HomeMy WebLinkAbout0133016-Plumbing (water heater)OSHKOSH
ON THE WATER
Job Address 1854 HAZEL ST
CITY OF OSHKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
Owner PATRICIA J MCKEE
No 133016
Create Date 09/22/2008
Contractor J RASMUSSEN PLUMBING INC Category 411 -Residential-Water Heaters Plan
Bathtub
Whirlpool _
Lavatory
Toilet
Res. Sink _
Bar Sink _
Water Heater _
Site Drain _
Roof Drain _
Misc.
Fixtures
Use/Nature
of Work
Shower Water Softner Wait. St. Shamp Sink Coffee Maker
Floor Drain Local Waste Ice Chest Flr/V11st Sink Int Grease Trap
Lndry Tray Clothes Wshr Exam Sink Catch Basin Ext Grease Trap
Disposal Bidet Sculry Sink Wash Ftn RPZ Valve
Dishwasher Beer Tap Hand Sink Urinal Eye Wash Statn
Sump Pump Lab Sink Plaster Sink Standp Rec Wtr Sewer Mtrs
1 Classrm Sink Sterilizer Surgeons Sink Ice Maker Deduct Meters
Breakrm Sink Dip Well F Prep Sink Gar Drain Wtr Usage Mtrs
Ejector/Grind Drink Ftn Serv Sink Soda Disp
Valuation $600.00 Plan Approval $0.00 Permit Fees $25.00 ^ Permit Voided
Issued By ,~~i0 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 appligtion 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
~ a~neauie inspections please can 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.
09/20/2008 11:57 2336747
City of'Qshkosh
)nspc:ctioa Serviceq Division
l' O I3ux 1130
Oshkaclr, Wl 54903-I 1'30
i'hone; (920) 2.'i6-5050
FaY: (920) 236-5084
J RASMUSSEN
Flea robing Permit Application
PAGE 01/01
~/
.l lacreby :tppiy for a pcrntit to do and install tl ;following plumbing on lfte premises Hereinafter described, the work to eon•Porpt 1:0 the
Wisconsin Swlt Plumbing Code, in th porformenee of which all parties hereto agree to and arc bound by said &talutes.
• Application() and te~(sl c;an be brought l , (:itv Hall, Room 20S or mliled to Inspootion Cervices, PO Bux ! ] 28, Qshko9h Wl
54903-1128. Cammel~eia~ work without: >ermit(s) will result in !'ec.~s beir~r doubled or $1 t10.U0 plus t.ht: normal permit tee, w~hieh '
ever is greatCr.
OR
L v:q pre o run/rarlur parlici~ulre~ n tirN I'ermi/ !-' cr••Accc-rr~~! Sv.~l~m uric! hart trr~c~t tr /a/L' furetls. check here
%f uvu w~~lnl thi.e roce.c.yc:d thr_ox.,e•fr,~u rr acrai/nt '- -
** Advisory - Fox alrplicable projects, a i Electrteal Installation Verb cation (EI'V) for)na, signed by' the Electrical!
Contractor or. homeowner (for in,clalla •enats allowed to be perFortnned by the homeo~vrter) must be submitted
with the permYt application, Appli.cati, ps submitted without am l3IV' when such is x+e~oired, w.i[l not be
proccs8ed for Permit Yssua,nce 3rltd will Ie,rctu,raACd Eor conntpletxon,
Job Addrena-J[..~~`'( (~~~ ~ a o ~-
ValUe 1Ltcluding Intor and anatcrielc) ~ Q a ~ ]DBte ~ " d~
Qw~er _ ~ c. '~_ _ _ Cnrttractur ~._p~{,S ~ (~ S SN-~ ~ ~ ~ ~, ,
~ila~le Family ^1)u lex ~ -~
R [ 111u1tr_~'smily ^RentaF. ^Comra>aereisl ~]IndustNal
Ntroaber o~ (Fixtures:
6uthtuh I)ispnv.~l
.....---• Qriuk GYn
Whirlpa~l _-- I)iahw,svhur •. ~.,.- -••--_ C:at<Ill~lnyin
l,nvuturv --- Wail. Si. •-- • Wash F(n
- ._. Sump :'un;p
-- IcrChase 1)rinui
'1'nilel __. F;Iq:IOt'/Grind •-- _ ... _
13xt+ln Sink
R.ds. Sink .. .- Liar ruin
..__. 1n'ulerStfltner -_ ti~;u! ~;Itk,
HarSink _ ~- rY • r .._- .... 5~xla Diap
... _. i.ur:al Waste 1•lanJ Cinlc
W~Ilnr I~oatgr --~._
--~ I:uLFcc Mak:ur
------ C:14L1.1us Wshr -- ......_ Ir 1'np Sink
~'Cws!.iRl~.l!J1'tviVnt .. -.. Cnmin.Itx:Muk4r
T3ida1
3huw~r •-,-- Srrv link
FltgrDruill --•-•• Int(in;r;M'rr>,p _•• Rcloflhain
__.... Caivsrm 3ihk Px1 rtn;nsc'Ptnp --
I.nt1n~ Tray -- -- Slsnclp kcc
~ureeogs Sink -"" --
l ab Sink ~~•- •. r,t'. . VaIvC F'.vC Wash Stn
Pl;tstcr Sink ._.. _ BrCakrm Sink - - -..._._.
_ Stomp Sink ,
- I)ip Wcll -' -- V. ti 1151i'L`r Mtrs
Stcriliaer •, -• .•._ I~lrrW.tSink
._ .--- Flasc liihs ._...... Lkducl A9tacrs
Mix;. -• _-•
Wir• Usage Mtrs
Fi!ttur~+
.Clectri.c: Contractor (for projects not reglui .ink an EIV Form)
Use / N$ture of Work _.......-.._..............._..
- _ _ ~-a-s ~~~~ _
-- Silo Malw-i~ I ~- '-" --, _ ^"
Sanity Irvpr ~ Cone.1''ypc; ~'-'_
ry tiewer
Sturm SCwer
water S~rviea
I-.. ,_ .-
U'7/ (; i