HomeMy WebLinkAbout2009-Plumbing (water heater)Use /Nature Multifamily (1 21 S Lark) / Replace gas water heater. "'debit acct
of Work
Valuation
Issued By
$650.00 Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided
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.
Date
Signature —
Agent/Owner
Address 1914 GREENBRIAR TRL OSHKOSH
Date 07/15/2009
WI 54904 - 8887 Telephone Number 920 - 231 -1289
To schedule inspections please call the Inspection Request line at zsb -oiza noting me Kuuress, r•Cman 1vu—m-9 vrr� w,
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.
CITY OF OSHKOSH
No 137101
0
OSHKOSH
PLUMBING PERMIT - APPLICATION
AND RECORD
JJJYM
ON THE WATER
Job Address 1400
-1414 W 2ND AVE
Owner LJ2BROS LLC
Crea Ta 09
Contractor J RASMUSS_EN
PLUMBING
INC _
Category 412 - Res - Interior (Replacement Fixtures)
Plan
Bathtub
Clothes Wshr
Classrm Sink
Surgeons Sink
Roof Drain
Deduct Meters
Shower
Lndry Tray
Exam Sink
Sterilizer
Soda Disp
Wtr Sewer Mtrs
Whirlpool
Sump Pump
F Prep Sink
RPZ Valve
Coffee Maker
Wtr Usage Mtrs
Lavatory
San Sump /Pump
Flr/Wst Sink
Bidet
Site Drain
Misc.
Toilet
Water Softner
Hand Sink
Urinal
Wait. St.
Fixtures
Kit Sink
Standp Rec
Lab Sink
Beer Tap
Ice Chest
Disposal
Gar Drain
Plaster Sink
Dip Well
Comm Ice Maker
Dishwasher
Local Waste
Sculry Sink
Drink Ftn _
Int Grease Trap
Floor Drain
Bar Sink
Sery Sink
Wash Ftn
Ext Grease Trap
Hose Bibb
Breakrm Sink
Shamp Sink
Catch Basin
Eye Wash Statn
Water Heater
1
Use /Nature Multifamily (1 21 S Lark) / Replace gas water heater. "'debit acct
of Work
Valuation
Issued By
$650.00 Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided
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.
Date
Signature —
Agent/Owner
Address 1914 GREENBRIAR TRL OSHKOSH
Date 07/15/2009
WI 54904 - 8887 Telephone Number 920 - 231 -1289
To schedule inspections please call the Inspection Request line at zsb -oiza noting me Kuuress, r•Cman 1vu—m-9 vrr� w,
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.
0
CITY OF OSHKOSH
No 137101
OSHKOSH
PLUMBING PERMIT -APPLICATION
AND RECORD
ON THE WATER
Job Address 121
-133 S LARK ST
Owner LJ2BROS LLC
Create Date 07/15/2009
Contractor J RASMUSSEN
PLUMBING
INC _
Category 411 - Res - Interior (Replacement Fixtures)
Plan _
Bathtub
Clothes Wshr
Classrm Sink
Surgeons Sink
Roof Drain
Deduct Meters
Shower
Lndry Tray
Exam Sink
_ Sterilizer _
Soda Disp
Wtr Sewer Mtrs
Whirlpool
Sump Pump
F Prep Sink
RPZ Valve
Coffee Maker
Wtr Usage Mtrs
Lavatory
San Sump /Pump
FIr/Wst Sink
Bidet
Site Drain
Misc.
Toilet
Water Softner
Hand Sink
Urinal
Wait. St.
Fixtures
Kit Sink
Standp Rec
Lab Sink
Beer Tap
Ice Chest
Disposal
Gar Drain
Plaster Sink
Dip Well
Comm Ice Maker
Dishwasher
Local Waste
Sculry Sink
Drink Ftn
Int Grease Trap
Floor Drain
Bar Sink
Sery Sink
Wash Ftn
Ext Grease Trap
Hose Bibb
Breakrm Sink
Shamp Sink
Catch Basin
Eye Wash Statn
Water Heater
1
Use /Nature
of Work
Valuation
gas water heater. "debit acct
$650.00 Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided
Issued By �Z�,1� Date 07/15/2009
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
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.
07/14/2009 17:47 2336747 J RASMUSSEN PAGE 01/01
City Of 03likosh
1nme tion Service.4 i7)vlsl0T1
P n Pox 1130
Oshkosh, WI 54903 -1.130
Phvnr„: (920) 23,5 -5050
Y-ax: (920) 236-5084
Plumbing Permit Application oni TIAEINAT ;,M
I hereby apply for a pri -mit to do and. imtall the following plumbing on the prcmisea hereinafter descrlbod, the. work to conform to the
Wiscomin State Plumbing Code, in the perfotmanec of which all parties hereto agree to and are hound by .aid stea>Itcs.
* Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to impereticm Services, PO Rox 1 1.28, Oshkosh Wl
54403 -1128. Commencing work- without. permits) will result, in fees being doubled or S1tAN pals the normal permit %e, which
lover is [ranter.
** Advisory - For applicable projects, an lElLectrTical lmtstalladon Verifi.cadon (EIS fb rne., signed by the Electricfd
Cmtractor, or Homeovmer (for inrsststtatiotns allowed to be performed by the homeawnelr) owst be submiitftd
with the petrmft. applicKdon. Apptic;diions snban2fftrd without an EIV when :arch is >regatred, wM notbe
processed for Peti:mllt In zatece and will be reiarned for comtpletion.
�af_�33 �° �D�(
.Tn.ltti Addrer�a 1 I S -E �_ R f VA lUe (Tnch►dnng labor and matcr;nia)pD 1<iStE
Owner -t V- N L •o ti ( o� __ contractor �, K A 5i., u J S e N A
[:],Single Family �al>li- FAMIR,y 0Renol ❑Commercial �j, 11 dnstrfal
Nmmbe r of Fixtures.
1latharb
Sump T1tmp ._
3110arcr
Son, SUMPTUMP - ..,.,_-
WlImpnnl .
WrMM• Softener
1 -qVar(Hy. _.�
Standpipe Rec
Toilet
Garagr FD _.
Kil. Sink _
Local Wastc
I)isp n i _
BAr $ink. _
I.NShruasher
nm-Akrm Sink
plpor DMIn
Ctasim Ink
iln.Rc Ribb
Exam Sink
hater Hcater _ -.
F Prep Sink ..,.. -.._.
11P [I Elect 11 PwrVnt
rloor Sank
Clothes WCt1r _
tland Shtk
1.ndry Tray __ --
T.at+ Cink —___ --
Plaster Sink
RWTrain
Scullery Sink
Soda 1)i&p
Service, Sink
Cafteo Mlcr
Shamp %ink
_ Site: Drain —
SurgeomSink
WaitmSin
steriliear
Tec Cheat
RPZ Valve
Comm Teo Maker
Bidet _
_ Tnt (keaae Trap
Urinal .��
17x'r, Omasc Trap
Beer Tap
Eye Wash Stn
Dipper Well
_ Dcddct Meter
Think Fnm
Wtr Sourer Mtr
Wash Pntn
Wli Usap:c Mir _
Catch pi"in
Mine Pi3rou v
iFJcct»iic Contractor (for projects not requiring an EIV Form) Use / Nature of Word
Size
SanitAry Sewcr
Storm Sewer
Water Service:
atarial Type Conn. Type.
oe /oil