HomeMy WebLinkAbout0142721-Plumbing (water heater) g) CITY OF OSHKOSH No 142721
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 311 W 16TH AVE Owner WILLIAM A WALTER Create Date 08/23/2010
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 FIr/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 Duplex / Replace gas water heater (serves both units). * *debit acct
of Work
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id #
0904940000
Valuation $650.00 Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided
Issued By (i7 Date 08/23/2010
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.
08/21/2010 08:14 9202311289 ty of Oshkosh J RASMUSSEN PAGE 01/01
Inapectinn Services Division
P n Box 1130
Oshkosh, WI 54903 -1130
Phone: (920) 236 -5050
Fax: (920) 236 -5084 oN THE WATER
Plumbing Permit Application
I hereby apply for a permit to do attd install the following plumbing on the premises herein d w to O1utiGS to the art bound by
Wisconsin Stan Plumbing Code, in the performance of which all parties hereto agree
6 Application(s) And fee(s) can be brought to City Hall, Room 205 or mailed to inspection Services, PO Box 1128, Oshkosh WI
54903 - 1.128. Commencing work without pertttit(a) will result in fees being doubled or S100.00 plus the normal permit fee, which
ever is greater.
OR a a,e, r rs - r
, . •, FR . ,.. , u , - a , ■ • . . a a � c., r� r ra -
i y0.l4 w4C>✓! -lak4 g s4 f�rou • • . r ac o i t it
x* cabl an Electrical Installation Verification (EIV) foram, signed by the Electrical
Advisoltyr - For applicable projects,
CoxitR>tictar or Homeowner (for installations allowed to be peafoxmed by the homeowner) mast be submitted
with the penult application. Applications submitted witlumt an ETV when such is required, war not be
processed for Permit Issuance Issuance and will be returned for completion.
. � e, Date-------- ..../ � f-- o
l y
ob Address 3 I i to 7 '6 7 �+ �_ value (.including lichee and materials) -
Owner W G `s Contractor .
ier Multi- Family D>� ow
tal DCne�l DIindngtri *l
❑Slagle Family � Dn P [:
Number of Fixtures: Roof Drain --
Wasrcr Sink
Bathtub —. Sump Pump ^ �� Soda Nap —�—
San, Sum/Pump Scullery Sink
Shower . C:oR2x
WaterSoRaict Service Sink — _--
Lavatory
Whirlpool —,�- Slump Sink Site Drain
La ..._.... 3IDndpipc Roc .,�._ � ^ wears Sat - -.—.•-
Garage Swamis is Sink
Collet ^� Sterilizer ice Choi —
Kit Sink _.. - -_� Local watrte — -- c M»m toe Maker klar sank — RPZ Valve .
Disposal _.�., trrt dream Trap t3tm sink Bider
Pinar rehd 13rinal — Pact c Trap
PI Drain Clem Sink fyc Wash Sin Rama Sink ._ Beer Tap
Hate Bibb Dipper Well Deduct Meter -
Water Tiara' / V Prep Sink wed Sower Mir _ ...�
y4`aa f] meat 0 rarrvm Placer pink Drink Tim _ _. —
Wash Pn n WtTUaeseMv
Clothes WaIrr Hand Sink ---. -- Mite Pi�tas�
Lttdry Trey Lab Sink — Catch Baba
Electric Contractor (for projects not requiring an Form) .. Use / Nature of Work
-"—"'— Siz
..... —.. Material —... # T ype
Sanitary Sewer
Storm Sewer
Water Se ry ce -- _ _ _..
06109
Received Time Aug. 21. 2010 8:53AM No. 2504 f/ () -aW6