HomeMy WebLinkAbout0133110-Plumbing (basement)OSHKOSH
ON THE WATER
Job Address 54 LAKE ST
CITY OF OSHKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
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 MICHAEL A/CINDY S PANAS
No 133110
Create Date 09/25/2008
Parcel Id #
0803220100
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Valuation $1 00.00 Plan Approval $0.00 Permit Fees $25.00 ^ Permit Voided
Issued By
Category 410 -Residential-Interior
Plan
Shower Water Softner Wait. St. Shamp Sink Coffee Maker
Floor Drain Local Waste Ice Chest FIrIWst Sink Int Grease Trap
1 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 Statn
_ Sump Pump Lab Sink Plaster Sink Standp Rec Wtr Sewer Mtrs
Classrm Sink Sterilizer Surgeons Sink Ice Maker Deduct Meters
_ Breakrm Sink Dip Weil F Prep Sink Gar Drain Wtr Usage Mtrs
Ejector/Grind Drink Ftn Serv Sink Soda Disp
.FR /Replace lav and toilet in basement. Insta-I building drain back water valve. '*debit acct
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 pertormed within two business days from the time the project is ready.
09/24/2008 17:15 2336747 J RASMUSSEN PAGE 01/01
C:iiy of r~hkosh
lnspactiort Ser~•icec Division
i' O 13ox.11:30
Oshkosh, WJ S4~)0.3- 113Q
Phone: (92(1) 7.3.(r505t)
h'~: (920 za6-sosa ..-_ _. _ _ ~_~.
Plc.l ,~bing PQrenit ApplicatFOn «~ r~F wAT~~ -
l hereby apply ti),r a permit t0 do and install tl : following pl~tmhing o» the premises hereinafter dc.,cribed, the wt~rk to conform to the
Wiscoesin Std Plumbing Code, in th performance oi'which alI p=ubes hereto agrcx~ to and arC bound by said stsitutes.
~pplieAtion(s) antl fee(s) can be brought t ~ City I•lall, loom 205 or mailed to inspcc;tion Services, FO Box 1128, tlshkosh Wl
~q'~~- 1128_ C:omrneneiog work without lemiit(s) will rGVUIt is fees being doubled or $1 00.00 plus the norms! Hermit fee, which
ever is greater.
OR
~Lo.xr ureg a c•nnlrcrc•~ur_°ur7J~~R)r~ a the? Frz.r-rni[ (' ~• ,gc•rrrrant .S srK~ one/ hrt.re cr c.
~vurJ i+~crn-_/his' nrocrrsscrcl ~hror~ vo ~r• accorarr~ -~ --~'2uct+fc 'trnds,_check,hErr
i
~"~ Ad~isury - ~"ox appl'.icab.le projects, a ~ Electrical Installation Verification (Elm fog, signed bq the Electrical
Contractor or Homleovvrler (for installs -ions allnwed to be performed by the >hotttcvwner) nmet be submitted.
with the pert!nit alsplication. Applicati~ a sab><nitted w~i•tinout sat F.TV when snch is required, 'will Inot be
processed fox Permit ,Issuance attd wi11 le rett»ed for zompletioa.
Jotr Add)res.~_-- ~~. ~ ~r K ~Q I,~..~~ q
~'l Vll~l1C (lncfuding I:Ilx~rarxl Igatcril+ls)_ _ ~BtC ~'~O`~~ 8
QWn~ I@ 1Fa ~~r ~S ~ - ~OiltrdClkOr , ~ ~'y ~ ,yN
~ milY ^Duplcx [Multi-Rsmily ^itenral OCoxnllrkcrcial .industrial
1Yum ber of Fixl'u rN~:
Hathtub •,_---- 1'fia~ir,~sal
Whirl •-- .- I•~rntk f•'rn
~'I -_ J)i~hwmshcr - ...- Catch llasin
~`ait.. ~L - -
l..tvalury -_. ~ - Sump pump -,....- - ---- W+4ih Ftn
'i ililcr -I - - Ice Cheat - •_• - --
•- lilrctnr/Grind Uriga(
REa Sink -.- _.. 1'sxam Sink r~ur Dr,~in .. _ --
watl!e $OIh1lY -.- • •-
i1Flr$Illk -_____ Suilry ,illlk •- ..
..------~ L.nral Waalc ~. Saia giep
Wlnor l•Ic11Wr --- . 1•Idnd .Sink Cvl}oc M;,ker - .-.
:aU.•eSLlElec:l!.,1'wrVnt C'IOthoaWshr - _ f•~~ `-'- _.,,__
p Sink Comm, )a: M;Ilcer
Shower Riilut --- - .
-_- -- Scrv Sink Fi • ~
~w+•'p;+p _- l4 L rain
~'laor l)rnin .- -- .... __..- Inr t.irL'9Se) 1'r,yp ..-
1'I:,Ix~rm Sink • - -- Rt1gt'Jhntlh
f.ndry'Priry ......_ ..__ -'•-- ft+,lc'ira~acTr,lp __. _.
5urgcq~ Fink • --- ~L•uldp ltcc
1.Itb Sink _ .._.. -. --.._. R.l'./_. \ralvc ~ -•-
K+tr~krm S+nk ••- F=Y~ ~'~ah Stn
PlaatcrSink _ --... ShampSi+tl: -.-
-' I)ip tvcll -----• Wtr SCWL•r Miry
Stclihxer __ _ 1~!dlVsl.Sink _...--
yisC. 11n;,~; [iih;: _ ..-. f)Fatue:t Motcra _
1ti~tUle4 -_ __ Vlelr IJ.vAKe M.trs _ .
Electric. Coltractor (for ~rojecl~ not reglua •in~ an EIV ~'ornrl
Use /Nature of'Work p ' - I , ~1-"'
--~-~~•e~„~' ~- -h' .~?- ~'N ~~.oti.~ ~Dw a ~cd ~-
Sanitary Setvcr --••- -• - -•
Storm Sewer ~~ S~ ~~ ~~~ ~ ~ ~ `~ ~`~ ~ ~ N 8 ~-~fZ !.~'~~'tJ' 2 ~~
WAter Service-
-..- _
--- - ,. - - ~-_ - .-,-._ ----- I
fs7l;l7