HomeMy WebLinkAbout0146148-Plumbing (interior) 12.D CITY OF OSHKOSH No 146148
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 635 W SNELL RD Owner JAMES HARWELL Create Date 05/31/2011
Contractor J RASMUSSEN PLUMBING INC Category 410 - Residential- Interior Plan
Inspector Rich Wood
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
Use /Nature Make connection to new service laterals for newly annexed property. **Debit Account **
of Work
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id #
Valuation $500.00 Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided
Issued By Date 06/01/2011
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.
05/31/2011 08:10 9202311289 J RASMUSSEN PAGE 01/04
lay of Oshkosh
P () Rctx 1 130
OFhkosh,9Ji -1130
Phone: (920) 236 -5050
Pax: (420) 236x50134 I,JJ ��/ A \OJI
ON rtir wA■rr<
Plumbing Permit Application
1 hereby apply for a pe•,rmit, to do road install the following plumbing on the premises hereinafter described, the work to conform to the
Wisconsin State Plumbing Code, in the performance of which 211 parties hereto agree to and are hound by said statute .
* .Application(s) and fec(s) can be brought to City Nall, Room 205 or mailed to 11)8pcctirm Services, PO }fox 11.28, Oshkosh WI .
54903 -1128. Commencing work without permit(S) will result in fees being doubled or $100.00 plus the normal permit fee, which
ever is greater.
OR
iti,. ar• , c n ract.r article.) r irx 1 e .arm t .,c .lpj,,, ;y,s Fm and have adequate Bards. abed here
if ► anf tha.r p_a_.e.cfed t rn�eb v r accalt,I C
** Advisory - For applicable projects, an Electrical Installation Verification (RV) forma, signed by the Electiricatl
Contractor or Homeowner (for inlsallatiw is allowed to be performed by the homeowner) must be submitted
with the permit application.. .Applications submitted. without az. EN where such is required, will not be
processed for Pettauit Issuance and will be returned for completion.
Job Ad.dress , / J„J^ 1) , ` /�i �` r value (Jneluding lobo and m vv . Date - 5-- � / !
Owner (- J` w 4 - , « Contl ctor -•J t R- 0. 5 ► t„ J S r•.i P 1 w q , ..T,-' c ,
S n g ke Family EJDU ['�i1 ultii -Famil )Rental [] `I nst r i
y �] (]GilmleniecrcimR 11InelllwlxiAl
Number of Fixtures;
Bathtub - --- Sump Pomp Plaster Sink Roof Thxin - . M .„
Skinner San. Smn Scullery Sink -••_ _
Stvla 1)isp
Whirlpool _. Water Softener Service Sink Coffee Mkt __ _
Lrvatory •___.__ F rnndpip cRec ...- - -- - -, Shrum Sink - •- ..._..,.. Site -----
Toilet (inrnge 171 _ - -_ Sur of Sink _.. Wairrs Sm - --
Kit Sink — _ - Lnc�l Waste - - . Sreriliz z Ice Chcel. ----
Diapoml _. -._ Bar Sink „ -„ RJP7 Wive -_--. Comm Ice Maker ---
Dialmmeher I?rrakrmSink __-- Bidet ^- Int (irrn (Image _ „
Fluor Drain - -- CIa,aann Sink - Urinal txt Carcase Trap ----.-
dose Bibb ___ Pram ,ink Beer. Tap - -- Rye Woah Stn __ _
Water Better F Pry Sink _...., Dipper Wcll _..� - Baum Mew _ _ ._..
1.1Cke )51st I:l PINVnt PIour Stnk Y - _. Drink Fain W r Setter Mtr
Ctoilm luahr Hand Sink _ Wash Foul r .....w.
T_ndry Tray Tall Sink _.__„ .._ Catch TSaain
E tt is Contractor (for projects not irequiring on EJV Form) —.
Use i Nature of Work — TN dt ■ , � P l j 4 I4 k . ° ; W t i'
— _
Sire Matea .. - - -- 1 "ypr: R Conn. Type
Sanitanr Sewer
Storm Sewer
Water Service
0F, :19
Received Time May, 31. 2011 8:52AM No.5844 •