HomeMy WebLinkAbout0133571-Plumbing (water heater)OSHKOSH
ON THE WATER
Job Address 456 N MAIN ST
CITY OF OSHKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
No 133571
Create Date 10/20/2008
Contractor J RASMUSSEN PLUMBING INC Category 441 -Industrial-Water Heaters Plan
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
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 Ice Maker
_ Breakrm 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 $200.00 Plan Approval $0.00 Permit Fees $25.00 ^ Permit Voided
Issued By C~~~y~-~ Date 10!20/2008
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the
easement holder(s) and to secure any necessary approvals before starting such activity.
Signature
AgenUOwner
Address 1914 GREENBRIAR TRL OSHKOSH
Date
WI 54904 - 8887 Telephone Number 920-231-1289
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
Owner MADONNA J HILL
10/19/2008 13:32 2336747 J RASMUSSEN PAGE 01/02
City of Oshkosh
lnf:pec;tion Services Division
P O Box 1130
• Oshkosh, W i 54903-1130 ( ] J~--{~ I--~
Phone: (920) 23(;-5050 rvAl'FF
F'ax: (920) 2365084
Plu ~tbing Permit Application
! hereby apply far a permit to do and install cl ; fellowinnce of wh ch aU part zs~her~+•~ a~'ee to a"dotire bo nd h said StahCtesltr ~ the
Wisconsin Slate Plumbing Code- in th pcrforma
• ApplicKl;ion(s1ond fee(s) corn bo brou6ltt l C';ity I•lalwi[lore'~culttin Feet bci gtdoubped o~t$ 00.010 plusCtl a normalpennk fee which
54903-'I 128. Commencing work without tcrrnit(s)
ever is greatr,r.
OR 1.~ uncls~clrc:ck h„„ere
~VOU area? Cr,~nlrrl.clUr~r-liCl ati~ n, ihc_Fe%rmit l' a .4cC(rlrn~, ~!a~e!-1.,~ncl lr[ltiE crde r,ar'e•,I._.
rf vnrr ~+'an! a'h;.~•,~~ruces.~~d rhrou,~~L'a ~_r, ~rccr unr
acts, E 1 Electrical I><astallanm.n VeitiSication (Elm form, si~aed by the Electrical
** Advisory -For applicable proj
Contractor ox Hoxneorlvnex (fot inst:alla ions allowee~d wottbheo et ~ EI'V whin smclx is zequiixeduwill ° be ttc
with the pexmitt application.. Applicant ns sabmitt
rxocessed for Perini once and. will to treturlned for cornplenom,. _ / 0.,/ ~-0
De
Job Addli~ ~ ~~ ~- _ `/alUe (lncleidinl?laMx;tnd r>tiatanul5)-~.=~.-
Owner ~ t _ Contractor Ie~dustriall
liental ~Gomrnercial
[,~$iulle Family []il)aplex [Multi-Cam,ily ^
NUR1bef o~.6'ixtureS: (:ntchli>+ain •---•-
ltsrhntb 1]islx,+al _.... ~-- Wash Fttt
...- fiishwsvhcr v,'au., tii. -•-• --- ---.
whirlpool __~ - ...-- tJt•inal •--• --
$ump °ru,tp Ice CI1e.5t• - • -
I:r,u„ Sink _.- Cim• Drr,in
.. '
'failgr .--- GjecandGrinJ - _ .. __. ,
-•- Surf lisp
Sc:ulrv fink ' •-•
~~Vi{Cr tiafOlCr --...-
Rea. Sink ..... . - -- ... Coffae Muknr ~_ .-
L~rr Sink -. ..- Loud Wr>.Rea _-... 1i:utd Sink ..._.
C:IolheB \N!thr ___-- I' Prop Sink _ - Cumin, Ice Mrtker _-, -
'. I Cina ~Icw1' i NwrVnl f3idc{ • -- Serv Sidk ._ -•_-- 5ilc Qrain ..~..
5howw't' ... iirxr'rup _ _ lntc:ireasc•ir.~p .... Rcxrf l:~rvin _.. _ ....
I'Irmr Dnrin -, .,, ("laavrm Sink _-- fixr Crrcns4'Ilop __ ti _._ $rvtdp kex; ,_ --
f.ndry Truy ... ,• R.P.Q. Valve lsye Ws+gh \tn
. - Surnextav Sink _---, -._ . _.
l.ub Sink ._ ... f3tcak,m Sink _ •.. „ , ~hrtm~ tiink _-- Wtr Sewer Mfrs __
Pleat: r Surk flip Woll ..._ F1r/Wgt sink .. ..... Deduct Motors , ._
5l,srilivpr .... _.... llusc llihs Wtr UsnKe Mtrs _. _.....__
y1RC, _ _..._
1'i1f+Lrac ,
k;lectric Contractor (fur prujecfs loot regaa •in~ an HIV Forlm) _~ ,_
Use /Nature of Work a`-~'!1~ ~- ~'~. (~ ~
Size ., _. _. -Mater, ! ._.~- Type '~ Corn_ Type
Sanitary Sewer
5tonn Sewer
Water Service:
i)•r~n7
10/19/2008 13:32 2336747 J RASMUSSEN PAGE 02/02
FAX N0. :92e562G909 May, 9'7 2808 0a:59AM P~
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