HomeMy WebLinkAbout0144461-Plumbing (water heater) 0 .- CITY OF OSHKOSH No 144461
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 20 22 E WAUKAU AVE Owner JAMES J /KAY E RAUCHLE Create Date 12/27/2010
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 DUPLEX (20 E WAUKAU AVE) / REPLACE GAS WATER HEATER * *debit acct
of Work
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id #
1417160000
Valuation $650.00 Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided
Issued By 4 21M � / Date 12/27/2010
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.
1 epeetinn 18:18 Division 9202311289 J RASMUSSEN PAGE 01/01
City of Oshkosh
Services
P OIBox 1130
Oshkc h" W1 54903-1130
®
Phone: (920) 236 -5050
Fax (920) 236.50R4 C2/ O
ON TI-I'. WATER
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 State Plumbing Code. in the perforntance of which all parties hereto agate in and are bound by Aaid statutes.
• iAppiicatintl(a) and fee(s) can be brought to City Hall, Room 205 nr mailed to Inspection Services, PO Box 1125, Oshkosh Wl
: 54903-1128. Commencing work without permit(a) will result in fees being doubled or s100.00 plus the normal permit fee, which
ievcr is greater.
OR
If v17w are o 4 a . , .ri i .01 • e - Cr ' c . unt sse epithet-Ira. nde4v Lfun c head era
//YOU 111017% this nr_ot €Ssed 7 hi. op. ghyour acs ,o a
" Advisory For applicable project , an Electrtical Installation Verification (ETV) forts, signed by the Electrical
C nntTactor or homeowner (for installations allowed to be perforated by the homaco rner) roust be submitted
with t°be permit application. Application, sabaniitted without an EIV when such is required, will not be
processed for Permit Issuance and will be retained fox completion.
Job .Address 0 E • L) h V Vane oncluding hdmt and mMeriala) D J � .- Date I — Z 2 -de
Owner f. Rk c.L \ , Contractor 0.S ►� s S c.� 2_14_ �'
(]8iadgle Family i*ple>c []Muitl- Family DReiatal [Cometercial DIudnstrial
Number of Fixtures:
Ratlmrb Sump Pump Plaster Sink Roof I.Dsain — _
Shmver . - ---- Snn. Sump/Pomp _ _,- Scullery Sink Soda t$sp - --
1>ialrirlponl — ., Wat>;r Softener .., — 9erv ioe Rink � -„ ., Coffee Mkr
Unwary Standpipe Rcc Sham) Sink Site Drain —
Toilet Garage T'C Surgeon. +ink. Waits Stn _____
Kit . Sink Local Wage Sterilizer �— lee Chest
U aomi __ — _ - , Bar Sink — __,_.., RPZ Valve Comm lee Maker
Dishwstrher _ -- Bn nkmt Sink . _..— Becht ____ ,_. int Grease Trap _ ..
floor Drain __ Climnir rSink _ Urinal Far Grease Trap
Hose Bibb Exam Sink _ Beer Tap ,._ Eye Wash Sin
Water Heater i f Prep Sink _—, Dipper Well i>educt Meter ,_
NfiDaaa ❑ Elect Pvv Vat Floor Sitfk —. - -_ Tarmk Nei Wtr Sewer Mir -__
CIenbc3 Wahr —_ Hand Sink _,� Wash Pntn Wtr Matte lulu
I.nrky Tray — - Iah Sink _. .. , Cats► Basin Mite Fixinrea --- . -,-
Electric Contractor (for projects not requiring anal EIV Form) .
Use / Nature of Work F. l 41/4 C.� S W, krP. - -
- -- Size Tvleterial - -� Type # C.nnn. Type
Sanitary sewer
Storm Sewer
Water Service
oaron
Received Time Dec,22. 2010 5:59PM No. 4161
.