HomeMy WebLinkAbout0146294-Plumbing (1/2 bath in pantry) (&) CITY OF OSHKOSH No 146294
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1255 JACKSON ST Owner JAMES /CAROLYN C HUDDLESTON Create Date 06/10/2011
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 1 San Sump /Pump FIrIWst Sink Bidet Site Drain Misc.
Toilet 1 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 Add 1/2 bath in pantry. ** *Debit Account***
of Work
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id #
1202980000
Valuation $1,000.00 Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided
Issued By Date 06/10/2011
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.
06/10/2011 05:26 9202311289 3 RASMUSSEN
1 PAGE 01/05
City of Oshkosh
inTection ServiceS 17 • .
1vi Sion 0
P 0 Box 1130
Oshkosh, Wi 54903-1130
Phone: (920) 236-5050
Pa,x: (920) 236-5084 laAccafEl
ON TI.ir %/JAM:
Plumbing Permit Application
1 hereby Spnly for o permit to do and install the following plumbing (41 Ihc premises hereinafter described, the work to conform, to the
Wisconsin State Plumbing Code, in the performance of which aparties hereto agree to and are hound by said statutes.
• Application(s) and fee('s) con be broashtte City Hall, Room 205 or mailed to inspection Services, PO Box 1 T 28, Oshkosh W1
- 54903 Commencing work without peril will result in :leas being doubled or $100.00 plus the normal permit .600 which
ever is greater.
olit
Ifav2p._ctrj a codgissblrarpalcip • ertnif F _4,,g,cgunt Srxic_m_aolitcroe_mdS9_1.Latf-lkai.§..,.......bitEE
it_you 14+Ort1 ihis.jatog_xx.ect shroligb VDU?' acettifil_
** Advisory - PO applicable projects, au Electrical Installation Verification (EN) form, signed by The Electricai
Contractor or Homeowner (for installations allowed to be performed by the homeowner) must be submitted
with the permit application. Applications admitte& without an EIV when such is requited, will not be
processed for Permit Issuance and will be returned for completion.
Job Add reSs j e-S 3 At- 1 C-S ONN Ocio I "
Vallje Onclucling lahnr and inateriabil I . — Nile
.....,........-
Owner iitkit.klits4-or, COntractor .1t R S h.. %,, .s S .e. I % P 11
IgiSliagie FA1111 ily ODnpler []Multi-Family DRental DCommereial OIndustristi
Number of Pis tures:
gAthilib S101141 Pump Pinter Sink Ronf Drain
..._ _..__
Shower Sim, Sum/Pump Scullery Sink So& Dim
...._ ........ — .
Whirinnoi Winer Softener Service Sink. Cuff= Mkr
Lies/nun I Struutpire Rex Shim) Sink Stir Drain
..---
Garage ITD ..— Surgcon.q Sink —_ Waitta Sul
fat Sink 1.11Cli Wame Fired liTer Trz Clico
Ilivrtomi Tr Sink ILPZ Wive Comm Tot Maker
.._ ... ...--
Dishmosher Brenkms ink Bkiet int &mit Trail
----
___
Floor Drsin Clmann Sink Dina) Ext Cireaso Trap
..._.._ ___..
time nihb Exam Sink Boer Tap Eye Wash Sin
----
....— —
Water %um . . I Prep Sink ...... Dipper Well Deduct Moter
Li Oriv 1 I Elect .''. P1W:int irloor Sink Drink Pilo Wtr Seaver Mtr
. —.._ -----
Clothes Wshr __ Hand Sink WWI Pio Wtrilringe Mn
1.aclo Tiny Loh Rink
.... Cotch enain Mire Pixturac
----- —
Electric Contractor (for projects not requiring zn EIS' Form)
— -
Use / Nature of Work tt 0. Yi, 1 MA.,_,..., r ...„4-
,) w 4 , 4 A v .f
....„ . ., _... _ . .
• "
Material Type # Conn. Type
Sanitary Sewer
'
Storm Sewer
Water Service
06/00
Received Time Jun. 10, 2011 6:09AM No.5972