HomeMy WebLinkAbout0146968-Plumbing (a) CITY OF OSHKOSH No 146968
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 220 N WESTFIELD ST Owner CARMEL RESIDENCE INC Create Date 07/26/2011
Contractor J RASMUSSEN PLUMBING INC Category 410 - Residential- Interior Plan
Inspector Rich Wood
Bathtub Clothes Wshr 1 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 Flr/Wst Sink Bidet Site Drain Misc.
Toilet Water Softner Hand Sink Urinal Wait. St. Fixtures
Kit Sink 1 Standp Rec 1 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 Apt #133 / Remodel*Replace lav and kitchen sink and add clothes washer. **debit acct
of Work
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id #
0611430300
Valuation $1,000.00 Plan Approval $0.00 Permit Fees $28.00 ❑ Permit Voided
Issued By �i2/1///Q__, Date 07/26/2011
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.
07/26/2011 06:02 9202311289 J RASMUSSEN PAGE 01/01
("ii:p of Oshkosh'
P lngpection Box 1 1.30 V'tCC4IDtV1410n
Ea �(? Box 1130
Oshkosh, WT 5+1903 -1 130
Phone: (920) 2MS -5050
Fax: (920) 236-5084 I
i
' f „�N TI-�F I,unrFa
Plumbing Permit Application
1 hereby apply for a permit to clo 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 nil partics hereto agree to and are bound by said statutes.
• Application(s) and fee(s) cnn be brought to City Hall,, Room 205 or mailed to Inspection Services, PO !'fox 1128, Ushknch Wl
54903 - 1128. Commencing work: without permit() will result in fees being doubled or S100.00 plus the normal permit :fee, which
ever is gtcn.eer.
OR
Jf_ss..m. are a cgntra nar a1J t jhe Per city •,r e' .►L h_4M�e_. .,i?9 7 . cAgs i:
Lf_Yc _y.. !d'•_1bii processe t.fLo Jd.Lyu1T p c it_n_! _19.
** Advisory . For applicable projects, an Electrical Installation Verification (EIV) form, signed by the Electrical
Contractor or Homeowner (for burtallations allowed to be performed by the homeowner) Mgt be submitted.
with the permit application. .Applications submitted without an EIV when such is required, will not be
processed for Permit Issuance L and will be returned for completion.
.
Job Address 0 P•w.n,sT ci EL? Value (Including Iphnr and materials) /Doo oo Date 7- Z5-
Owner LL'Lm ..w 1.1 NA Ls Contractor jt R o s ►� ti, s 5.,„%., P y , .Z' ' c. •
DSingls Family ❑Duplex J Multi- Fatnlih Iiltcntai DComnmerciaN Dindustrhal
Number of Fixtures: .
F.tnthFirh , _ _ Sump Pump __— _ Plaster Sink —_-_ Rnnf Collin ____
5 hoWer _.__ —. . Sim. sompR'gmp ScU11t'y Sink ____ .. Soda t)iap
Whirlpool _ _, Warm' Softener Service Sink Coffee Mkr _ , ,_ __
l,nratm _ _ Standpipe Rae ._. L ._.. Sharp Sink ___ Site Drain
Toilet ('iamfx 17D --- Surgeons Sink Wailes Sin __.—_
kir. Sink I Wink �.. Srerill•ne -- lcr. Chest
Digponel - Bur Sink. ___.... RPX. Valve Cnmm ice Maker ,...—
CiatnMlaher BroFkcm Sink bidet _ lnt Grange Prop - -----
1 Ionr Arvin _, Clasper Sink _—` Uncial .—_. Est. Ckear a Trap _ --,.
Hose RiMi !Nam Sink - Hoer Tap ,,,,„• -,,,„, . Rye Wash Sin ,__
Vlralrr Tic.,xc F Prep Sink Dipper Well De Inct' Mctcr —„ -.
16aa [ailed 0 T wrVnr Floor Sink Prinlc P4rrn _�,_ Wlx Sewer Mtr ,
Chaho„v Wshr __1 • Hand Sink „ Wnsb Pntn —_ _ WO Unngc Mtr _,, —
Lndry Ttny - _-___,, Lab Sink _._._,.,.,.. Catch Basin _ Mile Pixtunn -----
i;lectiric Contractor (for projects not requiring an EJV Form)
Use / Nature of Work R L.,1 a . L otu 4. W -F .l , -kk 1 - a.A e. (o w A Lee.^ A Pf 4I1 3 3
---- • °------ •----- ._.�,. l'Utatr„r'ial Type: ii - ii �.(lltitl. Type
Sanitary Sewer
Storm Sewer
Writer Service
neihn
Received Time Jul, 26. 2011 6:46AM No, 6454