HomeMy WebLinkAbout0133789-PlumbingOSHKOSH
ON THE WATER
Job Address 1528 BOWEN ST
CITY OF OSHKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
Owner MARILYN C LIVINGSTON
Category 410 -Residential-Interior
No 133789
Create Date 11/03/2008
Plan
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
1 Shower Water Softner Wait. St. Shamp Sink
Floor Drain Local Waste Ice Chest FlrlVllst Sink
1 Lndry Tray Clothes Wshr Exam Sink Catch Basin
1 Disposal Bidet Sculry Sink _ Wash Ftn
Dishwasher Beer Tap Hand Sink Urinal
_ Sump Pump Lab Sink Plaster Sink _ _ Standp Rec
_ 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 $3,000.00 Plan Approval $0.00 Permit Fees $25.00 ^ Permit Voided
Issued By ~ Date 11/03/2008
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 Date
Agent/Owner
Address 1914 GREENBRIAR TRL OSHKOSH
WI 54904 - 8887 Telephone Number 920-231-1289
i o scneauie mspectlons please tail 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.
11/03/2008 07:18 2336747 J RASMUSSEN PAGE 01/01
City pf. Oshkosh
Tnsp>;ctio» Scrvicee Division
P O Box 1.1.30
()ahknsh, W7 54903-1130
Phone: (92(1) 236-5050 ~~'~-"rL_II/
flax:{920) 23fi-5084 ~"nvl f~rir• WATFR
J Plumbing P~e~rmit Application
1 hFrrhy A11T~W 'For T nP,rrr~lt'+~ ~n Pr1li ,rlctall FIM {{hltnta,Ir1M1 -1111TI~TrI AA the p~wnl\4R`{ I7PtPrha'fYPM rIPG/•n}1!r+A i•hp nirnra; ±n ~nn•fnrm try i,1,P
Wisconsin State Phtmhint! Untie, in r:he pet'PnrmTnrr, nt'whirh all nartir..c hP.rnln :Irrre t;n a~rl arr. hound by paid VtafritRc
• A,pplication(s) and fee(s) can be brought tq (:ity Hall. Room 205 or mailed to ingpectiott Services, PO 13ox 1128, Oshkosh VJI
54403-I 12R. ~annmencing work without permit(sl will resttlt in fees being doubled ar q;iQ0.p4 plus the nr.,imal pemtit fee, which
ever is greater.
OR
~,r~u are a cnn.!roctnr narticip,!ztinr in the ,~~srit F e Acaottn~,;C~.rtem and har~re ode uate ,;und•r. clrcck....here
i~oat ,ran.t thi,e nroce;rst+d through ~%nr~r nrcnu+~t
*~ Advisory -]Fox applicable Ilxo~ects, axt Electrical Ilrttrtallation Verif cation (EIS faxm, si~n.ed by the Electxical,
Co?tt~ctor ox HoJlJUeewncx (fox installations alloxved to bE perfoxmaed by the homeownler) must be snlrmitted
with-the peJrrinit applicatioJn. Applications cabmittcd ~vithont an EIV when) srech is recluixed, ovil.>l not be
p>R't4cessed fox Eextnit Issuance and'oviill i.+e Jretur>n~ed. for cotx><ptleti.on.
06
lob ~-1.ddr~s /~~ _~_ ~~ Q N ,,_ ~~11IliE (Including Inhor nntl materials) ~~ ~Q ~ ~ DatC /~ ~ ~ p
Own cr C.:tantractor ~,~ ~-~ S S ~ N ~ ~ ..~~' G
~Sils~le Family []X?upleJC []Haiti-Fannily []Rental ~i;nmmcrcitel lxtdustrisl
Nu~nlta~ nfTiv~n,ree•
Bathtub - ~ CJisPOatil _ -_ brink Pro
Whirlpa+l __, niahwasher _ .., ... R'nit. St.
Lavatory .___ / Sums Pomp - ___,_ 1cc C.'h~t
'railr•I ~ F.'ccmr/C~rintl ,,, ,,.,,,-, P.xom Sink
Rra. Sink _ Worer Softr,cr ~<ul,y Sink
fk,r Qink ~ .,,_ J,oul,4ngtc _ _,._„ Tit+n~l Sink
Water lloc+rer _ CIMhc:+ W~hr _~ P Prep fink
l.J C~ L.I 131ert 1.1 Pwr~nl Bid .. _ Scrn Sink
Chr,wcr ,_,_ Ttecr Tai ,__ _.,, . ,,, Int tircasc Trap
Moor Llrain _.... _..- Cl:rr.Srn' Sink - -•--°, Lixt C:rrc~vc:'1'rnp
I.nchy Trrty , ..__ $nr~eona Sink _ __, R i',7. Vglvc
l.ah $ink ,._.,, , Brc;tkrn, Cink _,_ __,,,_ Shor+gr $ink
I'lasrct Sink nip Wcll , , ,,, ,,,,,.. F1r/Wst Sink
Storili•~r _._ _ }lose T}ihs
Mix.
Fixtures
Electric Contractor (fttr projecfs not requiJlting 8In FTV T'orJrxt)
Use / Natare of Work ~P-r`~-o ~ ~ 8 ~'~~~''~
Mattnal Type
Sanitary Sewer
Stgrm 9cwer
water Sorvice
C:arch Elxsin _,. _.
wash Pp, ..
l Jrina( ._-
_ C7er IM~in _
St~dn nisp - , ..
Comm, rr..e Maker
--..,. Cjtc Urnin ,,.--
.... __ konf nrnm _..... .
--- F,vc Waah Sm __,,. .
_._..._- V1'lr $rwer Mfrs
..... _ flcduct Mctew ,. _ .._
wM IJsnge M,n ----.. .
U7/q7