HomeMy WebLinkAbout0133572-Plumbing (water heater)OSHKOSH
ON THE WATER
Job Address 146 W 21ST AvE
CITY OF OSHKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
Owner MR/MRS LAWRENCE ABRAHAM
No 133572
Create Date 10/20/2008
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
Category 411 -Residential-Water Heaters Plan
_ Shower Water Softner Wait. St. Shamp Sink
_ Floor Drain Local Waste Ice Chest FIr/Wst Sink
Lndry Tray Clothes Wshr Exam Sink Catch Basin
_ Disposal Bidet Sculry Sink Wash Ftn
Dishwasher Beer Tap Hand Sink Urinal
_ Sump Pump Lab Sink Plaster Sink Standp Rec
1 Classrm Sink Sterilizer Surgeons Sink Ice Maker
Breaknn Sink Dip Well F Prep Sink Gar Drain
Ejector/Grind Drink Ftn Serv Sink Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Valuation $650.00 Plan Approval $0.00 Permit Fees $25.00 ^ Permit Voided
Issued By ~jJ~(~ Date 10/20/2008
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
~~~~Q~u~~ ~nspecuvns pease can me inspection Kequest 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.
10/19/2008 13:34 2336747
(;ity at Oshkosh
lnspectyc~n Services Divisiutt
POI3Ux 1130
Oshkosh. WI 54903-1130
Phanu:(920)236-SU50
F'ax: (92U) 236-5084
J RASMUSSEN
Plumbing Parirrtit Application
PAGE 01/01
~- Y `
r_iN ~Wr• 1kA7FR
L hereby apply lpr d pCrmit I,b do and irlsttlll rl ; ti,llowin~ plumbio}; on the premises hereinafter de:scribcd, the work to conform to the
Wi&conl;in Smte Plumbin-x C.'nde, in tlt perfacmance of wfiieh:ill parties horcto agree to tittd are bound by said statutes.
Application(s):and tee(s) ran bz brou~hi t ~ Ci(y Hall, Room 205 or rrtailed to Jnspection Services, IBC) E3ox 1128_ bshkosh W[
54U0.3-1128. C:omrnencing wnrk withnut >ermit(s) will rosult in feex being dotabicd or $100.00 plus the normal permit [ce, which
ever is greater.
OR
,~~_,}!~>u,t)r~,•r! c'pn/rCIG:!•r,~r~~e~(~G'inuFing rz the Permit F e -deeur~rri .Sy..•lem ar~cl hur•e ade~ itnte -ands. eh~ck hers
if vvu ts'c-nt rhi,r vrvice,rsed rhrou~h ~u rr acc~rtrnr__
** Advisory -For applicable projects, P t Electrical li>!stallatlion VeR•i~cation (ETV) form, sitgtxed l-9 the p;lectrical
Contractor oar X~otneowaoer (for. iunstalia ions allowed to be perforla-ed by the homeowners must be sublaolitted
'ovith the permit application. Applicati, ~nc sabuitted without ata EN when such. is required, will not be
processed for Permit Issuance and will ~ returned for completion.
.fob Addrews 1 y ~', ~ ?~ _ vallae (Int:ltalil,ktulx+r tln~l n~tt~ri,+ls- ~ _ Date~~, ._
Owner ,b; ~r k ~l~ _ Contr~octor ~• R~:S i~ t~ Ss ~ lti ~#' I r ~ :~N c, ,
`~c Single Family ^fluplex [Multi-Family []Rental QCommercral ~]Tn~dustria,l
Number of Fixtures:
Bathtub •_-- 17icutittal lh'n,k l~tn
--___
Whirltxxfl I)itihwasber __. .._- Wait. Si.
- ---- ..
l avalgrV ._. Sump Ptnnp -..._. k:~r Cl,e6t
--•--
1'nilct ___ l~iuaor/(irinti
_- _._. I~xtmt fink
R~+.9ink •,--•- Wutcr9oFtncr 5culrySink
Hat Sink ._ I,ocuJ WaKtc
--- liantl Sink
Water 1•Icmter ~
• Clvthcs Wshr
-- [••' Pr~q~ tiink ..-_-.
Dlr6aal.l Elert' ~ I'wiV~,l -•_ ~ •
[3idct
-- .-.. Scr~• Sink
$huK•er _ _
' Beer Tit ~
-
f•
loor fht,in ••
•
--- C;I;gssm, Sink --- .,
.. I:Sxt Grease Trip
I.ndry Tray -•-
__~ Surn,C~ns Slnk
--•- R
t'
J
Valve
lab Sink .
.
,.
_.._
... _.. _.. ttrr.:,l;rm Cink
- Shrlmp tiink
PlaaOCr Sink ---
_- ._. ,
Sterili~Kr 1)iN Well _
- , .
I~IrM~I Sink
........~
_.. ~. I(usc Bibs
Mi,et:, - ...-
Fl\Qlf~'S
U+ lectric Cartraetor (for proj
ects not requi 'ing an k;X~ Fornn)
n --
Use / i~Tatu re of 'Work ' __ Imo; If
~`
~
--~,--
,..~,~_
Siu~•••• Maceri, I - • TypE '• ~
5attititry Sewer
Storm Cewer
Water Service
Catch Hasin
Wash I~[n
l Irinnl
Cur Drnin
Sochi Disp
Cul•Ftx Mekcr
Comm. IcC Mpl;er
Sits Lhain
ittrof 1-huin
Slantlp Kct:
kiyc Wash Sn.,
Wlr ~cwcr Mtre
r>ExIuC[ Nletnrs
Wtr Usage Mvs
t77!u~