HomeMy WebLinkAbout0133675-Plumbing (bath remodel)OSHKOSH
ON THE WATER
Job Address 1105 W LINWOOD AVE
Contractor J RASMUSSEN PLUMBING INC
CITY OF OSHKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
1 Shower
Floor Drain
1 Lndry Tray
2 Disposal
Dishwasher
_ Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
Water Softner
Local Waste
Clothes Wshr
Bidet
Beer Tap
Lab Sink
Sterilizer
Dip Well
Drink Ftn
Valuation
Issued By
Owner WILLIAM J MEYER
Category 410 -Residential-Interior
Wait. St.
Ice Chest
Exam Sink
Sculry Sink
Hand Sink
Plaster Sink
Surgeons Sink
F Prep Sink
Serv Sink
No 133675
Create Date 10/24!2008
Plan
Shamp Sink
Flr/V1Ist Sink _
Catch Basin ______
Wash Ftn
Urinal
Standp Rec
Ice Maker
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Date 10/24/2008
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 pertorm 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
~ v 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.
$ 3~ 0.00 Plan Approval $0.00 Permit Fees $28.00 ^ Permit Voided
10/24/2008 10:29 2336747
City of Oshkosh
TnslttcTion Servicec Olvision
P () Box 1130
Oshkosh, WI 54903-1130
t'ha>ilc; (920) 23(r505p
Fax:{9211) z3~r-SOR4
J RASMUSSEN
Plumbing Pelrinnit,Applicatlon
PAGE 01/01
l?V i IiF VJATFR
(h(Mrhv a~n>,iv fir n nrrmilt *n rln anti Inafall thA fhltM~rin~ nl,~ml~i~~n nn Nio .+rcm7cAe h~..o7n..{}o,. APC•r':1.n'1 H,e nrnnL en nnnFn.n. ~..+-,,.•
Vy isconcin State Plumbing; (':<-de, itt the performance of which al l panic.` hereto slgrcc to arld are hound by said statutes.
w Applicaiion(sl and fees) can be bmaght to City Nall, Room 205 nr mttilcd to Inspectiart Scraices, I~p T3ox 1128, Oshkosh Wl
54903-I 12R. (;ommencinQ work without. pc:rrnit(s) will result in fees being doubled or $100.00 plus the normal retlnit fee, which
ever is greater.
OR
I gnu a~•e.,~,co)r-raclor nnctjc~alin.e in the 1'
ode check here
**A.drriearv -1~or a»>mlicable Rrroiectc, an Electrical Xnlstallation Verification [EN1 forrrt.:sis»ed by the Flectrdcal
Contractor ox Homeo~rrter (for installations allowed to lie performed ~ tTae homeowner) must be sabrnittcd
wlitla the p~ait application, ,Applications submitted without an ?i~N when culct>, is lrelo~vized, will not be
processed for Pcrnnit Issuance xnd. wl~l be retalnrted. for co>tr~Jletioa.
"-° ` Y
Job Addreo4 0 ~ ~ ~ ~(!)Oo0 YaIUC (4tcludin(; Inirnr and m+n.rialsl ~ ~~ ~ nate ! b~'~ ~
t)vvn~r ~,..~`~ ~ _ Contractor .S~,S M~S S ~ W ~ 1 ~ ~r~ ~.
~Siro~tc Family T?nplcx ^Malti-Family []1Rer>ttal ^Cnm.rrpcrciAl~lndustrisl
Nunoll*er Qf Fixtures:
13adttub L Llialx~al
....~._
[)rink Ptn
• -•--- (:ateh L~tasin
\~hirltx>nl - 1)Icl+washcr
---• Wnil. CI. 11r'ssh Fm
~
I,uvlanv -_..
• 11 5trmp Pump
. ______
ice Chat • ---
I Irina!
......_-
--
Toilet . ~c._,_. RjnCtnr/(:rind C+.xnm fink {ior Drain
Rae. Sink _-- _
Wnhcr 9nia,a' .. _ 5culry Sink _. _ _.._. Soda Diap -_
fir Sink [,oral WA.ctf. „_- Watrd Rink Coffee Maker
_•
Wntar Hcatt:r
I!`ma I I Rleta I I I•wrVnt Clnthec W9hr __~ F t'rcr Slnk
,. .... _
_- C'nmm. lcc Maker ._..
-•-
Showxr
Floor Drain
..-
~:.cr Tap
nt Grca.ac'1'r,tp _ .
---,_.... ... , ......
..._..-....
12oc1(Urain
.. ..._.
_......
--•~ Claecrm $ink Lixt (irCape.'1'Mp --.- Sham Ree
L.aA Sink Surgeons Oink _..
-•- R.1'.7.. Voive live Wash Stn
._. --- •~,^,..~.
•.`-•--
Plnsicr Sink Hrc.9kmt Slrk
-_..._.. ShRmp Sink ___, Wtr $BvJCr Mfrs
--'-'
Sterilizer Dip Wcll
' • •-•° FIrM~at Rink 1.lcduct Mctcrg
_.. __._.
'
M iw:. 1-losc t3ihs
Wtr ! IvaRe IVtrrs
.....---
FixturGs
lflectric Contractor (fo>r projecte not >requirin~ a>n! F,PJ Form,)
.
llae / Nature of Work n
1C~.-~o A•.a~ (3 ~~,.,~ -_
~ ~'('~ ~.• ~._
r .~ ~ ti ut wY !M a•S-I-*r Biq-'~
.. Size ^_.._ Material .. _ Type _... # Conn. Type -,-...,,.,.I
Sanitary Scwcr
tit~rm Sewn
Water Service
n~!a~