HomeMy WebLinkAbout0133649-Plumbing (water heater)OSHKOSH
ON THE WATER
Job Address 1203 N SAWYER 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
UselNature
of Work
Valuation
Issued By
Shower
_ Floor Drain
Lndry Tray
_ Disposal
Dishwasher
Sump Pump
1 Classrm Sink
Breakrm Sink
Ejector/Grind
Water Softner
Local Waste
Clothes Wshr
Bidet
Beer Tap
Lab Sink
Sterilizer
Dip Well
Drink Ftn
Wait. St.
Ice Chest
Exam Sink
Sculry Sink
Hand Sink
Plaster Sink
Surgeons Sink
F Prep Sink
Serv Sink
Shamp Sink
FIr/Wst Sink _
Catch Basin
Wash Ftn __
Urinal
Standp Rec _
Ice Maker
Gar Drain
Soda Disp
Date 10/23/2008
In the performance of this work, I agree to perform ali 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
i o scnedule 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.
Owner JONATHAN A/CARRIE B BRATZ
No 133649
Create Date 10/23/2008
Category 411 -Residential-Water Heaters Plan
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve _
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
~~900.00 Plan Approval $0.00 Permit Fees $25.00 ^ Permit Voided
10/23/2008 06:49 2336747 J RASMUSSEN PAGE 02/02
City of Oshkosh
T•nspection SCtviCCS Division
P O •Box 1130
fkhkc~h, Wl' SA•903-1130
Phone: (920) 23b-5050
Rax: (920) 23fi-5~$4
nu -yr• ~aA~
Plumbing Per~rtit Application
f hereby apply for s permit to do and install tfie following plumbing on the premises hcrcinxftcr described, the work to conform to the
Wi5con9in 5tttte Plumbing Code, in tha prrformancr of which all parties hereto aGree to rind sre bound by said ctatutea_
• ~pplicstibn(s) a»d fee(s) can be btvught: to City Hall, Room 205 or mailed to Inspection Services,l'C~ T3ox 1128, Ashkosh Wl
54903-1128. Commencing work withnul. permit(s) will result in feo4 beit?g doul?Ictl or $100,f1(1 rhos the normal nernli# fee, which
ever is greater.
OR
~yr~u„a~_e a, c~rnt'rgcLor~artic;~~in~in 1hrtTrcrmrt, F-~•c Accot~l~r' Svc~em ~rr~d hors ode~rua~c funds, check here
if von tvonr This nrncr. esed lhrnreQh i~orrr arenrnxf
'~* Advzsailry - For apylicabie projects, am Flecbrxi:al ~staLlatfo>a V~rifiicaalio~l (EIV) fozm, sie,,,rted bg the Elecixi.cal
Contractor or ]Eionacowner (for instauatilans al]owed to be performed 63r the ham-eovlrner) mnct be submitted
witch the pezuait applicc~tio>~..~ppLi~cations snbnaitted ~vithmot an EIV wheal stash is recinired., will not bs
processed i'or Permit )<ssuance and ~ovill be ttetttrncd fax coaarpletion.
oQ
JobA,cldrecc I a ~ 3 N ~~'~'' Va~LE (Incltxiln~ Inbnrnnd m,~~rinlsl ~~ -T natf~' ~d ~? 2 ~~
Owner ~~ 0.~ z- Contractor ~`. (Zf~S M. c~~S ~tv ~ I q . ~~ c,. ,
[~SilnRle Fsennily ~aaplex ^Multi-F'a-aaaily ^ltent~l ^Cmm~ncrcial C]lndustrial
Number of Fixtures:
Bsatthuib T)ispowl _~ think Fm ~_ i:arch P;ngin __
Wliirlpnnl T)ishwashcr ____•__ Wait. 5t, Waah Fln _
Lorutury .._._..... Sump I'umo -__-•-- tc~;C'hc'~a, _-- I h•inal _
Tnilot •_-_• Eiccmr/(;rind ,.._,,,,,; ,_, L•,xam Sink - •,,,• „ Ciar Llruih _
R~e.Qink Wat¢rSafh~cr _• Sculn~Sink Sndal)i~ _
liir Conk [nil Waste; _•_•• Ifand Rink C'nfTee Maker • _•
W'atcr lieatcT -,~,_ C,lnrhe~ W$hr i+ 1'rCp Oink Cpmm, Ice Maker • •••
_I (~dr• I I Lilccly~QrwrVnt
11 }tidCl Scrv Sink _ Cite th;:in _
ChOwEr
•°• --- Boer Tap ---.... Jar G+'~ase Tap .......__ RrMfI?rnin •_•
Plnnr Drain Claxsrm Sink ,• •, „• ,. •• 1?xt fircavc Trap __ Slnndp Roc• _
l.ndry TraS Surec~ns sink
_ _..._..
R..p.7.. Vnl~ro _
.............. 1:.yc W~eh Stn
I,ab Cink
--- Rr~~ Sink
_.._...
Sharrm Sink
.. ., _.. WtrSCwcrMe~ _
.. ...
PI:tslar Clnk _,_,__„ <1ip Wcll Flr/Wrxl $ink IkxluctMctcrs
Sterilvcr ----,-- }IOSe[~ihs 131trllaa cMtrs
Misc.
Fixtures ___„ -,
Electric Contractor (for projects not regnirilaig and 1FZV Form) __
Use /Nature of Fork ~ ~0.-'1~ ~-~- ~ w-+s
-
~ Size Matcnal Type #? Co»n, Type
Sanitary Sewer
Storm Scw•er
Wztcr $crvice
~~.~,