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Home My WebLink About0145231-Plumbing (kitchen sink) g) CITY OF OSHKOSH No 145231 OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 217 LAKE POINTE DR Owner JOHN A/DIANE HOLDORF Create Date 03/23/2011 Contractor J RASMUSSEN PLUMBING INC Category 413 - Res - Interior (Replacement 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 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 1 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 Use /Nature Condo / Replace kitchen sink. * *debit acct of Work Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service Parcel Id # 0614407512 Valuation $400.00 Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided Issued By at27Z-2J Date 03/23/2011 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. 03/23/2011 08:37 9202311289 J RASMUSSEN PAGE 01/01 City of Oshkosh In ap t'tinn �iervicPV Dlvislo11 I'O Box 1130 ® ' Oshkosh, WI 54903-1130 Phone: (920) 236-5050 .Fak: (920) 236-5084 r WI Plumbing Permit Application) • I hereby apply for a permit to do and install the .following plumbing on the premises hereinafwr described, the work io conform to the Wisconsin State Plumping Code, in the performance of which all parties hereto agree to and are bound by said statutes. • Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO 133ox 1128, Oshkosh WI 54903 -1128. Commencing work without perrnit(s) will result in fees being doubled or 5100.00 plus the normal permit fee, which ever is greater. R ,(f You ere a Cgf !/!1' er1ICipL _LI - i 'a it . :L . CC • , i sf. a n' , •re al • , U teJ'ur1¢Is. check here 1 u nt thr nroce e,}. ed - ;ftrate xyir, FCol/nt ii ** Advisory • For applicable projects, an Electrical Installation Verification (EIV) form, signed by the Electrical Contractor or Homeowner (for installations allowed to be performed by the homeowner) mast 1* submitted . with the permit application. Applications submitted without an EIV when such is requked, wm not be processed for Permit fiance and will be returned for completion. Job Address 1-.) 1-e. Ke PO; (WA' value (indudinn labor anti mm ndLs)) L,/0 0 % t .,r °!° Date 3r 21 Owner - o _ (dl o_ f. Contractor t _ _ S 1 s e N P 1 1 r Z' __ f Single Family ❑Duplex IMulti- Family []Rental ❑Commercial Dlndustrlal Number of Fixtures: . Ft thtub Sump Pump Plaster Sink Roar Drain _- RhnplCt _ Sm,. SumplPttmp _�__- Scullery Sink Soda Dbip _._._,.,— Whirlpool Water St+Raner - 5avice in __.._ Coffee Mkr Standpipe Rec -_ Sham!) Sink ._� Site Drain _.r. I; . Toilet Garage Ft) Surgeons Sink waits Sin -- Kit Sink � . local waste - _.,. -- Sterilizer ______ Inc Chest _— . Dispnaal _, Bar Sink RAZ Valve .,-- Comm ice Maker ___._ . Ftrcakrm °- - Sink Bidet lnt Orme Trop -- ihatnydAher Em Carcase Trap """' -' Flow Drain _T Clasamt Sink Urinal _ - Derain Sink `-r beer Tap -- Bye Wad, Stn .._.... -._ Hate Bibb Dedttet Meter Water Heater F Prep Sink - Dipper Well - _ -' Gay rl Elocl. f.:l Pwrvn1. Floor Sank —__.__ t)r lRk Fah, _.. _-- Wtr SeaeorMtr Clothes W4ir ,.,. Hand Sink Wash Fntn _� -- Wij UsageMtr _....� Lab Sink Catch Basin M;ec Potluzr^e Lock); Tray _ �'-"- Electric Contractor (for projects not requiring an EN Form) _ ---- -- Use / Nature of Work R - 1 _ C & `t. - - + • ,5 '`"" : _ Size — _w Material - �. Type # ---� Type Sanitary Sewer Storm Sewer Water .... Service -._, -...- . -- -T _ ____ _—.. —.. --- os /0 Received T Mar, 23. 2011 9 :19AM No. 5035