HomeMy WebLinkAbout0134213-Plumbing (water heater)CITY OF OSHKOSH
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 508 MERRITT 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
Shower
Floor Drain
Lndry Tray
_ Disposal
Dishwasher
_ Sump Pump
1 Classrm Sink
_ Breakrm Sink
Ejector/Grind
Valuation
Issued By
Owner EUGENE F BERGER
Category 411 -Residential-Water Heaters
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
Date 12!01 /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 Date
Agent/Owner
Address 1914 GREENBRIAR TRL OSHKOSH
WI 54904 - 8887 Telephone Number 920-231-1289
a~~~euuir mspecovns grease Carr the rnspectron 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.
No 134213
Create Date 12/01/2008
Plan
Shamp Sink _ Coffee Maker
Flr/Wst Sink _ _ Int Grease Trap
Catch Basin Ext Grease Trap
Wash Ftn _ RPZ Valve
Urinal Eye Wash Statn
Standp Rec Wtr Sewer Mtrs
Ice Maker Deduct Meters
Gar Drain
- -_ Wtr Usage Mtrs
Soda Disp
$1,000.00 Plan Approval $0.00 Permit Fees $25.00 ^ Permit Voided
~ -
11/28/2008 16:56 2336747 J RASMUSSEN PAGE 01/01
C.:ity o£4shkosl>I
Tnspectinn ~;ert~ces f)ivlsian
P O Box 11.30
O~hkoleh, W f 54903-1130
Phone: (920) 236-5050
Fax: (920) 23t5-5084
pu ~ tilt Wr~rFR
Plumbing Permit Application
I hereby apply for a permit to do and install the fc-Ilowing plumbing nn the premises hereinafter descrhed, i:he work to conform. to the
Wisconsin 5tatt Plumbing Code, in theperfnl~rlance r>fwhiCh all patties hereto a~~*ree M i'md arc bound by said Statutes.
• Application(s) and fee(s) can be bmu~ht to C.'ity Hall, Zoom 205 or mailed to Inspection Servict;.e, PO 13ox 1128, Oshkosh Wl
54903-1128. Commencing work without perrttit(s) will result in fees being doublexl or .$100,00 plus the normal permit fee, which
ever is greater.
h~rc adenc~a~e fT~nds, chick here
'~* AdvLcory -For applicable pzojects, am Electrical ltnstallatioto VexiFcat:ioTa (F.fV) foxrnl, si1~ned by the Electrical
Contractor oar ]:iomeownez (far itestalllatiaaes a1ln~ut-ed to be ,pezfoxracd by the homeorovt;ter~ must be sabxnitted
with the permit eppliication. Aplela)ca~tianls submitted. without an E1V Whetrt such is regtxlired, 'will not be
prnctessed for, Feaalni.t Tslcnazxce ltuotd will be retuxxi!cd. for co>Inpletio~a.
.Ttnb Addre~c~_ .SD `13 ~'h~R.~rr~_. Va111E (Includi+tp lo(fOtAncl mai+."riUlA) /l~O 0 '~ .-_... DeitC _..____._
Qwner `~„~,t' a Co~ntrtlctor ~. 5 M SS ~ N ~ I ~ ~N c:.
`~Site~le Family ^Dtaplex ^Mu1ti-IFatnify ^Rcretal ^Commcrcial lead.asttrielll
Number of Fixture,S:
BstJttuh Aispoxll ... _.._._ Ih-ink rln
Whlrl~pl ,-_•.~ nisltwaahcr __ Wuil. ST.
Lavatory Ramp I nmr ,_ „ .. Ico Cheat
Toilet Lijxtor/Grind ,_,_. f.:x9m Sink
Rrs.Cink WaterSnftner ___•, SctdryRink
Rat Rink __ t_ecnl Wnctc I~~n<I Sink
Water Heater __L CMthes Wshr }' rrcp Sink
I.ICrAt+1.lE1cc.~t~yPvlTVnt
/~ gib _ CcrvSink
Shower l;cct Tap __,- ,,, Int Grcosc Trap
Floor Ihxin Clscartn Cink
1"~~ 1'n-t
-~- Surktcons Cink ____ R.P.7_. Vslvc
Leh Sink grc~Rn Cink
_____
ShAtttn Sink
Plcrttcr3ink pipW1:11 .._.,_,_ Flr/walSrnk
Slerllizex
------•- }toac Bibf
Misc.
Fixtures
Electric Contractor (£or projects rent requiring an >r±r~ Forpn)
Use /Nature of Work
Sise Material T}Te
Sanitary Sewer
Sturm Scwcr
Water Sarvice
(:arch [isain
Ws3h Fm
1 Irinal
fist grarn
~OCIA r)ICp
(:ofrce Mskar
Comm. Ico Maker
cilc Drain
Ro[d lytAin
Stendp Rcc
tiyr, wash Sm
Wlr Sewer Mtr;
rkcluct Mctcr9
W lr LJaate Mfrs
n~/n~