HomeMy WebLinkAbout0131956-Plumbing (water heater)CITY OF OSHKOSH
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1511 OREGON ST Owner, THOMAS J/JULIE A BERGER
_ Shower I
Water Softner ~
Wait. St.
Shamp Sink
_ Floor Drain Local Waste ~ Ice Chest FIr/Wst Sink ___
_ Lndry Tray Clothes Wshr ~ Exam Sink Catch Basin
_ Disposal Bidet ~~ Sculry Sink Wash Ftn
Dishwasher Beer Tap ', ~ Hand Sink Urinal
_ Sump Pump Lab Sink 'i Plaster Sink Standp Rec _
1 Classrm Sink Sterilizer j Surgeons Sink Ice Maker
_ Breakrm Sink Dip Well ~ F Prep Sink Gar Drain
_ Ejector/Grind Drink Ftn ~ Serv Sink Soda Disp
Contractor J RASMUSSEN PLUMBING INC Category 441 -Industrial-Water Heaters
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
Valuation
Issued By
No 131956
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
Date 07/31 /2008
In the performance of this work, I agree to pertorm 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 pertorm 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
I o scneaule 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.
$___1,0.00 Plan Approval $0.00 Permit Fees $25.00 U Permit Voided
07/31/2008 10:15 2336747
Clty of Oshkosh
lnspeaion Se-victs Division
1' O Box 11.30
Osltkosb, w154903-11.30
Phone: (920) ?36-5050
fax: {920) Z~6-50&F
J RASMUSSEN
~~~
PAGE 01/01
. Plumbing Permit Appl~catfon
1 hereby aptly far s perniit to do and install the following plumbing on the premises hexeinaflier described, the work ib oonfbrtn to the
Wisconsin State Plttmbitlg Code, in the performAttae of which all parties heratn Agree to and ATC hound by acid statutes,
• A,pplication(s) and fee(s) cast be brought m City Hall, lt.nnm 20S or mailed to Inspection Servic~w, PO Box 1128, Oshkosh W1
54903-] 12R, Cotnmeneing work without peamit(s) will result in fees being doublW or $100.00 plus the normal pcrmrt fhe, which
~: A~dvx.4orp -For. alsplaaable pra~ecta, an Electrical 1?xtstal#ation. Verification (FIY) ft~fixXt, stgoea ay tee ~ICi:LxitCeu
Cos-txactor otr 1~nmeowt-+er (for iir+4tallationc allowed to be performed by the hmineovvtAer) mast ltc s4bmikiteiY
with tiwe pemtiit applitsation. A.pplitcatitons snbmitfied w#thoa~t >?ael EIV whelp saich iiF required, Wx8 pat be
processed fax Yexznit )<sgnance aud. Will be returned for completion.
v~
s1 /~ a 9 ~ pate ?' 3l' ° ~
.Tob Address ~ ~ ~ ~ V n Q~ ~ VA~lle (IntiUAhfg IAIxiT IInd ctMlafialvl
Ipwner ~ Contractor ~• M SS N ~ ~ ~ ~'"~
[Single Family ^Duplex []Multi~-Faanily [~Rcatul ~CommcrcRal (ttdnsq'irtl
1`iumber of Futures:
Bathtub _,_.,,__ i)iaPossll ...
1i4hirlprrol _,,,,,^ DiahwasAer ,,,
f sva:oy ,~ _. Sump tamp .,.
rpilct IrjectnNt3rln4 ,
Res. Sink Warcr St~tlnar
Sar SMk T.natl Waatc _,,,.,
V~~ler Hcatcr 1 Clndia, Wchr ,
I.I C~a% I..I ElxrtAl~wfVm, Bidet
Showc* 13cxrTaD _,-,
Floor Drain _,_.-„ ^_ Clacenn Sink
L.ndry Stay ~._ 9urgex~n~ Sink ,_.
l.ah Sink __,,.._ Brcakrm Sink ~„r,._
F1becr Sink pip VVcll __
StcriL'xr 1•fn+e Sibs ~_
Mice.
fixariw _~._,
lL#ectrac COntrACtor (far Qirojects not repairing a10
Use / lvature of Work __ ~Q ~0-u- ~-~ -
Type
Sanitary Sewer
Sterne Sewer
Wster SeirviCC
Drink f~tn ~ Cabch Aaein
wait. st. «+axh Fm
IcC Chest Urlnal ,_,.~
FxantSlnk _~.,,.. .. linrT.)rAm r.._-_.
Swtry Slnk _- SoctA L~ixp ~~_._
T~le+xf Sink _ C,nffee Maker ~_.
P i-fCp 91nk Comm. lcc Maker ~~_
SEav Sink Sire: Ikain - -
1nt Ciron9c Trop ,,,,-._ Rnt+f T.)rnln .,.--
Exc Grcase'rrap Standp Rec
R.P.Z. Valve Fye Was1f S~+
Sitamp Sink _ Wtr Sewer Mtrs
Flr/Wat Cink __ raerduct Meters _..-
Wtr Unagc Mlra _,,,__
Ferxnl)
f'orln_
A7It1~