HomeMy WebLinkAbout0131943-Plumbing (water heater)OSHKOSH
ON THE WATER
Job Address 521 MOUNT VERNON ST
CITY OF OSHKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
Owner) THEODORE J/REBECCA J LEHMAN
~ - ---
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. Shamp Sink
Floor Drain Local Waste ~ Ice Chest Flr/Wst Sink
_ Lndry Tray Clothes Wshr Exam Sink Catch Basin
_ Disposal Bidet ~ Sculry Sink Wash Ftn
Dishwasher Beer Tap j Hand Sink Urinal
_ Sump Pump Lab Sink i Plaster Sink Standp Rec
1 Classrm Sink Sterilizer ; Surgeons Sink Ice Maker
_ Breakrm Sink Dip Well ( F Prep Sink Gar Drain
_ Ejector/Grind Drink Ftn ~ Serv Sink Soda Disp
gas water heater.
No 131943
Create Date 07/31/2008
Plan
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Sanitary Sewer
Storm Sewer
Water Service
ize j Material Type
Parcelld #
0401330000
Valuation
Issued By
$600.00 Plan Approval __ $0.00 Permit Fees
# Conn. Type
$25.00 ^ Permit Voided
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the
easement holder(s) and to secure any necessary approvals before starting such activity.
Signature ~ Date
Date 07/31 /2008
Agent/Owner
Address 1914 GREENBRIAR TRL OSHKOSH WI 54904 - 8887 Telephone Number 920-231-1289
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the'project is ready at the time the request is received. Work may
continue if the inspection is not pertormed within two business days from the time the project is ready.
i ~
07/31/2008 06:03 2336747 J RASMUSSEN PAGE 01/01
City of Oshlcoslh
lospeetion Services Division
P Q E3ox 1130
Oshltosh, WI 54903-1130
Phone: (920) ?~6-SOSO
Faye: (920) 2.46-5084
C7~1 THE WATER
Plumbing Permit Application
i hereby apply for a permit to do and install the followin>ti plumbing on the pxcmises hereinafter desonbed, the work to contbtm to the
Wisconsin State Plumbing Code, in the performance of which all partite hereto agreE xo and are hound by said statutes.
• Aptrlioation(s) and fee(s) can be brought to CiN Halt, Room 205 of miiilt~i to Inspection Servicts. PO 13ox 112$, pshkosh Wi
54903.1128. Commencing work without pamR(s) will result in fens being doubled ox S] 00.00 plus the nermaJ permit fee, which
ever is greater.
OR /
~'* Advisory - for Rpplicable projects, taus Electrical IttstaUation Vexi£ication (EIV) fox7tlot, siig>nted by the Electrical
Contractor or Homeowner (for iunstal[lations allowed to 6e perfoacttxed by the horneowuter) mtast be snbndtted
with tote permit applicatiolot. A,pplicsitions 4alnaitted witheat asx 1~iV when snclh is lreclaired, will not be
processed for Permit ><ssuaantce lord wx7l be returned; for rnrapletiom.
1 ~ Gu
Job Addre`ee ~~-' ~~ V~4>"`' V8111E (lnctndmg lalmrand materials) ~~~''r _ ~at@ ~- ~ `^Q~
Ownec ~,~~, •rw Contractor ~, (ZAP MOSS ., fv ~ ~ ~ ~G
~lSit-~le Family ^papicx []Multi-family []Rental []Commerciet 1<mdastrial
Namber of Fixtures:
13adtnlb
Whirlptw! ~
t,av:itory
Toilet
tlispoSal
l~ishwaehcr
Sump Pump
Esjoctnr/C,rlnd
Water SMNtcr
Local Watte
Clothe:r Water
Bider
Bccr Tap
Claaartn 5itrk
SurRenng Sink
Brcakrm 5irk
Dip well
Hose Bba
Drink Ptn
Wait. St.
Ice Cheat
Exam Sink
Sculry Sink
1•land Sink
F Prep Sink
Sere Sink
tm Ci-caae Trap
Bxt Grcrtac TnD
R.P.T.., V(.Ive
Shemp Slnk
F1r/Wal Sink
Catch 1?atain
warn /'ht
t lrinll
Gar Dram
Soda Diap
CotTirc Maker
Camrn. lee Maker
Site I}rain
Roof Dram
StnndF Rrc
Eye Waah Stn
Wtr Sewer Mus
T)educt. Meters
Wtf Usage Mtrs
RcA. Sink __
Bar Sink
Water Hexror ,~
`~a IJ 81e~t IJ PwrVnt
Shower
Flair Drain _
Lndry Trsy ~_~
Lab Sink
Plagrer Sink
Sterilizer
Misc.
rixturcc
Electric Contractor (for fro
Use / ~Tatuce of Work
Si ~,e
Sanitary Sewer
Storm Sewer
Waxer Service
n_o-tr reciuicin~ an
'~'1~'*'~ ~.~
Form)
~ Conn. Type
o7~n-r