hereby apply for a permit to do and install the following plumbing on the premises hereinafter described, the work to conform to the Wiseonsia State plumbing Code, in the performance of which all parties hereto rtgrce to and are bolmd by said statutes. I • Application(s) and flee(s) can be brought to Gity Hal 1,12.oom 205 or mailed tp ln~pection Services, PO Box 1128, Oshkosh WT 54903-.I 12R_ Commencing work without permit(s) will result in fees being doubled or $] 00.00 plus the normal permit fee, which ever is grearer. I ~• Job Address ~ ~ a L ~ ~'t"P~+~ ~~ , Va1U8 (including lahcrc and matcrialal ~ ~ a ~-~ ,~/~ Z r ar/ pat@ Owner' Contractor ~, ~S M S S ~ N ^h ~ ~ ~N L . []Single Family []Duplex M ulti-Family,, QRental QCommercisl 1»dnsttinl N>gmber of Fixtures: ', ~~ I~ethhtb Diapngnl ~ ,,,,, , 'i Chink f[n • ~, V Catch gaain LVhirlpool _.," Dishwoshe< Wait, Ct Wash pbt - -- l.rvptOry Sump Hump Ice Chest Urinal 'rpilet Ejcctnr/Grind L FXant Sink ('rsr Dram _ Ral. Sink Water Sooner I Scu1ry Sink Soda Dlep Bar Sink Lcxt+l waste __. '~ Npnd Sink Coffee Metier Water Hearer ,~_ L1 Gaa Ql~lcct U Pwrvnt Clnthea Wahr _ , P Prep Sink ' Cnmm. Ix Maker _ t~idet S«v Sink _ ..W Sitc Drnin Slwwer gear 7np __ ' _ I Int Grease Trep W RnnfDrain Floor Drain _ Clasarm Sink _ Gat Grcaae Trap Ctmidp Ra •-•.-_- Lndn+Tray .,, S ns3nik ~ I R,P,Z, vntvc Eye wa4h Sm Lab Sink ___ grrakrm Sink ~ Shornp Slnk Wtr Sewar Mmv P1acter 4 ink ' Dip Well ; ......., ', Flr/Wat Sink Detlucr. Me[erg ........ Sterilizer Hnac Brln _ ~ ... Wtr Usage Mtra Migc, Fixtures ~ ~'~ Electric Con#rnctor (foe projects not r~uiring an FiV Form) Use / Jvatalre of Work ~..al ~ ~-Gt ~ ~}, Size Material ,Type # Conn. Type Sanitary Sewer '' 'i Storm Sewer I ~i Water Service '' X7/47 Y'~ Advisory -For applicable pxo3ecta, an Electrical Ynstallatioa Verification (EliV) form, signled 11y tlue Electrical Contractor or Homeowlntez (for atfstaUatio>tts altowcd to be pexfe><med by the homeowner) ,must be subnltittied with, the Dermit application. Applications saUmitted without an EI'V w]>tett, snclr. i.9 t+equixed, will nlot be nmceesed fir Permit i.~trar-ce and wtiytl he retnrnP+t fnr cntrmlrfinn _ 07/23/2008 18:31 2336747 J RASMUSSEN ci~Yoro,~,~g5h L1IVISIOtl Orlnspeclign ,^~e{vlr,~5 315 Church AvemK PO Bex 1130 pshkq,i, Wf 54903-1130 ---~~} f ~--~ Office 920-2~C Sf,~sO nN wnrtu FaX 920.13650$4 Electric ~n z(wE) 1~rz~~L~ ation Veri.~.cation r ~G~2 ~c... GLC PAGE 01/01 (Electricll Contractor Namc) ~~~ ~~~'T ~ ~~q1.~ (Address) (City) (State) (lip Code) have been conti,-acted to perforAn electric installation work for ~ ' K..HS/~I aEfd ~~l//'-~~/tl ~, (Nam.e of party contracted to) at the fallowing address: ~ $ g~! ~ /n. ~rCJ~G ~~ (Address where work will be perfonised) The nature of the work consists of, (Check'One or Describe the Natut-e of Work) _ Reconnection or ixew 'circuit for replacezrxent Heating Plant and/or A/C Condenser. ~ Rcconz~ection or new circuit for replacemcr~t Electric Water)=Tester or power vented water heater. ~ Reconnection of the Service Entrance Cable, teeter Box, alterations to receptacles and lighting fixtures due to siding / soffit instailati.on. Note: New Service Entrance Cables will require a separate permit. Reconnection or new circuit for tl~e zeplacement of other permanently wired appliances / fixturES. New circuit far tl~e addition of.A/C to au, iridiuidual dwelling unit (house or the individual systems in a duplex or condomitaium), including required service electrical outlets. '~, Otl~ er ~ The value of this work is X hereby verify this work will be perfo~.ed by an employee of this company and ,further vet~fy the recozurection /installation will be done in compliance with manufacturer and Electric code zequ.iremcnts- j n l~ i I ~ 'I (Signatuxe of Company Ofh.cer) I~- `~a-D ~-~ ..~ (Date) sroz G I