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Home My WebLink About0145892-Plumbing (kitchen sink & dishwasher) e CITY OF OSHKOSH No 145892 OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 2821 STONEY BEACH ST Owner JOHN V NICHOLS Create Date 05/16/2011 Contractor J RASMUSSEN PLUMBING INC Category 410 - Residential- Interior Plan Inspector Paul Wolf 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 1 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 LATE PERMIT/ Relocate KS and DW w/ AAV of Work Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service Parcel Id # 1415270000 Valuation 0.00 Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided Issued By Date 05/16/2011 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. 05/15/2011 10:17 9202311289 J RASMUSSEN PAGE 01/01 city of Oshkosh 1n•pection Ser VIM DlVisibn 0 P O Rox 1130 • Oshkosh, WI 54903 -1130 Phone; (920) 236-5050 Fax: (920) 236 -5084 .III -- ��fJNN TTHFF►VIATFR 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 fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128. Oshkosh WI 549034128. Commencing work without permit(s) will result in fcen being doubled or $100.00 plus the normal permit fee, which ever is greater, OR 1 • u • re a c ire t • r 'are , t ht Perm t . t ' em • n ; • f' • f r. V...00{ ,E, check here ifx._oN,ag t this processed through ea vnur c2N, l.._d ** 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) must be submitted with the permit applicadon. .Appliicaitions submitted without an EIY when sue* is required, will not be processed for Permit Issuance and will. be returned for completion. Job Address e gd I S 1 6- Va.1u a (1ndodin labor end maoerial8)J o - S � , . , Pate .5-' /1 // Owner N c'L (. Y Contractor R-.0.S lK u s S €,) P l i, r' C, RISIng1e I amilly DDnplex [(Multi - Family :Rental DCwnmercial DIndustrial Number ber of Fixtures: Bathtub .. - „ — .., Camp Pump Plaster Smlc Rpq(DFId -- Shnwcr — ___ San. Sump/Pump - _,•___ Scullery Oink __ ___ Soda DIz3f _ Wh irlpool _ Water Softener _ �� Service Sink ,�_„ Coffee Mkr T 1- averrn:t _• Standpipe Rce _ Shamp Sin Site Drain _. �_ Toilet Garage FD Surgeons Sink —_ Wants Stn _ •,� „. Kit Sink . _ __. t.� Waste Sterilizer _ ice Chest. — Disposal _ —._ Ra Sin __ RP7, Valve _ Comm Ice Mnker _ Dishwasher / ...� Rreakrm Stifle _ bidet 1nt Grease Tom ------ Fltxx Drain Classnn Sink —__ Urinal Fict one Trap — Hose Bibb Exazn Sink Beer Tap _ Eye Wash Stn - - -- Water Hear _ V Prep Sink .T Dipper Well Deduct Meter —.---- L1 0,s r:l Elect is I Pa/Aint Floor Sink [Drink 1 to . M.. War Sewer Mtr Clothc9 Water __ Hand Sink Wash Fntn — WO Usage Mtr --- Tndry Tray -- lab Sink . C.attch Ba sin Min Fi xtures - Electric Contractor (for projects not requiring an EJV Form) Use / Nature of Work t 1. t 4 C. KS 4- D W, w / /t A V r Size Material Type # Corm Type Sanitary Sewer Stone Sewer Water Service . nt;/o5 Received Time May. 15. 2011 11:0OAM No. 5656