HomeMy WebLinkAbout2008-Plumbing (water heater)OSHKOSH
ON THE WATER
Job Address 1016 ADAMS AVE
CITY OF OSHKOSH
No 133573
PLUMBING PERMIT -APPLICATION-.AND RECORD
Owner ALLAN/DEBRA A WILSON
Contractor J RASMUSSEN PLUMBING INC Category 411 -Residential-Water Heaters Plan
Bathtub
Whirlpool _
Lavatory
Toilet _
Res. Sink
Bar Sink
Water Heater _
Site Drairr _
Roof Drain. _
Misc.
Fixtures
Use/Nature
of Work
Valuation
Shower Water Softner Wait. St. Shamp Sink
_ Floor Drain Local Waste Ice Chest Flr/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 tce Maker
Breaknn Sink Dip Well F Prep Sink ~ Gar Drain
Ejector/Grind Drink Ftn Serv Sink Soda Disp
. .,,
Create Date 10/20/2008
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
.Eye Wash Statn
Wtr Sewer Mtrs
:-Deduct Meters
Wtr Usage Mtrs
Issued By L~~iYjt/f 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
Agent/Owner
Address 1914 GREENBRIAR TRL OSHKOSH
Date
WI 54904 - 8887 Telephone Number 920-231-1289
~ o scneauie 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.
$650.00 Plan Approval $0.00 Permit Fees $25.00 ^ Permit Voided
10/19/2008 13:35 2336747 J RASMUSSEN PAGE 01/01
City of Oshkosh
Inspection Sen•iceS Division
POBox113U
Oshkosh, Wl 54943-1130
Phoner:,~(1'9201) 2t3G-5050
1'a7t.: (924) ai ~i~st)$4 ~ THE WATER
Plu ~nbing Permit Application
1 hereby apply fir a permit to do anti install tl ; fi~llowing plumbinlw nn the premises hercioatl'er described, the wttirk to conform to the
'Wisconsin State Plumbinj; Code, in th perfornnance of which all parties hereto agree to lat-d sr~ bound by Said s~tutes.
o Application(s) and Fee(s) crln be broltght 1 ~ City Ha11,'iitrom ZOS or mfliled to 1nSpecCion Services, PO Box 1128, Oshkosh W1
54903-I t28. Cummenuilrg work without +ermit(sl will result in fees being Aoubled or $lOQUt) plus the normal permit fix,, whitat
ever 1S greatCr.
OR
~„c,~u urea con~Cn~'«r~cerlici~ulir~_ n the„Perrrril J''•n Ac•c~r~unt,~."usrcrn ifnnf h r•E ur_le ttndc~ 'arr~cl,,r. chc4k here
~' ,~ ou w.crrrl phis prucE•sscd -lrr, az~~;,h i•u ~r crccur~nt
*x ,advisory -For appl,ic:able projectbt, e ~ Electrical Itastallation V'eriticarion (EIV) i'onta, sighted by the Electriical
Contractor or ~ohueowmer, (for install,a Pons allowed to be perfortmed. by the bomeowhter) mnst be srabmitted
ariith the Permitt application. Applirati~ .oc subntxitted walthout as EIV wvhen smch is required., will not be
processed for Penlxri¢ Issaance and will..c retnxned far cotnpleU.on.
o / 6 A>~ ~ ~-S~ r3 ~uate~6~ ~~
Jnb Addresq_,,~,.f. J ,.,, Vaiae (Inclutlin~+lalmrnn!I mau:rinlsl ,-
Owner -.. ~'_t..S'a*.. ~ _ Contrs~ctor ~• (~PtC 1'1/~1~,'~S ~f11 _ ~ 1 ~r~~G ~ -
ingle ]Family C]i)uplcx [ Muki-F'aroily ^itcntal ^Comtmcrrial Industrial
Number of Fixtures:
LiaKhhib __ f)ispo~.~l _ Gr'ul: I'U7 Catch liaSln .-__
whirlpool _ -_ 1)iehwathcr ~-- Wuil. SI, .._ -- tu~Sh Ftn .---
l,;+vntnrr' ,_, _, Sump ['ump _._- IccCa+e51 _,-, _ llrin0l ._ ____
Toilet .._- tsj~caur/Grind _... I'~Inn Sink ,. Uur Arain _.-.
Rte. 5iok, __ Watur Suflner --- Sculry• Slnk
• Snda Gi:;D -- •-.--
HarSink _. _ I„!x::tlWaste .._- -
IiandSiak - Co1'fecMnker
Wtttcr Hcuh:r -~._ Clulhce Wvhr • _..-_ I+PrcapSink .._- (:amm, lcc Maker -,,,,,__
~7as LI blexa I I Pwrvnt t3id~1 __-..., Scn~ Sink .-- - 5ilc Urain _......-
5hvw~r ,.-•-• }3ccr'Tnp
- -- Int4irC~SC'frtp _... _ . Ront'Lhsltl
flpnr Drain -.__ C;la:rsrm Sink __- fiat CTro~rsc l'i3p tihu+dp kc~C
I.ndry Truy -•-- Sprnenny Sink _--•• K.P.L.. ~'alvc Eye Wash `tn ....._-
lab Sink ._ ._...._.. ftroukrm Clrk _-- _ Slmmp Si+d; ___ Wtr Sewer Mtrs ,
1'l4crer Sir+k
.._. _ -. I)ip well
Ftdwxl Sink „ ,,,
,, Deduct Meters
~ ~ _ •••-
Sterilizer
•~ • I Losc L3ibs
_....._. Wtr l l;~pc Mrrs
... ,--
Mixc.
17 CCiLroF
Electrph Contractor (for projects not rrequi •ing an F!V 1~ornt~ _ _
[Tse /Nature of Work + ~ u ~ W ~ ~~ _,~~^
~.._,_._. _ ti..._ Size •,. _..____Materil I 't'ype # Cotta. Type
Sanitary Sewer
Storm Sewer
bVater Service;
07/J7