HomeMy WebLinkAbout0151513 - Plumbing ( erplace gas water heater) CITY OF OSHKOSH No 151513
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1543 GEORGIA ST Owner JONATHON E/MARCIA K SCHRAA
Create Date 08/03/2012
Contractor J RASMUSSEN PLUMBING INC Category 411 -Residential-Water Heaters Plan
Inspector Jerry Fabisch
Bathtub Clothes Wshr Classrm Sink Surgeons Sink Roof Drain
Deduct Meters
Shower
Lndry Tray Exam Sink Sterilizer Soda Disp
Whirlpool P Wtr Sewer Mtrs
hirl
P 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 SFR/REPLACE GAS WATER HEATER **debit acct
of Work
I
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
1306950000
Valuation $6 0.00 Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided
Issued By (�J\
Date 08/03/2012
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)233-6747(worth
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.
08/03/2012 05:34 9202311289 J RASMUSSEN
PAGE 01/01
ty of Oshkosh
aizti'11 ServiccS ll.tiviS1011
Q Box 1130
Oshkosh.WI 54903-1130
Mono:o: (920)236-5050
.Fax:(920)236-5084 HKQJH
ON ri.lr wATFp
Plumbing Permit Application
l hereby apply for a permit to do and install the following plumbing on the pretnise.s hereinafter described,the work to conform to the
Wiseonsin State Plumbing Code.,in the performance of which all parties hereto agree trt 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 i3ox 1128,Oshkosh WI
54903-112g. Commencing work without permit(s)will result in fees being doubled or$100.00 plus the normal permit fee,which
ever Is greater.
OR
I1-1.4y isre_ c92/Lg itir nggfcigpting R,.'z►r!1,l , _ ...�Sov>1irJ'slettRAsa.fT_,tYY�.,af aar�rr.1}e�'sit3.4,:._cF�eck e_Eg
1.L 1°,pY!. on thfa p tcess,_fli ihl_?. k'oua' gccoic •
**Advisory-For applicable projects, an Electrical installation Verification(ETV)form,signed by the Electrical
Contractor or Homeowner(for installations allowed to be performed by the homeowner)must be submitted
with the permit application. Applications sobniftted without an EW when such is required, will net be
processed for Permit Issuance and will be returned for completion..
job Aticlrems— ,_..S113 L —A 'I J-._ Value(Including labor and materials)) 6 SO_ Date O
Owner S a_" Contractor t R.tx.S ix ti, i S ct I.v _ P !1 , ,.!C
Bungle Family Dfluplex [Multi-Family ❑Rental OCornmerefal ❑industrial
Number of Fix.area:
as hng' - -_-- Sump rump Plaster Sink _.— Roof brain __—.„
Shooter _. San.Sump/Pump Scullery Sink —�_, Soda T.?irrp .,•
Whirlpool Waicr Softener Se 'ice Sink —_ Coffee Mkr _,1..avatory __..__ Standpipe Ree —� Shamp Sink Site Drain .
Toile., enrage P?r) ..—__ Surgeons Sink - Wm SP —.
Kit Sink —_,— Local Wattle. —..— St>criliris .� _— Ire Cheat ,_._.._.._
Disor!a+l — Bar Sink _. _ RPE Valve -•— Comm lee Makes
Uishwaaher k reakrm Sink i3idet Tnt tOrcmme Trap
Flom brain Clamor Sink ---- Urinal _.-,„,.-_ Ext.Grew Trap --_.
lime Bthh — _— L'xnm Sink -...—_ Beer Tap —._ Fyc Wash Stn
Water Taeator F Prep Sink --•--.... Dipper Well _.—....,_ Padua.Meter ---„_
3iirkla I:1 T1nct p Vnl floor Sink Drink Prim Wlr Sewer M
- __ ---,
CImlica Wahl. !land Sink — __ Wash Finn �,,, Wtr Usage Mtr
Lnt ky Tray /.ail Sink �_.., Catch Bede Mire Fixtures
Electric Contract r (for projects not requiring an EIV Form)
Use/Nature of W rk P.'``..1 ( u- G-pc, - CA)
Size Material Type 11 ---- Conn.Tyre^--- —
Sanitary Sewell
Storm Sewer
Water Service
1)5/en
Received Time Aug. 3. 2012 6: 21AM No. 0307