HomeMy WebLinkAbout0144862-Plumbing (sump pump pit) a)
CITY OF OSHKOSH No 144862
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1203 GLEN AVE Owner ELAINE M KOLTERJAHN LIFE ESTATE Create Date 02/10/2011
Contractor J RASMUSSEN PLUMBING INC Category 412 - Res - Interior (New /Relocated Fixtures) 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 1 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 1 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
Use /Nature Install sump pump pit, pump and repipe ACW standpipe w/ AAV.
of Work
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id #
0610030000
Valuation $1,000. Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided
Issued By ., Date 02/10/2011
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.
E9t ' °N 16IaC: I lH '6 'qaj auui . pani aaa
eaiso
. Stan =OS
on ,4e1!ueS
3dtS1c)J gal lte!oiht �.._.. 11i010 aalnisN / Il
--- ' (uuu04 Ara u0 Nlg.quba.x we spa(oJd.oj) Jew:t aoo a!iial:
wru� volea — tl�s v► t _ _ ,may NPUY
so+W>i!d �e!Itl us "— - ... t,-. 0 0, : ,
u>ud M )u!S P i]
AGE[eefl MA 034 .) ;
-_ unki •� )W!fi iooLd i v l :l P a la 0
_ .— as ratios i}M _ �� -- »1'H so16M
Il M,ndd!i1 ' 141 S chidd i
--- - u3S Y & okd -_.- V4' mtu 9q. Fl H
--- wS'PuM�3 _ ,. _ des mg uw(/1ou13
)lWS wnsI
)!ius u x48241
--- Jv+l F)w( - 1aPlS .._-. - Au'' _ - --, --- pwadslV
IeA Zdll MI
'I' s�xnSmS agu�at)
— 1,13S u}!�AA _ • -- ant odtdpuu� tio)mte i
viva an - ---" auiS ducat's + - +;loS+�eM -- luudlut!M
WI 201.140 �tn� x!niay _ . _ - - -- �vuvy
-`- )t �'lllos - dwndld�S '
- - -- dsr� j epos — r _ • _ gnwueg
_-._.- wwnlooa
-- *IS' � dotty dwt s
:sain0!11 Jo raqu[gt[
a sn n Itsp�Iamatealp iwu?iD �1ltici- Plal6tD saldnCIO �1l .a U .
1 !�7 P i .�olta!a4110D ni _ w X7:4-) .1aue+a
��ry (yM 'oul Nuo,uq pu!Pnp 4 z) aup,A. r a'/ i c oil / �- seuppy qo1�
;�. y CQ/
I— d -uopapbex03 no pmearapi NI ripa pug aaua!uss' mulaa ioJ p ssaJOJJ
aq vie Q!a* 'pamd6a3 st gyus ua'gb Ala us XuO1p M paws suopea>Rddy "u0112311dgiv Nui rad *V 1 1Whi
YauM O Wog alp £q pa xi o3 pa ue supply :put apj) saa�boaueoH Jo > OD
P� �l a uls i s3aafa arq*3 1 YdE io - Lxos4wff
1Cd iq - pals ` uxo3 (A) uopeo A uope 11 1'�[
)taidb7v an nr inn "uid - i'!y l 1u» tdt t rri
123q pap - spun aTer an a i as a. Add '37j Y Prillir v . L
?i0
• 1Iso.d al Jana
Ippo *and reuuou 3qj said 00-00i$ Jo p op $ui q wool ui ;p loft (syl!uwd3n OA% Su►anawwu� '8ZL ['£O6'
IM 4mItdmo '8Z 11 *Gil Od `sa31n lag uopzad►tq as poirout 1 O Soz 111.0011 In AID 01 'u!gnaiq aq use (0e3} pus (s)uope3rldd •
•sapnsis pies Ali pono9 a.ai pus of *tide opsaq salted p's goppi Jo 201.1¢nUOJ xaii alp u! '3pop Su!givald 3i 4g u!siw3slM
atp on twosuoa oa *men MO paquasap .tapsu!aiag welt aid a44 uo 8ulgLunld Snth►opo3 3tp Ilp'u! pule op o} guuvd s .tol. nld& &gang I
uo!leOUddd *wed Gurgwnld
a. runt A Hu NC) nos-9£Z (oz6) ' -i
�I nos-9a
o£1 I- �£O6$'S 1M `4 03 iti4
0£Itxo130
U011iiAIQ =was UOI d UI
tisOPlsnjo ICal)
I0 /T0 39dd N3SSf1WSVN r 68ZTTEZ0Z6 05:17I Z /
T TTO60/Z0