HomeMy WebLinkAbout0134094-Plumbing (water heater)CITY OF OSHKOSH
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1011 TAFT AVE
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
Valuation
Issued By
Owner CARL A LUECK
Category 411 -Residential-Water Heaters
No 134094
Create Date 11/19/2008
Plan
_ Shower Water Softner Wait. St. Shamp Sink Coffee Maker
_ Floor Drain
Local Waste
Ice Chest _
_ Flr/VNst Sink __
Int Grease Trap
_ Lndry Tray Clothes Wshr _ Exam Sink __ _
Catch Basin _ _ Ext Grease Trap
Disposal
--
Bidet _
-
___ Sculry Sink
Wash Ftn -_
RPZ Valve
ishwasher
-
Beer Tap
- -
Hand Sink __
Urinal
Eye Wash Statn
Sump Pump Lab Sink
--_ Plaster Sink
_ Standp Rec Wtr Sewer Mtrs
1 Classrm Sink Sterilizer
-- Surgeons Sink
-- Ice Maker Deduct Meters
Breakrm Sink Dip Well F Prep Sink
- _
Gar Drain Wtr Usage Mtrs
Ejector/Grind
Drink Ftn --
Serv Sink -
Soda Disp
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
Date
Date 11/19/2008
Agent/Owner
Address 1914 GREENBRIAR TRL OSHKOSH 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.
___~~ 00 Plan Approval $0.00 Permit Fees $25.00 ^ Permit Voided
11/19/2008 07:14 2336747 J RASMUSSEN PAGE 01/01
C,iry of nahkosh
Tnspection Services T)ivision
P O .Box 1130
4shlccwh, Wt 54903-1130
Fhonc; (920) 236-5050 _
Fax: (920) 23fr5Q84 ~(
cw nir v,~nrrc
Piumbi~g Permit Appiication
1 i~ert:by apply for a permit to do raid install the •fnllnwing plumping nn the rremises hat'eioaftnr described, the work to confoitn to the
Wisconsin State Plumbing (,qde, in the performance of which all parties heroto a~rcae to and are bound by said statutes_
~ Application(s) and fee(s) can brr bmu~ht to City liall, Ttonm 2115 nr moiled in inspection Services, PO 1iox 1128, tlslrkosh Wl
549p3-1.120. Commencing work without permit('S} will result in fees beint; doubled or $1(10.00 plus the nnrrnal permit fee, which
ever is greater.
nq ~''
f lrnrr rarr. q•_rnnlrp~Rnr.•pnr_liri~ratif~~ i•n 1Mr. Ar,.r•re+ir F f ~~c~~/n,~ ;Cy_rfrm anr! hnrF• nrte~ur,/c~ fund,~•. r.•heck. /rCre
xw .A.rlvisozy - Eoz applicable projects, art Electrical ZnstaUation Verif~eation (EN) form, signed bit the Electrical
Contractor oz Homeowt*ex (foz ialistalla.tlons allowed to be pcrfa>'limed by the homenwrter) mnct be submitted
with the permit application. Applications submitted with.ont arll FAT wbett sacks is zecltaized, dill trot be
pzocessed for Pezmii Isst+aJtlice l3nld will be zetoxned foz coxlnpledon.
.Tol? .Adf)<A'~.gg~~ ( Valge (Including Inbnr and mntcrinlsl ~ ~~ ~ b ~~8`6~
1Date
Qwner alt Contractor '~. !~S M SS ~ .p y ~ ..ENG. ,
(~~, gle Fs.rrtily ^1)nplc~t ~10'tulti-Family ~]lientstl
T - ^Comrncrcinl indwstrial
Nurpber of Fixtu res:
Ltnthiub --,_-.-. Ih'.alxsnl _-_--- Think Ptn __--- l'alc:h l3nsin
W'Itirl-,nnl _._...
f)icnvmshcr ..-..--_--•-
Wail. 5r, _
Wsgh Fm
l,avatnry
Stamp T',tn,tt ._.
ltt:Chcxl• _
_ Ilrinal
-_ -- -
Toilet •„ _ ••-__ Ejrctor/Grind _- _. -__ F.xam S ink t ~s,r pram
R¢s. Sink _,_•,_..._
Water Soflncr _-_„• _..
SCUIry Sink _
Scxln Uiap
lair Sink I.nral tlVsgc ---.. I•I:~nd tiink
Cofl".r• Mnkcr
W,1LGr Ileac@r _,~
~jd!L+A•~'-J lilctitt i 1'a•rVnt t"'letlw:c Wchr
tii
-- F r'rcp Sink <'nmm. lee Mnkcr
.-~ •--
~
Sl,ovrcr rJ~l
_
_.,. Scrv Sink Silc I)rnin
_
Floor fr++in Qccr Tsp
--~-'"' Ina CTCa.~I• 'trap RtK,! Lh'ain
--
I.nA~y Tra~~ C:la~;gnn Sink ••
...- I:rt Circagc Trap _
$tnnd. Rcc
-- -- ~ .._
°°•--°•-
L.nb S,nk SurPcnnc Sink
-••-••• ~
R.1`.... YsIvG
, • F:yc Vl%aah Sfi _
- ---
-.__.._
Planter Cink N,rakrrn tiirk __. Shamp Sink Wp• $e*~,n:r Mtrg
--•--- -
-•
Sterilizer Dip Wcll •••••
•' 1~IriW;cl Sink t~ad,~ct Mctcrs
Misc. .. .. I lose Ril,s wlr l,'sagc Mfrs __,
Fixtures
Electric Contractor (for projects not regairinr ant FT.V Form)
Uste /Nature of Work ~ ~ ,
- --••- - -
......_ .,...,
.-~.,.. .."~.. .
Size l~latr:rial Type
# Conn. ')'Wpe - ~~
Sanitary Sewer
Storm Sewer
Water Service
C7/h7