HomeMy WebLinkAbout0143671-Plumbing (water heater) (41/ CITY OF OSHKOSH No 143671
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 315 MASON ST Owner MICHAEL UANNE C LILLIE Create Date 10/18/2010
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 SFR / Replace gas water heater. * *debit acct
of Work
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id #
0610280000
Valuation $700.00 Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided
Issued By (21-1.t../ Date 10/18/2010
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.
10/17/2010 09:56 9202311289 J RASMUSSEN PAGE 01/01
,ity of Oshkosh
median Services Division
p0 Box 1130
Oshkosh, WI 549034130
Phone: (920) 236 -5050
Fax: (920) 236-5084 ON THE WATER.
Plumbing Permit Application
permit, to do and install the following plumbing on the premises hereinafter and bound by said sto conform . s to the
Wisconsin State Plumbing Code, in the performance of which all parties hereto agree
m City Fall, Room 2 or mailed to Inspection Services, PO Box 1 %. Oshkosh WI
• 5490 - 1 and fee(s) can be brought doubled or $100.00 plus the normal permit fee, whirls
54903 -1 128. Commencing work without penult(s) will result in fees being
ever is greater.
OR B ,der a ..<s c. c, *=
a n Electrical tostari»tianvec#fication (EIV) form, signed by the Electrical
C n Advisor
rac o r ^ Tr ar a or R,�eo w ne r t projects, (for installations glowed to be performed by the homeowner) mast be sabtmtted
�
with the permit application. Applications s ubmitted without an EIV when such is required, will not be
processed for Permit Issuance and will be retorned for completion. ( ' 0 D e A n t e I D --if—to
Job A.ddrcs$._ S i' S ■�• r Wile (mooing on i c tai ) --^---
Contractor ..] ► o, S ►� u t S e N
Owner Rental DComwelrcial OJJ,dastrhI
(Single Family OpnPlE p
Number of Fixtures: Root
S
ramp Maaee r Sink
Bathtub _ -- — — Scullery Sink -- T'P -
Shower �. San. Sump/pump — Coffee Mr ,
Water Seftr+aa Service Sink
Whirlpool Shsmp Sink _ — Site Drain
Lavatory Standpipe Rsc „� -- -- Waitre Sai
C�rnge FU Surgeons Sink
Toilet Ice Chart
Wsecc Sxrihzec .— --
Di Sink RPZ Valve Comm lee Maker
D;�posnl _ Bar Sntu. _ _—. _�— tut Game Trap — -.—
r}teakraa Sink Bidet
Floor mahe .r Urinal rid (1�e Trap Floor Dram Clamant Sink Er Waada SO" . ��
Exam Sink _ Berg Tap
Hoag Bibb Di pper Well _ Daduat War
Water Fleeter ( F Prep Sink —... _ Wtr Sewer' r
� l Elect 0 Newt Floor Sink Drink rnin — �.^
Wadi Pan Wtr Usage Mt<
Ck tlaca Wshr Hand Sink ... —....— Mine Pk�murta
1.nchV Tray —
Lab Sink Ciatch Dean
FAectric Contractor (for projects not requiring an EIV Form)
Use / Nature of Wont
(Z .Ir- c4 6-1k5 w .
gi Material Type # Cote. Type
S anitary Sewer
Storm Sewer
Water Service -
06/09
Received Time Oct. 17. 2010 10:37AM No. 3298