HomeMy WebLinkAbout0134258-Plumbing (water heater)OSHKOSH
ON THE WATER
Job Address 1222 W 12TH AVE
CITY OF OSHKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
Contractor RAPID SOFT LLC
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
Shower Water Softner Wait. St. Shamp Sink
Floor Drain Local Waste Ice Chest FIdliVst Sink
_ Lndry Tray Clothes Wshr Exam Sink Catch Basin
_ Disposal Bidet Sculry Sink Wash Ftn
_ Dishwasher Beer Tap Hand Sink Urinal
Sump Pump Lab Sink Plaster Sink Standp Rec
1 Classrm Sink Sterilizer Surgeons Sink Ice Maker
_ Breakrm Sink Dip Well F Prep Sink Gar Drain
Ejector/Grind Drink Ftn Serv Sink Soda Disp
No 134258
Create Date 11/26/2008
Plan
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
arcel Id #
308310000
Valuation $700.00 Plan Approval $0.00 Permit Fees $25.00 ^ Permit Voided
Issued By ~~2~/I','fiQ - Date 12/03/2008
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 N1284 CRANDON CT GREENVILLE
WI 54942 - 9750 Telephone Number 757-6130
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 pertormed within two business days from the time the project is ready.
Owner JOAN R NIEMAN
Category 411 -Residential-Water Heaters
City of Oshkosh
Inspection Services Division
P O Box 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
Plumbing Permi# Applica#ion
~~.~
ON THE WATER
I hereby apply for a permit to do and install the following pltunbing on the premises hereinafter described, the work to conform to the
Wisconsin State Plumbing Code, in the performance of which all parties hereto agree to and are bound by said statutes.
• Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1 T28,
Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
1 au are a contractor arti i atin in the r it a Ac ou t m n h a e u t ds check her
if you want this processed through your account I-1
Job Address ~1~' ~ ~~~~ Value (Inciudinglaborandmaterials)A~Oo.Oc~ Date_,~~_j~
Owner /y '~ -~- - ^ Contractor ..e ~s~.~'.~ L <
Single Family []Duplex []Multi-Family QRental QCommercial [Industrial
Number of Fixtures:
Bathtub Lndry Standp
Whirlpool Disposal
Lavatory Dishwasher
Toilet Sump Pump
Res. Sink Ejector/Grind
Bar Sink Water Sooner
Water Weater ___(,__ Local Waste
Gas L' Elect ~ PwrVnt Clothes Wshr
Shower Bidet
Floor Drain Beer Tap
Lndry Tray Classrm Sink
Lab Sink Surgeons Sink
Plaster Sink g~k~p Sink
Sterilizer
Electric Contractor
Dent. Open. Shame Sink
Dip Well FirlVl+st Sink
Drink Ftn Catch Basin
Wait. St. Wash Ftn
lce Chest Urinal
Exam Sink Gar Drain
Scuhy Sink Soda Disp
Wand Sink Coll'ec Maker
F Prep Sink lce Maker
' Serv Sink Site Drain
lnt Grcase Trap Roof Drain
Ext Grease Trap Standp Rec
OR QElectric Installation Verification form attached
(If Rephtcement)
Use /Nature of Work - ~~J<~ « `~z,,~_~-, w f-,cr
.-
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Setvice