HomeMy WebLinkAbout0132551-Plumbing (rooms 253-254)OSHKOSH
ON THE WATER
Job Address 220 N WESTFIELD ST
CITY OF OSHKOSH
No 132551
PLUMBING PERMIT -APPLICATION AND RECORD
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
1 Shower
_ Floor Drain
2 Lndry Tray
Disposal
1 Dishwasher
_ Sump Pump
_ Classrm Sink
Breakrm Sink
EjectorlGrind
Water Softner
Local Waste
1 Clothes Wshr
1 Bidet
1 Beer Tap
_ Lab Sink
Sterilizer
Dip Well
Drink Ftn
_ Wait. St. Shamp Sink Coffee Maker
Ice Chest FIrIWst Sink Int Grease Trap
1 Exam Sink Catch Basin Ext Grease Trap
_ Sculry Sink Wash Ftn RPZ Valve
_ Hand Sink Urinal Eye Wash Statn
_ Plaster Sink Standp Rec 1 Wtr Sewer Mtrs
Surgeons Sink Ice Maker Deduct Meters
F Prep Sink Gar Drain Wtr Usage Mtrs
Serv Sink Soda Disp
Valuation $4,000.00 Plan Approval $0.00 Permit Fees $63.00 ^ 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 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 performed within two business days from the time the project is ready.
Owner CARMEL RESIDENCE INC Create Date 08/28/2008
Category 440 -Industrial-Interior Plan FL-327-0808-P
08/26/2008 07:21
City of Oshicosh
]nspection 8crvices Divisicm
P Q Box ]13~
Oshkosh, Wi S~d903-1.]34
Phone: (9?A) 23G-5450
Rxx;(42A)236-.40$4
2336747
J RASMUSSEN
nni rrle \Vnrrtt
PAGE 04/04
._.._..--..--- --. _.. P•lurt~birltg Permit ApPiicat~nn .
i hero6y apply for a permit to do and install the foliowin~ plurnhing on the pratniyea hcroinat#er described, flte work to cnnforltl to the
Vl~iscpnain Strafe P11nnbin~ C'.nde, in the perfYrm~ance of which a]1 parties hereto agree to and arc hound by said statutes.
~* 14,dvisorp -For airplicab)!e ptv~eletR, a3n E1.ectnlcpt 1(nstaitatioxt Vet~fi+r~ti.Qrt (1FI~ fay, s;~eA. by the'~echrical
Contrs.etor ox ~anleowlc;fer (for, inat~.tlatiotss slto'eae~ to be per~atrmed by tlse ho~m~ev'vxwer) mask he aabsnf~d
wit4- the pEanit a~t{cstioa. A,~lic~ltlorts sab>roultted witAottt a» 1?'[V ~vAess such !s regatred, wilt no# be
pxocessed Fox Pcrea%t tasaa».ce and °vttt be lre#nrsteA i'or entrsptetiots,
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Band Sink __~
_ Cn(r~ Maker ~__
Clndr~v Wshr ~„ F Prtp ;.Ink Cmmn, tee Maker ,..^...
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luster laosm
1.1 Czar I i FIoGi :I PggVnt
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Sav Sink
She Drain .~--
int f3rnnsc Trnp Rcaf lknin ~_~„
F1onr I)rAin • . _ •Clasr-m Sink __„ ,,, Fxt C~Anc 7rAp ._._ _ Gnindp Rcc ,r.-..
I,ndry TrAyr ~~ Surgcans oink _..-__ R.F.Z., valve - ~ P.ye Wegh Stn
]•ah Rink ,__„-_ ~rewkn» 4i1tk -..-__ 5hBmp Sink _ ,,, Wt- gewcr lrttts .~.----,-
Plaetcr Sink Dip Well •__--•- Flr/Ws1 Cink _.,.- _ DFxh1e? Moen -..~
W:t 1,Igsple hitrA ._..---
Stcrili7~x F~Fn9e Ails _.,r,^
(vl i9e.
rixtur~ --_....
E~ectXic Cants-actalr (fur projcclt;~ slot ~+egai>~issg and FT'lT ~'c-rlnl) (,~ _ ---- - --
L1se ~ NatarE o~ Work ~ ..---_. ~-6 b w s ~ 5a Z ~ 1 (• ~% j
Sine
ganitzZry Sevecr
Storm Sewer
~~:,car service
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t;ann.
olio?
i q}-plic.~tionrs) end ti:r,(a) can be hrouglrt to Git3~ Hall, RoAm 24S or ntAtied tp 1nRpeatian Set'Viceq; PO 13ox t 12l;, Oshkosh Ail
54903-1128, Comme+saing work without permit(s) Will result in fens being douhled or X100.00 plus ~¢ norin~ pe~l7,it f>wa, which