HomeMy WebLinkAbout0132560-Plumbing (water heater)OSHKOSH
ON THE WATER
Job Address 2585 WISCONSIN ST
CITY OF OSHKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
Owner DONALD F/ETHEL M JOHNSON
Contractor RAPID SOFT LLC
Bathtu b
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
UselNature
of Work
Category 411 -Residential-Water Heaters
_ Shower Water Softner Wait. St. Shamp Sink _
Floor Drain Local Waste Ice Chest FIrlVllst 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
No 132560
Create Date 08/28/2008
Plan
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 Date 08/28/2008
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 N1284 CRANDON CT GREENVILLE
WI 54942 - 9750 Telephone Number 757-6130
~ v scneauie 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
Inspection Services Division
P O Box 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920)236-5084
Plumbing Permit Application
o~KO H
ON THE WATER
I hereby apply for a pertnit to do and install the following plumbing on the premises hereinafter described, the work to conform to the
Wisconsin State Plttmbing Code, in the performance of which all parties.hereto agree to and are botmd by said statutes.
• Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1 T28,
Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
If you are a contractor participating in the Permit Fee Account Svstem and have adequate /'unds check here
if you want this processed through vour account n
Job Address ~^--~fJca~s--~ ~r ~ ~"
~ ~J Value (Including labor andm~terials) ~~~ ~~ DatB~ ~d~-
Owner ~.~ T~ .~.•so..~ Contractor ,E! E .•, ,~~ ~~t ~~-
Sin le Famil Du lex Multi-Famil ~~
^ g y ~ p ^ y ^Rental ^Commercial ^Industrial
Number of Fixtures:
Bathtub Lndry Standp Dent. Oper.
Whirlpool Disposal Dip Well
Lavatory Dishwasher Drink Ftn
Toilet Sump Pump Wait. St.
Res. Sink Ejector/Grind Ice Chest
Bar Sink Water Softner Exam Sink
Water Heater ~_ Local Waste Sculry Sink
~ias G Elect ~ PwrVnt
Clothes Wshr Hand Sink
Shower Bidet F Prep Sink
Floor Drain Beer Tap Serv Sink
Lndry Tray Classrm Sink Int Grease Trap
Lab Sink Surgeons Sink Ext Grease Trap
Plaster Sink B~~ Sink
Sterilizer
Electric Contractor
Use /Nature of W
Shame Sink
Flr/Wst Sink
Catch Basin
Wash Ftn
Urinal
Gar Drain
Soda Disp
Coffee Maker
Ice Maker
Site Drain
Roof Drain
Standp Rec
OR Electric Installation Verification form attached
(If Replacement)
Size Material Type
Sanitary Sewer
Storm Sewer
# Conn. Type