HomeMy WebLinkAbout0131969-Plumbing (water heater)OSHKOSH
ON THE WATER
Job Address 306 W 12TH AVE
Contractor J RASMUSSEN PLUMBING INC
CITY OF OSHKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
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
Owner JEAN M BUEHNER LIFE ESTATE
Category 411 -Residential-Water Heaters
Wait. St. Shamp Sink
Ice Chest
Exam Sink
Sculry Sink
Hand Sink
Plaster Sink
Surgeons Sink
F Prep Sink
Serv Sink
No 131969
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
FIrIV11st Sink
Catch Basin
_ Wash Ftn
Urinal
Standp Rec
Ice Maker
Gar Drain
Soda Disp
Valuation $600.00 Plan Approval $0.00 Permit Fees $25.00 ^ Permit Voided
Issued By Q 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
Agent/Owner
Address 1914 GREENBRIAR TRL OSHKOSH
WI 54904 - 8887 Telephone Number 920-231-1289
saneauie inspecuvns please cau the mspectlon 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.
07/31/2008 10:30 2336747 ', J RASMUSSEN PAGE 01/01
City of Oshkosh ,
]n,~paction Sitrvice,~ Division ~,
P O 13ux 1130
(JShkOSh, Wl 54903-1 a 30
Phone: (92(i) 236-5050 ''
Fax: (920) 736-5084 ~~~` rj~
Plumbing Permit Application
I hereby ayply for a permit to do attd install the following plumbing o» the premivec ltcrainafter deacribeft, the work to con form to tfic,
Wi9COnsin State Plumbing Code, in the performance of which a]I parties hereto agree to and are ttotmd by said stalutcg,
+ A.pplieatit-n(s) and fee(s) cirn be: brought to C:iry Hall, R~otn 205 or mailed to 1nGpeCCion Services, Pp fox 1128, Oshkosh Wl
54903-I 12R. Cgmmcnoing aorkwitltout permit(s) will result in f~eex being doat+.led or $100.00 plus the nnrms~l permit fro, which
ever is gre~ltcr. j
~`* A.dvisory -Far. appl~tcabie ptojecl4, atR Elect>ricml tnttailatiio'n l/er~fzcation (F~ fotxin, signed by the 1E1ect~,ca1
Contractor or Hameot;snner (for alsta]IationR ailowed to be pet;fnrrlned by the ho>rrlleovtn,er) mast be aabxuitted
wlith the permit appliicatiota. ,A.pplicaztloauo Sul~miiltted withant act EIV When such is re~uilnedr will not be
processed fat 1'efattit isss~ t+:nce aimd w~'l] be:re~cned for rnmpletion,
Job Addreaa ~~ L - VA~UfO (Includnig Ialwr and mnletiels) ~ D o r .Ate ~ ~ 3 ~~ 3
Owner -- --~ ~ 2 ~ ~ ~+' 'Contractor ~, M S S ~ ~ 1 ~N L
Single Family ^1Duplex ^1Noltl-Fatniily' ^Rl:ntsl r
^Commerci~-i irrduatrla~
Nu iltit her of Fixtures;
l..svatpry .ry ... ,
'fpilol
Rrs. Sink ~~-~
Bar Sink
Wader Heater ~_
`~av ll Elect 1.1 PwrVnt
Shower
floor Dram
I.ndry Tray
Lah $lnk
.PlestcrSink ~-._~
9tcril izct
Mlcc.
ria
Smtrp I'umn
E.jeectpr/Grlra
Wnrer C~ttncr
tncal Waste
Clothes Wahl
Bidet
Hear Tap
Claa4rm Sink
Sut¢exrns Sink
Brcnknm Sink
Dip Well
Hnsc 1~iba
Drink Fm
Wait. St.
lee CJt~t
frxant Sink
5eutry Silk
Hand Sink
F r*ep Sink
Sav Sink
tar Circasc Tray
Ext GreAac Trey
R,P.7.,, VAlve
Champ Slnk
flr/WRt Sink
Catch 9nstn
wash Ftn
Urirml
Gsr fhaiq
Sedgy t>isp
CotTce Maker
Comm. Ice Maker
Situ rhain
RnofT)rnin
Standp Rrx
lEye Wash Stn
Wtt Sewer Mtts
Deduct Meters
Wtr [lyage Mtn
~.-.- I
Electric Contractor (#'or projectspnot requiriln~ aln FxV Form)
Use /Nature of Vtrork IK.~c ' ~rc. 1~~'l-~, ',
Material Type - #
Bathtub Disposal
Wliirlpnol t~shwaFltcr
Sanitary Sewer
Storm Sewer
Weler Service
n~/~~