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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~/~~