HomeMy WebLinkAbout0145665-Plumbing (water heater) CITY OF OSHKOSH No 145665
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 20 22 E WAUKAU AVE Owner JAMES J /KAY E RAUCHLE 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 Duplex ( #22) / Replace gas water heater. * *debit acct
of Work
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id #
1417160000
Valuation $700.00 Plan Approval _ $0.00 Permit Fees _ $25.00 ❑ Permit Voided
Issued By 2 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 18:00 9202311289 J RASMUSSEN PAGE 01/01
City of Oshkosh
'median 5ervit�es Plvislan
P O Rox1130
Oshkosh„ WI 54903-1130 02 '
Phone: (920) 236-5050 O f��0 j'1_
Fax (920) 236 -5084 J A\L I
ON T•VF. t.I,TF.R
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 performance of which all parties hereto agree to and are bound by said statutes-
• Application(s) and fcc(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO 13ox 11.28, Oshkosh WI
54903 -1128. Commencing work without permit(s) will result in foe..s being doubled or $100.00 plus the normal permit. fee, which
MT is greater.
OR
L„vou are a contra r ar 'c'. .t'(,; in th rmi - cco„;t_ and have adequate und chick hate
if vo_y want. this process d th h yn a cca. t tt go
** 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 be submitted
with the permit application. Applications submitted without an EIV when such is required, wi not be
processed for Permit' Issuance and will be xct'mned for completions.
a o� _ _ t w o- I ". Ice:0i Value (lndnd'mg labor and materials) b� a
J Address E�ate • 10 " /(
r
Owner gatkGI. )'- L ____ M _._ Contractor
Single Fainily pitpuplex []Multi- Fiunily (]Rental f Commerct*l Dindastrial
Number of Fixtures: .
13atM,tl+ Sump Pump Timer Sink _, goof Drain —
SM+wcr _ _ Sat. Sump/Pump _ Scullery Sink Soda Disp —..
Whirlpool ____ Water Softener - Service S -� -- Coffee Mkr _
Laraterry -. _ —. S tan d p i pe lice Shang) Sink Site Drain
Toil r Garage PD ..,,•.,,— Surgeons Sink — ,_,,,,•._. Waits Stn
Kit Sink __.. E oval Waste - Sterlli r )cc Chat
- -- gar Sink - RPZ Valve Comm ice Maker .
Dishwasher __. k?makrmSink _ 1Sk1et IntGrease Trap -
Clas6rnt Sink Urinal ,.„ Fart Grease Trap -.
Floor Drain _ "'-�r F.ye Wash Stn
NnRe Bibb Einm Sink Bee' Tap — --
Water Mover 1 . _ F Prep Sink Clipper Well --- Deduct Meter „—.
1Gtras Fleet i; pwrVm. Fluor Oink __— DrinkFmn WirScvrerMa ..
Cluthvi W<hr gland Sink Waab Pntn WO-UaegeMtr
1.ndry Tray ______ Lab Sink _ Catch Basin w ,,, -,_. Miac Fixtattxa -----
Electric Contractor (for projects not requiring all E m
V Form)
Use / Nature Offoxll Q' 1. 0 . 2 C 6T`! j
- -w Size Mate rial - T Type # Corn. Type
. Sanitary Sewer
Storm Sewer
Water Service
nvos
Rece T Apr. 30. 2011 6:42PM No.5447 •