HomeMy WebLinkAbout0132824-Plumbing (water heater)OSHKOSH
ON THE WATER
Job Address 168 W 25TH AVE
CITY OF OSHKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
Owner PAUL H LUDVIGSON
No 132824
Create Date 09/11/2008
Category 411 -Residential-Water Heaters Plan
Contractor RAPID SOFT LLC
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
Valuation
Shower Water Softner Wait. St. Shamp Sink
_ Floor Drain Local Waste ice Chest Flr/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 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
Issued By S.1 - 1 t ~ Date 09/11/2008
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
Agent/Owner
Address N1284 CRANDON CT GREENVILLE
Date
WI 54942 - 9750 Telephone Number 757-6130
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.
$700.00 Plan Approval $0.00 Permit Fees $25.00 ^ Permit Voided
City of Oshkosh
Inspection Services Division
P O Bax 1130
Oshkosh, WI 54903-1130
Phorre:(920)236-5050
Fax: (920) 236-5084
~~HK !H
ON THE WATER
Plumbing Permit Application
I hereby apply for a permit to do and install the following pltunbing on the premises hereinafter described, the work to conform to the
Wisconsin State Plumbing Code, in the performance of which all parties hereto agree to and are bound 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
Job Address ~~~ ~ S' ~ ~ T• Value (Including labor and materials) ~0. C~ C~ Date,~~T~
Owner .,. / L ~.~~ saw. Contractor ~~v9 ~ ~ Sd „~- L 4 ~'
Single Family QDuplex QMulti-Family QRental QCommercial QIndustrial
Number of Fixtures:
Bathtub ______ Lndry Standp
Whirlpool Disposal
Lavatory Dishwasher
Toilet Sump Pump
Res. Sink EjectorlGrind
Bar Sink Water Softt-er
Water Heater 1 Local Waste
Gas C Effect U PwrVnt Clothes Wshr
Shower Bidct
Floor Drain Beer Tap
indry Tray Classrm Sink
Lab Sink Surgeons Sink
Plaster Sink Breakrm Sink
Sterilizer
Dent. Oper. Shamp Sink
Dip Well Flr/Wst Sink
Drink Ftn Catch Basin
Wait. St. Wash Ftn
!ce Chest Urinal
Exam Sink Gar Drain
Scuhy Sink Soda Disp
Hand Sink Coffce Maker
F Prep Sink lce Maker
Serv Sink Site Drain
Int Grease Trap Roof Drain
Ext Grease Trap Standp Rec
Electric Contractor _
Use !Nature of Work
OR QElectric Installation Verification form attached
(If Replacement)
Size Material
Sanitary Sewer
Storm Sewer
Water Service
Type # Conn. Type