HomeMy WebLinkAbout0141728-Plumbing (water heater) la) CITY OF OSHKOSH No 141728
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1045 W 18TH AVE Owner RALPH E WENO JR 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 #
1307090400
Valuation $700.00 Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided
Issued By a-192,Q/ Date 06/28/2010
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the
easement holder(s) and to secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address 1914 GREENBRIAR TRL OSHKOSH WI 54904 - 8887 Telephone Number 920 - 231 -1289
To schedule inspections please call the Inspection Request line at 236 -5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
06/27/2010 11:04 9202311289 J RASMUSSEN PAGE 01/01
City of Oshkosh
inafection SerVicec fivlvlon
.R O Box 1130
Oshkosh, Wi 54903 -1134
Phone; (920) 236 -503p
Fax: (920) 7.36 -5084
0 hi • H
Plumbing Permit Application ON THE wnlFp
1 hereby apply for a permit to do and instill the following plumbing on the premises hereinafter described, the work to conform to the
Wisconsin State Plumbing Code, in the Pc fornunce•of which all parties hereto agree to sued are bound by said statutes.
• Application(s) and fee(a) can be brought to City Hall, Room 205 m- mailed to inspection Services., PO Box .128.Oshkosh Wi
54903 - 1.128. Commencing work without permit(s) will result in fees being doubled or 11100.00 plus the normal permit fee, which
ever is greater.
OR
If v o rs a ntracsra 2slaj lnating j s P r,»' Accosnt .$'vole,»
if you want R�+ti,y„pracessed the crud have 2tf greaee tvnda. check here
2>Itieh..,yst. r1�...acce��..
** Achy , - For applicable projects, unl Elcchlical Installation Verification. (EIV) form, signed by the Electrical
Contractor or Homeowner (for installations allowed to be performed by the homeowner) muse be submitted
with the permit applcaption..Aplicatians submitted without an ETV when cub is required, will not be
processed fart Pewit Issuance a and will. be Termed for cosnpletriom.
Job Add ress_ n Y 5 £v 1 , , Value (including lehor and materials) "7 a a �.
.�. Date 6Val
,S nee ,_ W�, r o Contractor 1� 0.S s i K �, .t s P R e ms' ,
ingle Family Difnplcrt — :Multi- Family :Renal Com
�] merctAl []lindncatrhtl
.Number of Filatures:
r3athtttl, -- Sttrnp Puinp ^ _ __ Plaster Sink ----- Roof limp/Pump
Whirlpool _ .�. Water Softener _ Scullery Sink _-- Soda Uigt
Scarier Sink Coffee Mkr
Lavatory Standpipe Rce --.,- Shamp Sink
Toilet -_ C,ant� fl) -- Site r St n _ �.,
Kit oink Serrmeana Sink Wolin Stn _
Loud Wast Sterilizer foe
Disposal .,..-- - -�. Ear Sink _�� RPZ Valve — "...'__ --
Comm loo Maker
Dishwasher nreekrm Sink - gib Y ~ � _� Inn Grease Trap --
Floor Drain Claggrm Sink Urinal - ttxt Grease Trap
Hose Athh T ---__
Exam Sink Beer Tap Eye Wash Stn
Water Heard ( F Prep Sink Dipper Well —___.. Deduct Meter
' jt lass El Elect c i PwrV m Floor Sink
Clothes WI. Llrittk Fran - -_ Wm Sewer Mtr
Hand Sink Wash Tray r , UM Sink — Wm Ltst�te Mtr --.�.,
- -•- Catch Basin - ,,,,,, Mine Fixtnrxa
Electric Contractor (for projects not requiring an EIV Forum)
Use / Nature of Work 11- 9 ( et. 4 (AL i.e.
.�,... . Size Material -- -- Type # �-- — Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
•
fie /09
Received Time Jun. 27. 2010 11:43AM No. 1670