HomeMy WebLinkAbout0122203-Plumbing (water heater) CITY OF OSHKOSH No 122203
OSHKOSH PLUMBING PERMIT APPLICATION AND RECORD
ON THE WATER
Job Address 1294 WHEATFIELD WAY Owner KAREN I JEWELL -VAN BUSKIRK Create Date 10/23/2006
Contractor J RASMUSSEN PLUMBING INC Category 411 Residential -Water Heaters Plan
Bathtub Shower Water Softner Wait. St. Shamp Sink Coffee Maker
Whirlpool Floor Drain Local Waste Ice Chest FINWst Sink Int Grease Trap
Lavatory Lndry Tray Clothes Wshr Exam Sink Catch Basin Ext Grease Trap
Toilet Disposal Bidet Sculry Sink Wash Ftn RPZ Valve
Res. Sink Dishwasher Beer Tap Hand Sink Urinal Eye Wash Statn
Bar Sink Sump Pump Lab Sink Plaster Sink Standp Rec Wtr Sewer Mtrs
Water Heater 1 Classrm Sink Sterilizer Surgeons Sink Ice Maker Deduct Meters
Site Drain Breakrm Sink Dip Well F Prep Sink Gar Drain Wtr Usage Mtrs
Roof Drain Ejector /Grind Drink Ftn Sery Sink Soda Disp
Misc.
Fixtures
Use /Nature SFR/Replace gas water heater. *DEBIT ACCT
of Work
Size Material Type Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id
1341410000
Valuation $600.00 Plan Approval $0.00 Permit Fees $25.00 Permit Voided
Issued By 4 Date 10/23/2006
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 0000 Telephone Number 920 233 -6747
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.
10/22/2006 18:48 2336747
City of Oshkosh RASMUSSEN PAGE 01/01 Inspection Services Division
P O Box 1130 4
Oshkosh, WI 54903-1130
Phone: (920) 236 -5050
Fax: (920) 236 -5084 :ION
E
1TM,,
Plumbing Permit Application
1 hereby apply for a permit to do laid install the 1bilowinp plumbing on the pr'emis s hereinafter deser. abed, the work. to confirm to the
Wisconsin State Phimbin,gg Code, in th.c performance of which all parties hereto agree to and are bound by said statutes.
A.pplication(s)• fee(a) can be brought to City Hall, Room 205 or mailed to T.nspeetion Services, PO Box 1128,
0$111038b WI 54903- 1128. Commencing work without permit(s) will result in fees being doubted or 5100.00 plus the
normal permit, fee, which. ever is greater,
OR
ff vott are a contrac.�ar ap r1�c ati »Q i� i .P° r i e a Worn one kaye adequotA check here.
if yop want this processed throt,gh vQg
Job Addrealaj e -9 VaNie (Includinjg labor ana matcrialx) p Date f 9
o O�
.,e er tit Contractor .X AS »n u S 5 ;Er) l t 0 C.
E tngie Family []Duplex ❑Muiti-Fare y
11y []Rental ❑C,ommerctai [lfndutittrfal
Number of Fixtures_
Bethwb Dispol� l
Drink Ftn Calrch Bonin
Whirlpool l:)ilhwagher Waft. St Wash Pin
Lavatory Sump Pump be Che erer
Urinal
Toilet f lector/Orind Exam Sink Ciar train
Rm. Sink Water Samar Sculry Sink Soda Di
Bar Suds Locai Waters band Sink Coffin Maker
Water R for 1,..,.. Om** Wahr P Prop Sink Comm, ice Maker
LI R1cct 1.1 PwrVne Aid gem ,91nk Rim Drain
ot Wr`— _w—
S ram
er
Beck 4 Inl Oman Tr>+ Roof Drain
Floor Drain Claavm Sink
Lrt T F.xr Oman Trap ataodp R e
�Y Tray C Sink Sink ti prgcone R.P,Z. Valve £yr. Wash Stp
RnrAkon Sink Show Sink wee Sewe Mtra
Plaster Sink pip Wc11 .....'I
SGetilizcr Flr�Vu Sink Deduct Macro
Rose Silty
Misc.
Wm usage 'von
Fixtures
Electric Contractor D iectrie Installation Verification farm attached
flf Rcplacoment)
Use Nature of Work, 1 2.. E c,,,,� (s' w
size Material 1
S
awitasy Sewer
TyPe Conn. Type '!j CY
Storm Sewer I
Water Service a
11,/03