HomeMy WebLinkAbout2008-Plumbing (kitchen sink)OSHKOSH
ON THE WATER
Job Address 1115 WASHINGTON AVE
CITY OF OSHKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
Owner DEBORAH S LAFFIN
No 133017
Create Date 09/22/2008
__.
Plan
Contractor J RASMUSSEN PLUMBING INC Category 410 -Residential-Interior
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
Valuation
Issued By
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
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
i o scneaule 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.
_ Shower Water Softner Wait. St. Shamp Sink
_ Floor Drain Local Waste Ice Chest FldWst Sink
Lndry Tray Clothes Wshr Exam Sink Catch Basin
_ Disposal Bidet Sculry Sink Wash Ftn
1 Dishwasher Beer Tap Hand Sink Urinal
_ Sump Pump Lab Sink Plaster Sink Standp Rec
_ Classrm Sink Sterilizer Surgeons Sink Ice Maker
_ Breakrm Sink Dip Well F Prep Sink Gar Drain
_ Ejector/Grind Drink Ftn Serv Sink Soda Disp
$3,000.00 Plan Approval $0.00 Permit Fees $25.00 ^ Permit Voided
~-
09/20/2008 07:53 2336747
City of Oshkosh
Inspection Scn•ic~ f.~ivi5ion
P O Box 1130
Oshkosh, WJ ,54903-I 1.30
Phone: (920) 23fi-5050
F'sut: (420) Z3G-3084
J RASMUSSEN
Pltu gibing Permit Application
PAGE 01/01
t;,N THE WAl'Flt
t hereby xppJy for a pemtit to do and instal I tl : Jnl Irrwing phunbi.ng on the prc;mises hereinafter described, the work to conform to the
Wistwnsin State Plumbing C`.ode, in th performance of which all partiee hereto l~gree ro zed :<re bound by said statutes.
• Applicatiun(3) and fee(s) can be brought l ~ City FhrJJ, Room 205 or mailed to Inspection Cervices. PO fox I12R, Oshkosh WI
549p3-'I 12R. ('ominenc:ing work without rernlit(s) wilt result in foes being doltblcd or ~100_UO plus the normal permit fee, which
evCr is greKter.
qR
if VUZf al'C h r't)rllri7t`Ir,r j]C~Yilt:'1 r[rlf771r_ ;r fl'~~„1,4'1;
1 vuu w~un! this vroc<rssc~d thrariph uc, Ir aecu~trr
k
*" Advisory -For airpJ.icable projects, a t Electrit:al Installation VexJficatiion (EIS form, signed by the Etecfiinical,
Contractor or I'lomeowner (for ins(:a11a ions allowed to be perFormed by the homco~vner) mast be submitted
with the permit applieattion. Applicati' ~ns submitted. witfioat an ExV wbeJn sack Js repaired, wi;(1 not be
processed iro:t• 1'er[uJit Is;ilsnamce atnld wiXl ,e zetuJrxaed foz cormnle4mt.
Job Address ` Oo °~ 6.-t7~
.- ~ / ~ J ~ ~`~~_~~___~ ~S1JUe (Including Lthnr and mar~:riulvJ ~~ Ste ~ ~/~~,~
Ovvnet• L~~~t "' Co~atractor ~, ~~ P~.~ ~*, '~ S G ~ ~ ~N ~.
--„~L5_._ _..._ ~..__.-~~
Single FaimiJy ^>)uplex [ ~v[uJti-family ^R~eotal OCollmlmercial ~ iodustriat
Number cif Jr i1-tu res:
Nuthtub _. I,>i::1.~•~rtl ---•-- I)nnk I~tn _.._..- _ Catt:h ftZlsirt •---
Whtrlpp(it •--- Ilitihwu;ther -_....__ Wail.. tiL _-__ W~1SI1 FUI ..,,..,, .
1.~+oat~)ry Sump !'ump -- --..... la: ('Itext• -.._ . llrinul - -...._.
'fnilttt ___- lijechir/(;rind _ _. •• k;x.mt Sink _
- C•i;n~ p~~iq
Res. fink . ~ ,_•,
WxterSpftn~r _ -_
Scu!iy Sink ___
5odn Qixp ,.
13ar Sink •--... I,(x;aJ WB;ae ,--....._ I h.md \ink _ GdFec Maker
---..
Ware:r I•IttawY (.Iothcs Wshr _..._-- I~ Nn;p Sink Cum,». Ice Ma4:er
I ICjng I I F.ilt;t;l' ~ 1'wr\hn --.. -•--
ahvw~:r t}iii
•-•--- S~:r<~ fink
..--.. Site Ihnin •--
-- .. i3a;r'fap
_.. _.
Inr (.ir6'35~ 'l'raP
Rnof Untie
.__._....
Lndry'Jy;~Y t:lussrm Sink -- .. _ list (irnrls~'Ctap - -
_ - S6~ndp KeC
-.- - •
_ ._. ..
IahCink Swg~rogc Sink
-.~- R. r /., Vnl ve
•---._. r?yw Wash Stn
.._ _.
Nloata;r Sink Eire:ukrm Stnk
_.. _
- - $Ittunp tiink
-- \'Vtr Scwt:r Mfrs
- .,_... .
-- -,.. 1~ip \:'CII
_... r
Ir/Wsl Sink .Deduct Moen
'- •--•• I (VSC I31I7N
Misc. _- Wtr l)sapc Mtrs ._ ._.
Fixtures
Electric Colrrtralctor (for project's not requi •in~ an EiV Ja~orm)
Use / Natulre of Work ~ a / --
f-•- -..,...- Sipe ._ -~ -
M.atcrii I~- TYf~ _- -_ ~. _~__.-
# ~C:.oen. Type
Sanitary Sewer
Storm Sewer
Water Service
a~i~~