HomeMy WebLinkAbout0133112-Plumbing (toilet)OSHKOSH
ON THE WATER
Job Address 402 W 14TH AVE
CITY OF OSHKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
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
Size Material Type # Conn. Type
Sanitary Sewer
Stone Sewer
Water Service
Owner RICHARD/BARBARA SITZBERGER
Valuation $300.00 Plan Approval $0.00 Permit Fees $25.00 ^ Permit Voided
Issued By
Parcel Id #
0907240000
Date 09/25/2008
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 Date
Agent/Owner
Address 1914 GREENBRIAR TRL OSHKOSH
WI 54904 - 8887 Telephone Number 920-231-1289
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.
No 133112
Create Date 09/25/2008
Plan
_ Shower Water Softner Wait. St. Shamp Sink Coffee Maker
_ Floor Drain Local Waste Ice Chest Flr/Wst Sink Int Grease Trap
Lndry Tray Clothes Wshr Exam Sink Catch Basin Ext Grease Trap
1 Disposal Bidet Sculry Sink Wash Ftn RPZ Valve
_ Dishwasher Beer Tap Hand Sink Urinal Eye Wash State
_ Sump Pump Lab Sink Plaster Sink Standp Rec Wtr Sewer Mtrs
_ 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
iuplex /Replace toilet in upper unit. '*debit acct
09/25/2008 10:23 2336747 J RASMUSSEN PAGE 01101
Z''rty of Oshitosh
Inspection Sc:n~ices Division
~nBox11:30
Oshkosh, WI S~t9o3-1130
1~honc: (9Z~) 23G-~bSU
F'ax: (9201236-5084
Plu bin P ~~: ~a,F-~
9 ermit Application
l hereby apply fUr a permit to do rand iJt3ta11 tl , t'i,llowir
Wisconsin State Plumbing Code, in th ~ pl°n'Ihlrtg on the premises hc;reinat~.cr de~erihcd, the work tq con•form to (•hr
perSorrnance r)f^whiC;h Etll pa-tics hereto ~Jgret; t~ and arc Iwund by Bald sttitutcs-
~ ~ PPlication 's
ry l) ~~ Fee(s) can be brought (, Ciro l.ial), Room 21}S grmxiled to fns
.54.903-'I TAR, Commonciag work w'rtbout tern•Fit(s) will result ir- fet:s beitJg doubled or $1pU-(.)0 Ilrs the
ever is greatCr. ~'nOD Sc~'ices. Iy013uX ! J <<^R, Oshkosh W(
OR p nctrma.l permit tee, which
~.vvrt crra ~~ ron~ruc(u~r~rr~nf17~ rr J'he Permit F' c
~..~`J71,~~-arrt 1hi~• ,roccss~yd (hrorx h v!r r • .,-Accvirnr,5~,~~lem um! frui!c~ crdc: xra~e :rncl,.
-••~.- ! a~~zrrrr ~ - - -.3~~-_,_c•l~eck herd
~~' Adv!isorp -For appl;cable projects, a ~ Electxica! peas
Contractor or ~iomeowner (for inslall.A ions tallation Ver;Fication IV F
~vitl~t the allowed tv be perFornacd b tihe ~ A ~' si>~ned by the ]Flectrir,,.e!
Pernut application. Apptdcaty~ ~nc subrn.itt,ecY with Y o>~eowne~r) must be 4olbmitted
processed filr perJ~nit Issuance artd out an EX'V'Whe>m stach;s tie cored
~! 'e retuxaed far crarapleti.on,. ~ ~ ,wit] sot be
Job A,~~ross ~D F} ,n
--~ ~ ~~r ~ , Valave 1 - 0 0
(Irlclutiint; labo, anti m:urriAly 3 'fit
Owner s i -~, ~a.c -- •`..- Date ~ ~• Yro ~
^Single pami! ~~-'-- - Contractor _ ~, •S M SS ~•--~'"
y n'uplex [ lYlulti-Family - ~~ `fi I ~ ~N~
~ttenta! ^Comtmercial Iiadu~#rial~..-
Num bet of Fixtures:
lsuthtub
6Vhirlpvol .- -- f ~iytwti9l
-- •-- •
--- Ili~:hwp;;hcr
• 1]rir,k F~In
-'•~-•- Gj~CWrlf.Jrind •--^-
Rat Sink .-. ..-.
--- - Wylcr SvRncr F.xnni Sink - --
B:arSink -- •-
- .-. I..ucel Wa¢tC :icuhySink z
Wirtcr I1a,lc1 _ _ -- •- .
CIuOi~'S WSh,•
'.IGa;;!.I F:Jctil! ~ 1'wrv ,;land .Sink - •-
_ --
ShutivN.r - -_
nt
I~itl~M h Prep Sink _ ,_.
Plgor 1)m;n - - --•-
REx:r'I';tp Scrv eigk
•---
-
-
I,ndry T,~,y --• t"lassrn; tiink •• _. - Intlircasc'I'~ap
_
Lah fiink _ _
- Sur -^- -
moony Sink _.. _.
LYI ~l,'BiLYt1 •(~ryn
_
-
Plaster Sihk
....- Ltrc;lkrni Sirk - ..- --....-
R•l'./. Valve
_
•--•
_
Stcriliz~r nip Noll - - ~•- --
Shemp fink
_
__
MISC.
Ilcsc (3ihs - _ _
F1rM'vt;;ink
Elec#ric C:oetra~~t
o r (for pt•ojec#s not requi •in
CTse / Natuir
f ); ~n EZ V !+or
m)
e o
Work -
`.
I Sanitary Sower Type
~ - `~ Cann, yT Pe
Storm Scwc;r
Wager Senriec
Catch k3asin
W:ISII H'LI
lh•inul
Ciw• Umic
Sall t?i;:p
C:ol'rae Mulcar
Comm, Ice Maker
She Ursin
Rrtnf Lha in
Slandp RCo
F~Yo Wa;rh Ctn
Deduct Mcterr
Wtr Uaaxe Mar,
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