HomeMy WebLinkAbout0144377-Plumbing (water heater) CITY OF OSHKOSH No 144377
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1406 SPRUCE ST Owner SHIRLEY A SCHMID Create Date 12/14/2010
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 FIrIWst 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 power vent water heater. * *debit acct
of Work
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id #
1204640000
Valuation $1,000.00 Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided
Issued By 0411 Date 12/14/2010
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.
12/14/2010 11:24 9202311289 J RASMUSSEN PAGE 01/01
City of Oshkosh .
Oshkosh, ox 1 ion WI I1vl.1on
P ch �13 I
Oshkosh, WI 54903 -1 130
Ph: (920) 236 - 5050 .
Fax, (920) 236 -5084 Q J - / H
nta THE WATER
Plumbing Permit Application
1 hr+eby apply for a permit to do and install the folinwing plumbing on the premises hereinafter described, the work to conform to the
' Wisconsin State Plumbing Code, in he perforn ancc of which all parties hereto agree to and are bound by said statutes_ .
• jApplication(a) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 11.28„ Oshkosh WI
54903 -1125. Commencing work without pe nnit(s) will result in ices being doubled or $100.00 plus the normal permit foe, which
,rimer is greater.
II OR
pv are a contrag q ' ' ' . the Perm,' • c c nt Sii srg ,_41111 Z'c adeamate, p!a_4s, .c,,hrrjaere
if you , t n iss_c ed thresh vour account
A • Advisory - For applicable projects, an Electrical Instafztion Verification (ETV) fotrn, sued il►y the Electrical
Contractor or Homeowner (for installatians allowed to be performed by the homeowner.) !must be submitted
with tb.e permit arpplication. Applications submitted without an ETV when such is valorised, will not be
processed fox Permit Issaaumce and will be returned for completion.
Job Address 1 Lf " ° /
l d 6 � r u �. s t Value labor an mnterinlF) I bon : o - 3'!
Owner .5
G. k ", ■ A Contractor __ L 0. $ ►K U - S .e ry P 11 r ,'�' c,�..
Single Family QDuplex DMulti4rms lily []Rental ['Commercial DInl
Number of Fixtureas: •
iutlmib . __ tmrrp Pump �, __ Plaster Sink Roof Drain _—
";hmncr ..-.. .... Can.$rrmrr/Prtmp _ -_, _ Scullery _ _ as Dim --
Whirlpool _ -_. Warm ft ocr r , , Scrvicc Sink Coffee MM
l.;rvarcxy .._ _ _„ Sou dpi Rex — _� Slump S ink ..,, ,,, •,,,_ Site Drain _ ^__
Tnilex �. Gnragc Pty -- S'It'grons Sink Waitrs Stn _ --
K,ir Sink r „ - Local Waste �_— Sterilizer ice Chrsr. ,,,,
rhaposnl _.—_ Bar Sink __,___ RPb Valve —_ (,'.nmm Tcc Maker .
Diehwaeher _ . Fneakmr Rink ---- Bidet . , int (lrer►cr Trap
Floor Drain ___ Chasm Sink 'Chinni Ern. Grease Trap --
Time Bibb _ -.. F><nm Sink Beer Tap F-yc Wash Stn
Water limner . Prep Sink Dipper Well Deihtet A ,_—
ccra
:.I � [.I ElecP Floor Sink
Drink Fntn __ 9Vtr Scorer Mn
Clothes Wahr _,,_...._ .. Band ink Wash Prltn . _..� Wit Usage:A4tr
T,ndry Troy Lob Sink Conch Basin Mi9c FiMOn o ______
Electric Contractor (for projects not requiring an EDT Form)
Use / Nature of Work ... A ( ..t 13 V . ` ) Al _
—'— — ^— Sin Material Type 4 Conn, Type.
Sanitary Sewer
Storrs Sewer
Water Service
06/09
Received Time Dec. 14. 2010 11:05AM No. 4046