HomeMy WebLinkAbout0142144-Plumbing (sump pump) ('-&) CITY OF OSHKOSH No 142144
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1945 HICKORY LN Owner ASWIN /SANGITA PATEL Create Date 07/21/2010
Contractor J RASMUSSEN PLUMBING INC Category 413 - 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 1 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
Use /Nature SFR / REPLACE SUMP PUMP ""`debit acct
of Work
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id #
1526110000
Valuation $400.00 Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided
Issued By Trr ,- Date 07/21/2010
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.
07/21/2010 06:16 9202311289 J RASMUSSEN PAGE 01/01
•
City of Oshkosh
Inspection Servicrs Divisloo
P O Box 1130
Oshkosh, Wi 54903 4130
Phone: (920) 236 -5050
Fax: (920) 236 -50M (J
ON Ti E. WATER
Plumbing Permit Application
1 hereby apply fat' a permit to do and install the following plumbing on the pr irises hereinafter described, the work to conform to the
Wisconsin State Plumbing Code, in the performance of which all parties hereto agree to mod are hound by saki statutes.
• Application(a) and fee(s) can be brought to City Hall, Room 205 or mailed to inspection Services, PO Box 1128, Oshkosh WI
54903 -1128. Commencing work without pettnit(s) will result in fees being doubled or $100.00 plus the normal permit fee, which
ever is greater.
OR
1 2 ; • - • c • A c ,r ■ e ' 14 • ti _ er i cc _r S s el.. 'PO have a4LqAcile funds. ch . her
f f you wg fa recessed th.Irou vorwr c_o_2 I G
" Advisory - For applicable projects, an Electrical Installation Verification (EIV) form, signed by the Electrical
Contractor or Homeowner (for installations allowed to be perforated by the homeowner) must be si.b netted
with the permit application. Applications submitted without an EIV when such is required, will not be
processed for Permit Issuance and will be retuned for completion.
o
Job Add rwsi ,f ilif&kee LP► Value Naming Inbarx,d materials) l b b _ o _ Date 7 - /r'
Owner t Pri _ Contractor a5 s s P I_1 2 i' C
pitSingle Fam ily ClDnplex D1Nuiti- Family GRental DConolineraial ['Industrial
Nrunber of Fixtures:
Fintl>rrrb .— SumpFUtnp Piaster Sink _— Rmrf1]rain
Showcr _,_ __ Snn Sump/Pump _ , ..._ Scullery Oink ..--- Soda bid t __
Whirlpool Water Softener Service Sink __. _. Coffee Mkr
Lavatory - Standpipe Rec __ - $hamp Sink — ..__ Site lkain _
Toilet — Gat ae hn _ -- S aracens S ink Waitra Stn
Kit Sink 1.nea1 Wa ste. Sterilizer ._ Ica Cheat
Distraint _____ Aar Sink _ „_ RPZ Valve --- Comm Ice Maker —
Dishwasher . Rrealmn Sink. _ _ �, Bidet rnt Grease Trap _
Floor DMm _, C ! &. s►m Sink _...„ -. lJrinal --
1 Oman RC Trap
Flo se Bibb Exam Sink ,_ Beer TAD - - Eye Wash San
Water Heater F Prep Sink Dipper Well --- _ Deduct Meter
1.1 Gm f l Fleei. n PWrVet Floor Sisk , _ think Fnin Ww Sewer Mtr
Clothes W7hr Hand Sink _ Wash Fnm __ We- Usage Mtr _ _.
Lndry Tray Lab Sink - - Catch Basin Mix Mama ._—
Electric Contractor (for projects not requiring an ETV Form) .\
Use / Nature of Work i_Q.f)a c e
.— —... Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Os /09
Received Time Jul. 21. 2010 6:56AM No. 2037