HomeMy WebLinkAbout0141729-Plumbing (water heater) CITY OF OSHKOSH No 141729
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 131 W 14TH AVE Owner CHARLES R CHASE Create Date 06/28/2010
Contractor J RASMUSSEN PLUMBING INC Category 411 - Residential -Water Heaters 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 SFR / Replace gas water heater. * *debit acct
of Work
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id #
0304350000
Valuation $700.00 Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided
Issued By Z/2/ Date 06/28/2010
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.
06/27/2010 11:28 9202311289 J RASMUSSEN PAGE 01/01
City of Oshkosh
tnepertinn Servicfc DJV191011
. ®
P O Box 1130
Oshkosh, Wi 541903-1130
Phone: (920) 236 -5050 r
Fax: (920) 236 -50M — 0
ON THE WATFP
Plumbing Permit Application
T hereby apply for a permit to do and install the following plumbing on the premises hereinafter described, the work to conform to the
Wisconsin State Plumbing Codc, in the performance of which all panics hereto agree to and are bound by said statutes. .
• Application(s) and fee(s) can be brought to City T-T&I, Room 205 or mailed to inspection Services, PO Box 1128, Oshkosh WI
54903 - 1128. Commencing work without permit(a) will result in fees being doubled or $100.00 plus the normal permit fee, which
ever is greater.
OR
If v,�re
u Dari 1 1ci iTh do t, Per, t • . c n _ tent and hay ,g_ eaMQle ,..9 eck he! g
�a .�
if vatw wa t IAtt 2rp a.rs_iriabfaligh_'i?1u..-acWW r . C
** Advisory - For applicable projects, an Electrical Installation Verification (EJV) foam, signed by the Electrical
Contractor or $eam en1vner. (fox insrallations allowed to be performed by the homeowner) roost be submitted
with the penult application. Appiacations submitted without an EIV when such is required, will not be
processed for Pexnit Issuance and will be returned for completion.
13 7 laa►tir 6�Cg ��
,Joh Address 116 _ value ( inchtdin g labor and materia _.
Uwioer
C- Contractor t 0. lv<u _S ^' P 19 , i`' C ,
Mingle Family (]Duplex ❑Mulls- Family Oliental ['Commercial ❑lndustrbal
Number of Fixtures!
Rathoth Sump Pump _ Fleeter Sink __ Roof Drain
Shooter __ S an. Sump/Pomp Scullery Sink Soda Disp
Water Service Sink Coffee Mkt
Whirlpool . —_
Lavatory ry— Standpipe Rex Shamp Sink Fitts Drain .—.-.—
.av>rtt�rY • --
Tpild ,— -- [:inregr D'Dti SIIrgMna Sink' -.—__. Waits $tn
Local Wnatc FitctiH7ltr _ Ire Chad
t
.Kit Sink '-- �� COMA Ch Inc Maker
Disposal -•_ -- Bar Sink _, RFZValve
Brcnknn Sink _ _ Bidet ,_,___ int Cringe TntP
piahwaalaet Est Grease Trap
Floor Drain Clasarm Sink Urinal
Exam Sink Beer Tap Eye Wank Ste
Fiore Bibb —.�— � �_ Deduct Mew Water Heater ( r Prep Sink —_ Dipper Well —..—
yZI>Cias %.I Flea f l PwrVM flour Sink Drink F — Wit scawx Met
Clotho Water Fund Sink wank Fam Wit Usage Mu
Lab Sink Catch Salim Mix Fixmra+
1iidtyTray _ -__ — --"�
Electric Contractor (for projects not requiring •n EIV Forts) - .._ --
_.J, / Nature of Work _,__ _ fi �A.r' - - ----- -- —..
— Size .— + Material Type # Conn. Type•
Sanitary Sewer
Storm Sewer
Water Service
neica
Received Time Jun.27. 2010 12:06PM No. 1672