HomeMy WebLinkAbout2008-Plumbing (water heater)OSHKOSH
ON THE WATER
Job Address 716 VIOLA AVE
Owner' LARRY J CLARK/MARSHA K ANICK
No 132191
Create Date 08/12/2008
Contractor J RASMUSSEN PLUMBING INC
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
Category 411 -Residential-Water Heaters Plan
_ Shower Water Softner Wait. St. Shamp Sink
_ Floor Drain Local Waste ' Ice Chest FIrIWst 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 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
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 ~,i~/yYj/, Date 08/12/2008
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
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.
CITY OF OSHKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
08/12/2008 06:40 2336747 J RASMUSSEN PAGE 01/01
City of Oshkosh
1nspECtion 9crvices t)i~nsion
POBoxl130
Oshkosh, V/1 54903-I l i0
Phone: (920) 236-5050
Fax:{9.20)23Cr5V84
UN rHE WA E
. Pf~tmbin~g i~eirmit AppEwcat~on ..
I hereby apply for a permit to do and install the following plumbing ort the prEmi9es het+eins{~r described, the work to confottn to the
Wi9Mnsln Staic Plttmbing C'.OdC, in the performance of which a31 parties ht:reto agreE to and are botmd by sa"t4 St2tutea.
• A.nplieation(a)end fee(s) can bt: brought eel Ciry Hall, Room 20S <rr mailed to lnspectirnt Services, P()13px 7128, Oshkosh Wi
54903-1128. Commencing work without perrnii(s) will result in fees baling douhled or $100.Op ylus the normal I~erntit fee, which
ever is gretuter.
Oft f
~* Ad~aicorQ -For appliiCBlble pm3echec, an Electricpl ~xlstallatxon Veri~xca.>tion (E~'? forim, signed by the Electrical
Co>tttr~etor, ox FfolneowrRer (fox ittRt~Uatiotne aliooved to 1>re pet#otxned by the h.onaelnwner) Imuvt Ue snbntirted
vvtitlrt the pc>rmiit apFliicatioa. A~ficationa >rnben~itted without a;l~ k'.l<V wham such is t'equliared, will net be
processed fox 1?'etmiit ~ssaance amd wt'll lie xetaxeed fox cmmlpletlon,
Jnb Addlress / J Ill ~ ~ / e
~_I R Va)1!E (leZlndntg laAor and muerials) ~7 ~ : ~ Date ~ ~~(~ ~
Owner ~ L ~cf' k' Contrlltc#or ~, M f~5 S^L~ N ~ ~ ~ ~N c, .
(~ingle Family ^1?uple,c ^Mnlti-Family ^Rcntsl
` ^CommercfAl indastrlnl
Nnl;nber of Fixtures:
Btrclttub -_-. piyptMal _ Llrink Fm
Whirllirx-I ~, ntxltwaStk~r
~., wnit. St
l.evnairy ~,~~- Sump Pump ^.___ IccChesG
Toilet ElettndGrind ~,~,,,~ RxantSlnk
Reg, Sink Wotcr $irftncr ,,,_,_ Sctllry Sink
Uar Sink i.ncal tlVitStG Mond Sink
^'
Water Aearer „~L ClAthos Wshr F Prep8lnk
..
~J~at l.i PJect ~~ PwrVnt
` Rid'K
Shouror Scrv Slnk
~
Floorj~xin ~~~ Beer Tap rnt CaYensc Tre
'"-"' r
•""----
4nAry Trey Cla.9mn Sink F„xt Gncrsc Trnp
__
IAh Sink SurFcnna Sink
--. R.P.Z. Valve
`~- Bl~tkrm Sink Shamp Sink
Plaster Sink
5 'I' Dip Well
FhlWst Sink
--'
rcrl izm
~^•~--° Tiove RiF.ta
Mioc.
liixturca
~le+l:tric Contractor (for Qrojects nat requiri/ng~~an F?V Form)
Lice / Nature of Vllrork ~'7~'S b.r
Sixc
Sanitary Sewer
Storm Sevv~r
Water Service
Catch 1jpR{n
Wash Ftn
[rr111R1
Oily flraih
Soda Diap
Coffx ibfaker
C'omrn, Ice Mekrr
slfe nrain
Rtxtf fain
SMndp Rcc
Eye W&9h atrt
Wtr Sewer Mtrs
Tkdua Metcrq
wtr [Taagc Mtrs
~Pe #
~'pe
o7in~