HomeMy WebLinkAbout0133013-Plumbing (water heater)OSHKOSH
ON THE WATER
Job Address 717 W 17TH 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
Valuation
Issued By
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
CITY OF OSHKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
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
Shamp Sink
_ Flr/V11st Sink
Catch Basin
Wash Ftn
Urinal
Standp Rec
Ice Maker
bar Drain
Soda Disp
Date 09/22/2008
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 appliption 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
AgenUOwner
Address 1914 GREENBRIAR TRL OSHKOSH
Date
WI 54904 -8887 Telephone Number 920.231-1289
~~~~QU~~a n~spescuvns pease can me mspecnon 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 KENNETH A STADLER
No 133013
Create Date 09/22/2008
Category 411 -Residential-Water Heaters Plan
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
$7~ Plan Approval $0.00 Permit Fees $25.00 ^ Permit Voided
09/20/2008 07:45 2336747
City o1'Oshkosh
)nspection Services Division
P O aox. 1130
Oshk(ash, WI54y03-1130
Phone; l92q) 7.36-5054
Fax:{92q)23U-Sg84
J RASMUSSEN
Plu gibing Permit Application
~~J
PAGE 01/01
L hereby apply for a permit •tn do and install tl :following plumbing on the premises hcrcinatier ciescriied, the wgrk to (~nfotm to the
1~/IfiCt)LiSI)) StnLU hlutriiYltf~, C.odc, in th Ixafi)rtuance a w)ticit ali parties hereto agree to and Arc bound by Said statutes.
* Applieatian(S) ar)d fee(s) can be brought t , City 1=1a11, iioom 2115 or mailed to Inspecrtion Scrvi(;es, PO Box 1 12K, (35hkosh Wl
54<N13-'I t2$. (:ommencing work without )omit(s) will result in fccs bcin.g daub-cd or $ I (}0.00 plus the normal permit Fee. which
ever ig greater.
OR
~~rr,:~ arg•_n_-e,r)n~rac-u~~cu•licipai, inr n the Permit h' a ~1cc.n«nl S~•l(:m uncl hcfl'4~•udegua~e funds, check_her~_
if z~utt H~artt tfrrs vrocN.ssrti throueh vu rr (~('c,!~t#rr.[•_
** advisory -For applicable projects, a t Electzxcai Instaila~tiao Ve!'i£i(:,~tio~. (lE1V) form, signed by the Electrical
Contractor or Homeownez (for iullstall,a ions allowed to be performed by the hoJmeowmer) mast be svbnutted.
waith the pcrmi.Y application. Applicati~ ~as snbJr>vitted wi.Xl'tont an EXV' when srach is regained, will n.ot be
.processed for PexrtJrit LQ,^uance and will .e retiernecl far cannpletio»..,
on
.fab Address ~. ~~~ _ Vaiue (IncludinKlulx+ranJ materials) ~oD ' ®Ste_` / ~r~b
Owner ~ {~ x.9.1` Contractor ~:.~.~ ~'-'~ k ~ S ~ ~ ~' I y ,~. ~~" G.. ,
~ingle Family Duplex [Multi-Family ^Rentsll ^Co-Inmercial lndaetnial
Nam ben of Fixtu res:
Rxthtub ,_„___ 1)is~o4al •___„ „ Urrrtk 1+Irr --_ Cau:h l~LSit- _,___
Whirlpool. ...---- I)i;;bw~shra~ -_-- Wuit ,y'r, __-- Ways Htn -•-_-...
lavatory, •_--- SrrmpJ'umlr --...__.._. LGCf.~i~"Sr _._._.._ l~rinnl
I'oilol _...__..... lij.clur+r(3rin~ .. Esrmt Sink __., - Uur Urnicr _,
Rd. Sint: , ,....., .-, WutcrSoRncr • •_•_ •_, Scuiry Sink _-_, SotlaDisp _,_,__.
RarSink __ Lrx,d Wa¢tr, IlarKl ~i[tk _.-__ CUJr~~c Maker __,__._
Wetcr Hunter , -, ~,,. Clolhu^s Wslrr _,,,,, F•' Pn:p Sink
• ~ Comm. Icr; Mbkcr
:I L'I~~ct IJ I'wrVnt Rirk:I
~Prv Oink
.__ ._ .._ ..•--
SiW Uruirr
. _...
~110uwr
-- --• RCBi 'L•Kr
....... Int (u•r:esc 'I'ryp ...,
. -,..._
Ruof l)min
Flair 1:)nin _-- <;:I~ccrm `ink _..__ r•;xl Grs:nsr:'1.'rtp S(>In(1F I'<ec: ..
Lndry Trry --
_`..- 5a ona Sink
1.1b Sink ~
_._.._ . K.I ,7. Vnlvv
_ _ _ F:ym ~V~ih Stn _ _
•
_..._. _. Krndutn Sick _..-._ 9bnmp Sink Wtr Sewer Mfrs
PlaatcrSink _ 1)i WuIJ
P
_ ... _ I~ir/Wct Sink -__
__
I)ocluer Mct¢r~
Sterilizer .._.._...
--•-, I[v~t:llih~
Misc. --• •-•• Wtr Usake Mfrs
- -•
l~ixturos
Elet*.tric Contractor (for project
s not regni •in~ stla k:ZV Fc-rm)
n
iJse /Nature of Work ' ` _~ ,
~ (N
-~.~- Size _ ~ Msterir I -..- ~- ryt~ #J'-. ~~ Conn. Tvne~~~-~
Sanitary Sewer
Storm Sewer
Water Service
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