HomeMy WebLinkAbout2011-Plumbing (water heater) CITY OF OSHKOSH No 145666
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 747 POWERS ST Owner JOSEPH M LARSEN Create Date 05/02/2011
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 SFR / Replace gas water heater. "debit acct
of Work
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id #
1107310000
Valuation $650.00 Plan Approval _ $0.00 Permit Fees
$25.00 11 Permit Voided
Issued By 9/211-
/211,0 Date 05/02/2011
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.
04/30/2011 17:54 9202311289 J RASMUSSEN PAGE 01/01
City of Oshkosh
(napection Servicty Division
e lli-111 ) 1116
P O Box 1130
Oshkosh, WI 54903-1130 0 •
Phone (920) 236 -5050 f'JT 711E W/�TFe
Fax: (920) 236.50154
Plumbing Permit Application ,� conform to > �
lumbing on the premises htrrcinafter described. the work
apply sin State Plumbing Code, in the performance ormance of which all parties hca eto agree to and are bound by
said statutes. hereby FP Y ' a omit to do and install the following p
Wisconsin rf on Services., PO Box 1128, OshkoslT W3
c to City 'N all, '1�oom 205 or mailed to ln ►
u6 the normal , O Y ni t . Sh W1
r �1T 0 and fee(s) can or it(s) will reraalt in fees bang doubled or S100.00 pl , will
5 490 3 -112 &. Commencing work without p�
ever is greater. n ¢ a e u t�n�� Ch raj
OR er it . 1
cnN r ct r p�i»a�na�• e
j s a -- s-� — � - -p d i ro o r a c ► Cal
• .it y_ n z t (EIV) � signed by the Elccbri
•
F or applicable projects, an Electrical Installation Verification t e EIV) fo r�►ec) W n a
A*. , At o m for 7- allowed to be pc+f� v s a vzne) i n s
Contractor or HOmeawoet (fox installations it 0 submitted without an EIV
with the permit application. App> eta ,e° '�` • on y / .4- a zss Issuance and will d for cow
processed for Permit 0 , v at�„_.. _ .._.._ _____ -
"? 9 —) d w ‘-'4.- 5 Value (Including labor and rnatere4� ---- -• P 1 '' `.-=
Told Address__ .---- - .i 't 0.S iv% u 1 S .E n1
L . � c � r 6 ,� Colntra.ctor ComancrciteA Dlndu>ahl
Owner -- D Mn1ti- Fanniiy °Rental D
p single
[]ptnp�lex Ma
Fl Root " -'
Number of Fixtures: Plaster Sink -- soaa pi& —
Sump Scenery Sink
Bathtub ---- — Coffee Mkr
S.•ur. SomP�r'n' —_ -.- Service gin _.�'_"' —
Shower Wow Softener Sink'
La ory _. — stamp wal in
Standpipe k -- -- Surges Sink �°
Lavatory •— —' • _ Ite CIt _ '�-
FU
Tablet ._..— - �� �— Strxili __. -- - -`— • Loot Wye - Ca+mtnlee Mnknr
Kit Sink - - -• BJ Z Valve - —,
Bur Sink - _ Irrt Grease Trap niapo ti — — Bidet Int (bases Trap -
Breslow Sink ., Urinal .�
Floor r D in (kern Sink -.._. —.- Ex!. Wadi Stn - � —
BonrDrain Beer Tap Deduct Mir
Exam Sink ..—" Dipper Well —
Water r M - F p rep Sink �- -• -. Wtr Saver o
wart a I __L _ > Fun - --
+Ctea Rica t. I,1 p nt. tr9 Sink d -- -- T W tr U c ----_
WaRb Pam Wi U sag ua+ Caleb Basin Clotho weir __. — Hand Sink
I ndry 'Tray bib Sink -^^ —
Electric Contractor (for projects not requiring an ETV Yong)
llae / Nature of Work __^_ _ __ — T�'Pe
Sanitary Sewer
Storm Sewer
Water Service —.-- .. — — _ —,
06/09
Received Time Apr. 30. 2011 6:36PM No. 5445