HomeMy WebLinkAbout0132605-Plumbing (repipe urinals)CITY OF OSHKOSH
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1100 W SMITH AVE
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.
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
`Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
Valuation
Issued By
Owner OSH AREA SCHL DIST NORTH HIGH
Category 440 -Industrial-Interior
Water Softner
Local Waste
Clothes Wshr
Bidet
Beer Tap
Lab Sink
Sterilizer
Dip Well
Drink Ftn
Wait. St.
Ice Chest
Exam Sink
Sculry Sink
Hand Sink
Plaster Sink
Surgeons Sink
F Prep Sink
Serv Sink
No 132605
Create Date 09/02/2008
Plan
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Shamp Sink
FIrIYVst Sink
Catch Basin
Wash Ftn
Urinal
Standp Rec
Ice Maker
Gar Drain
Soda Disp
Date 09/02/2008
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
~ u scneau~e mspeczions pease can the mspectlon 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.
$3,000.00 Plan Approval $0.00 Permit Fees $25.00 ^ Permit Voided
08/31/2008 11:39 2336747 J RASfrXAJSSEN PAGE 01/01
Oily ~f 4ghkosn
Inspeea~ion Services Q1u1910n
P O Box l 130
Oshkosh, WI 54903-1134
Pho»e: (920)236-5050
Rax:(92Q)236-SO$F4
UN THE WATF_'F '
Pi~mbin~g Permit Applica .ion
( hereby apply for a permit to do attd install fire following plumbing o» the premises he einafCer described, the work to conform to the
Wisconsin $tste pltmtbtng Code., in the perfrnmance ofi which all partite hct•ctn ~rx to and are hound by said statutes. '
• Application(s) aa+d fee{s) can be brought to City Nall, Room 205 ar mailed to Inspe :tion Scrvie~s, AO Box 1128, Oshkosh WT
54903-1128. Commencing work without pexntit(s) will result in fees being doable or $100.04 plus the nortnsl permit 1be. which
ever is greater. ;
OR ~
if you ore a cQntrarinr,~a~icinnrrnQ i~_!he P~~•mir F'.AE Acco,~nt $j~le~ .and have adeastarc~ 1'undQ. eAeek lter¢
~* Adviaorg -For, altptiicable pra-jeets, a>n Eleet>ri.cAl 1<nstal(atia~l- Verifilcatli~ n (F~ .faat~a, sig>nted, by the Electrical
Coxttractolr ot: F[almetnvvrter (for flnstaXlatiolns eltowed tat be perf'etelxted (ry 1 -e hottaeowner) must be s>lbtlnitti*_d
with tht: pcnlnlit application. Applications submitted with,ont ~ R;(V wba n stolch is Irea;nircd~ will trot; be
processed far Permit issotvltce ~Itd wt~I ire Iret4rned for icatmpletiayxu.
Job ,A,dd.ress f ~ D LJ_ S nti ~ ~ o
1 / ~ VR~Ue (Including labor and materiale)~ ~ D ~ D~ nStC V ~ ~+ ~~
Owner ~! o/'~ yQ'. ~~. s ~.~va 1 Contractor ~~ PrS M__t~ SS~u~ ~P ~ ~ ~rG .
^Single FamNl~ ^Duplax []Multi-Family [~Rcntel ~ c~Colmnnercla(~lrlydnstr}Al
Number of Fixtures:
liethtub T1i9rp3A1
Whlrlpnol AishnroFher
L,avMOrY _._ Smr+p l'wrK+ -^
'toilet __ BjtKmr/OnnQ _
ReS, S.nk Water $oflncx
_-
Her Slnk L.ocnl Waste
^Y~
WaterHeBter Clothes Wshr
,
I.I Gae l t 61oct I, I Pwryot 6ida
~~~
Shower 1~ecrTep
Flr,pr Drain _ Claoatm Sink
.•_.,..~.
[.nthy Troy ....,~ 3urytenne $ink
l.ab Sink .__...... Rrenkrm Oink
Flastsr Sink i)ip Well .___
Stcriiirrr HnsC Tiil~
Misc.
Fixates
Urihk tRrt ~„r„r _ Catch Aanin
WnF~ St. Wash FYn
Ice Cheat p a,tw'e1
1Jrlnrl 1 ~ r i -~~~N~ ~'•
Exam S ink _. C.ar ptntn ____,,.,,,,.
Sculry sink soda Dlap -......_.
Hand sink CofFee Maker ,
F Prep Sink (^.pmm, Ice Mekn
3orv Sink ~~ , Site Crain _-
Tnt C3rtx~4c Tre(f Rnnfnntin _„_~.
F,.xt Gneaac Trap - - SMndp Rcc
R.P.2. valve _,_,_, ,,_ P.ye Wash 5m
Shamp Sink ~ „ ~vtr ,^~~wrr Mtrs
F1r/Wal rink __.-- _ T)cAucr.Metcra „__
wtr Vic Mtrs _
electric Contractor (#or ~aroject~ plot re~nirin~ an F,#'V' Form)
Use ~ Na~tlu re of work R~- Q (a ~ R ~ 0 Li,NN rr ~ ~ r~, ~ w s .. ~ A r ~ .~ ~ % ~, % ,~.
~----
Size Material "type # Conn. Type
Sanitary Sewer
Storm Sewer
water $crvlce
o~io-+