HomeMy WebLinkAbout0133015-Plumbing (water heater)OSHKOSH
ON THE WATER
Job Address 220 E LINCOLN 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
Owner DAVID L VEITH
No 133015
Create Date 09/22/2008
Category 411 -Residential-Water Heaters Plan
Shower Water Softner Wait. St.
_ Floor Drain Local Waste Ice Chest
Lndry Tray Clothes Wshr Exam Sink
_ Disposal Bidet Sculry Sink
Dishwasher Beer Tap Hand Sink
Sump Pump Lab Sink Plaster Sink
1 Classrm Sink Sterilizer .. Surgeons Sink
Breakrm Sink Dip Well F Prep Sink
_ Ejector/Grind Drink Ftn Serv: Sink
Shamp Sink
_ Flr/V11st Sink
_ Catch Basin
_ Wash Ftn
Urinal
,~ Standp Rec
.Ice Maker
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Valuation $600.00 Plan Approval $0.00 permit Fees $25.00 ^ Permit Voided
Issued By ~~~`~'~ Date 09/22/2008
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the
easement holder(s) and to secure any necessary approvals before starting such activity.
Signature
Agent/Owner
Address 1914 GREENBRIAR TRL OSHKOSH
Date
WI 54904 - 8887 Telephone Number 920-231-1289
~ o scneauie mspectlons please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
CITY OF OSHKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
09/20/2008 08:11 2336747
City of Oshk<)vh
lnspcx:tion Services Division
[' O 13ox 113(1
Oshkosh, WI 54U03-I !3U
Phone: (920) 7z6-SUSU
J RASMUSSEN
PI~I tubing Rern~ei# Applica#ion
\~,~
PAGE 01/01
l heroby apply ti;tr a permit to do )in(r install tl a tiHbwing plumping an the premises here:inatter describcQ, the work m confor. rn to (ht
Wisconsin State Plumbing ("ode, in th perfarrnunuc of which all parties hereto :~~r,;a to and are tx)und by said statutes.
• tlpplicatidn(s)Rnd fee(s) can be brought ! ~ City HaJI, Itoarrt 2U5 or !nailed to Inspection gerviccs. PO l3ax 1128, c~yh[cnah Wl
54903-I IZ$. (;olnmcnt.,ing work without ,ermit(s) will result i,l (etas being doubled or $1UU.U0 plus the normal permit fee, whi~.h
ever is greater,
OP.
lt~izr rare a cnnr'rui fur aur~lci,~,urinQ ~~ tlrE.,.Pa:~-mir r:_N Accutrre/ 1,y,rlem unc/ hcr~~e n F..crare liindv. check
/O~ yoxr u~crnr Ylri.v 1)ryice.e.t•erf /hri~~~ •!r t~ , fir; GICCUtlrrl -..f~ ~ y -_._hNr~
•- ~~. s, _
'"* AdWisory -Fox aplsiicable projects, a i. E[ectri,cal Anstaliaricon Verification (EYd) form, srgaed by the F.l.ectrical
Contractor or Homeowner (for iinytall.a ~iomis allowed to be perfor,mied by the >gotnleowner} nnuri be sobmitced,
with, tlhe permit application. ADpiicatil as sub~aitted wwiithout an EIV' when such is required, will not be
proccaQed for Permit lssuance and will •e returned for completion,,
Job ~ddress~ ) ~ ~ ~i ~ pA- ~ e ~-- f I i°,~
~~` __..,_ ~G ~ Vul~ie (1nt:ludinr.1111Jtti1 anti mstarials) date--~
4wlaer _~ ~~_..-..~ _ C:ontracl'or ~ • ~S Ih ~ S•~ ~' ~ ~~ j .:~N c.
Single Farniily ^nvplex [Multi-Family ^R~ntal ^Connrrtercial ~l~ndu4tCitt! •-
Nu»raher of Fixturev.
6alhtub ,___ I')isl~ts;d •____ I,;nuk Ffi
_..
_.__.... Catlch lHasm
Whirlpool
I)ishwashor
- .... Wair. S,• _
Wa,~It Fm
--- •
L.avalory _.
•r• :~ hemp Pump --- -- h;r• t;hGtir ..
.. •
I Irinul
. `-•-- ..-- ~:•hcuwvrl°° .._.. _ _. F~kam Sink tiYr 1)r~in
R~• Sink
..-.. __ Wakr Seftner
-.._ _.. 5culry sink --
StxL Qisp --
... ..-
13;trSink _ _
t4'
t
I I
~ Luca! Wa;;tc _ ..__ Horn! Sink CalYee Mrkcr
.~_..-
a
cr
~,lcr
~n•", l! t~cx;l I ~ 1'wr'Vnl C'IOtb~; wshr N E'rt.. Sinl
.. -- T _
---•-- ~:nm~n. Ice Maker -
liirla•, __ Scrv Sink
Floor l),pi,l ~~'~ r'tp .. _... _. 1nr iirc~xE; •1'rup
,.. Rno1'll,ain
Lnthy T'rt,y _. - Claxtrm Sink ~-- Gxt Cilk•ast: Trap --.._ stand RPt
l..ah Sink
...... - ••-- R.t~./_. Va,lvt:
-_.
liyc WnshStn
...
N(u~r Oink
- ~~•_ Brr.:,klm tiirk
---- $hamp Sin]; -
...._
Wtr tiawerMtra
Stelili:et;r
I)Ip ~~oll
111•/1V~t :link
' "' ' ~ _
__
l:kduct 41t,Mers
Misc. -- -- wli 1.13sKC Mas
1~IYiUI'~$
Tlectric Coatra~w~or (for projects not re+qui •ilag an .F~XV Form) _
iJse /Nature of Work
-~
T ~~
~ ~~Qs,~~
r _ _ ~
--
~"`
Sive Materi+ : ~
~-"-"`~"
Type '~
t"
~
, c,nn, Tvpe
~
Sanitary Sewer I
Storm Sewer
Wafter Service
07/u~