HomeMy WebLinkAbout0142145-Plumbing (water heater) 4 1) CITY OF OSHKOSH No 142145
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 2332 HICKORY LN Owner PAUL W /JANET K CARSTENS Create Date 07/21/2010
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 #
1518674700
Valuation $700.00 Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided
Issued By inSr` 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.
cit ofoshkoslti 006 '91 Wd90 L OIOl l n� awil paniaaa�
inspection Services DIViSiOn ��
PO Box 1130
Oshkosh, WI 54903 -1130 I
Phone: (920) 236 -5050
1'ax: (920) 236-5084 cm riiE wnT.
Plumbing Permit Application
1 hereby apply for a permit to do and install the .following plumbing on the premises hereinafter described, the work to conform to the
Wisconsin Stale Plumbing Code, in the performance of which all parties hereto agree to and are bound by said utes-
can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128, Oshkosh WI
• Application(s) and fee( s )
will result in fees being doubled or 5100.00 phis the normal permit fee, which
34903 -1128. Commencing work without perm t t( a )
ever is greater.
OR . „•.v.t ti
, r - r IL rr Y r, t. S .r
er, t F , c y ,
IL v_„__ n e w n t ,�e[.StS�.L- the Fd
- forms, signed �
** ,A.dvisory .. Fox applicable projects, an Electrical Installation'Ver the h�oameowncX) u be the E Ued
Comer or Hoaueow (for installations allowed to be performed will not be
Applications submitted without an EIV when such is required,
witb the permit app l • icat 0n. and will be returned for completion.
processed for Peaanuit Issuance -7 u 0 r o Cr 7.-f to
Z ') �, L ,k . f__I-h • Witte (Including 1 and materiels) - ---- - -
Job Add res.4 t � -•'•�- = '•-- -;F- -• � -� R. o S } wt. � s S � ..; P 1 q �.^.. .
G A f d - _ Contractor ^'.-' —”' tr1�11
Owner .---..—.--.-.--n—.-----..-- �❑ exec " [Multi Family ❑Rental DComnlert�l ❑
`6ingle Family .
Number of Fixtures: _� Roof Drain
Shower
Plasm sink
OBathtub _.—. Swop Pump , Sank soda Diep —_ --
. _. —_ 5tar- 3urr ✓Pump — Come i p
Service Sink
WrtiriPrwl __. -,-- Water Softener - �..—., .^.,.— SISCIkSin ••- --
Standpipe Res Shainp Sink Lavatory — --• Surgeons Sink ._.. —... Waits Sin
Toilet ..,�..._ t9arnge PD �,—,_. � lee Cleat _..-__ .
Local Waste —. Sterilizer ---
Kit Sink �.. -- RPL V alve Comm lac Maker .—
1Xap�al Bar Sink ---- - . —_._., Im Grease Trap
Broakrm Sink Bider Dishwasher Uric _ Eat Clouse Trap
Flow Drain ._ — ._� Clam Sink — -- „— Beer Tap Eye Wads 8 t
Hose Bibb Exam Sink „-
Dipper Wen Deduct Meta' Sink Water Heater — _ Drink 1Tn1» Wtr Sewer Ma
Clotho* Elect 0 Per Vnt Iluor Sink _- ___.
Clotho* W ahr Hand Sink Wash Finn _ ,. Wu - those MU .--
L d Tray .
Lab Sink CatchBalin Miac Fixates
Electric Contractor (for projects not requiring an EIV Form) -
Use / Nature of Work T ifs `c LA , .$ (A) H • --
-- -- -- . - .. - Size .,. - ._ Material - Type # Conn. Type
Sanitary Sewer •
Storm Sewer
Water Service - .. -., —. -., - ..- .._. --
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