HomeMy WebLinkAbout0143484-Plumbing (water heater) la CITY OF OSHKOSH No 143484
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 713 SCOTT AVE Owner TERRY A ABRAHAM ETAL Create Date 10/06/2010
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 Replace gas water heater.
of Work
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id #
0504860000
Valuation $50 .00 Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided
Issued By ed Date 10/06/2010
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.
10/06/2010 06:31 9202311289 J RASMUSSEN PAGE 01/01
ity of Oshkosh
.n_getion Si c S D1v19IDn
POBox1130
Oshkosh. W1.54903 -1 130 tlilli I
Phone: (920)23h^5050 OTEUIE
Fax: (920) 236 -508 ON THE WATER
Plumbing Permit Application
1 hereby apply for a permit to do and install the following plumbing on the premises hereinafter desc ibed, he work to
statutes-
conform to the by
Wisconsin State Plumbing Code, in the performance of which all parties hereto agree
• Application(S) and fee(s) can be brought to City Ha.% Room 205 or mailed to Inspection Services, PO Brix 1128, Oshkosh WI
54903 -ii 128. Commencing work without permit(s) Will result in fees being doubled or 5100.00 plus the normal permit tee, which
ever is greater.
OR
a
. ,, h ,,e d ,r - , h r •c p t g
" Advisory - For applicable projects, an Electrical Installation Verification (WV) form, signed by the Electrical
Contractor or Homeowner (for installations allowed to be performed by the homco rnec) must be anbmitted
with the permit application. Applications submitted without an EIV when such is reed, will not be
processed for Permit Issuance and will be returned for completion.
b
Job Address - 7 I S (-0 'O. Va (Wilding tabor and. materials) S u� � z y .
Owner Mt- i D k ■Q''► I 4 Contractor S t~ s S 4 ^' l . �r C,
pSingle Family ❑Duplex DMultt- Family DRentnl DCommerdal DbndustTbI
Number of Fixtures:
Aatirudr _..._ -_ Sump Pump Pla4mr Sink — Runt Drain
Sun. Sump/Purr" Scullery Sink Soda DID
Whirlpool _ — Water Softener Service Sink Co Mkr
Lavatory _ Standpipe Rcc — Shy Sink Site Dram
Tnila — dat Aga Yt? - -- Surgeon Sin Wakes Sm
Kit Sink Local W. to �, Steril�ier ,_ toe Client
Bar Sink RPZ Valve Comm Ice Maker
Disposal _
Smarm Sink Bidet Irrc Grease Trap
Dishwasher - ' . ---- -. pmt Grease Trap
Drain ^—
await Sink Urinal
Most Bibb Beet Sink — Rear Tap _.�_._ Rye Wash Ste
F Pty Sink Dipper Well Deduct Meter
Writer Hearer —'� W1r Sewer Mir
AOrts
D Elect 0 PwrVnt. Floor Sink _ �— Drink Pitt
Clothes Wshr Nand Sink _ Wash Run -_ WO Usage Mtn —
Lnrky Tray Ian Sink Catch Basin Misr Frames
Electric Contractor (for projects not requiring an EIV Ferrate) - Use / Nature of work 1 l aCs.L W -K , ,
Size Material Type I/ Conn. Type
Sanitary Sewer
Storm Sewer
Weser Service
O6 /a4
Received Time Oct. 6. 2010 7:11AM No.3128