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HomeMy WebLinkAbout2012-Plumbing (replace fixtures) CITY OF OSHKOSH No 152020 OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 1510-1520 WITZELAVE Contractor J RASMUSSEN PLUMBING INC Owner NORMANDY VILLAGE LLC Create Date 08/29/2012 Category 443-Commercial-Interior(Replacement Fixtur Plan Inspector Jerry Fabisch Bathtub Clothes Wshr Classrm Sink Shower Surgeons Sink Roof Drain Lndry Tray Exam Sink Sterilizer Deduct Meters Whirlpool Soda Disp Wtr Sewer Mtrs p Sump Pump F Prep Sink RPZ Valve Lavatory San Sump/Pump Coffee Maker Wtr Usage Mtrs p p Flr/Wst Sink Bidet Site Drain Toilet Water Softner Hand Sink Mx u. Urinal Kit Sink al Wait.St. Fixtures 1 Standp Rec Lab Sink Dis osal Beer Tap Ice Chest p Gar Drain Plaster Sink Dishwasher Dip Well Comm Ice Maker 1 Local Waste Sculry Sink Drink Ftn Floor Drain Bar Sink Int Grease Trap Sery Sink Wash Ftn Ext Grease Trap Hose Bibb Breakrm Sink Sham Sink p Catch Basin Eye Wash Statn Water Heater Use/Nature MULTI-FAMILY(1510 WITZELAVE-APT#7)/REPLACE FIXTURES **debit acct of Work Size Material Type # Conn.Type Sanitary Sewer Storm Sewer Water Service Parcel Id# Valuation $300.00 Plan Approval 0611440000 pproval $0.00 Permit Fees $25.00 El Permit Voided Issued By 8Yrkij Date 08/29/2012 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(work 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. 08/28/2012 06:43 9202311289 ._. - J RASMUSSEN PAGE 01/01 lnapecl`ion Services 1vivi,4lon P O Box 1130 Oshkosh,W154903-1130 0 Phone:(920)236-.5050 1:ax:(920)236-50M Q. ,a E-- C F. Plumbing Penn t Application ON THE WATER I hereby apply (or a permit to do and install the following pitdmbing on the pretttises hereinafter desscribecl,the work to conform to the Wisconsin,1ttfr Plumbing Code,in the pet brrnance of tshich an parries hereto agree to and art.hound by said statutes_ • Application(s)and fee(s)can be brought to City ilail, Room 205 or mailed to inspection S©rvices,PO Box 1128,Oshkosh WI 54903-1128, Commencing work without permit(s)will result,in fees being doublets or 5100.00 plus the normal permit fee,which ever is greater. OR J4.0-M.atIL.R e9.1.11RAVA gat lj (n , K lL3Vnfl F 0 .r CCoant Sys.Le 924 ire . uatc,If k,_.,c. eek,Itere • x><'Advisory-PVT applicable projects, an Electrical Installation Verification(EN)form.,signed by the Electrical Contracted'or Homeowner(for installations allowed to be performed by the homeowner)innst be aw.birnittfted with the permit application, .Applications submitted without an EIV when sack is regnired, will not be processed for Permit Issuance and will be returned for completion. JOb Address J U `r' i-1 Value(Irxintling lohor and mnccriflts) b�f©�.-_ Date_ _�. /Z t �q S hot.U 1 s r+ p 1-,..),(... Or' k b�'-). Contractor [Single Faintly [IDtaplex I'trltf-Family DRentntl OConninercial Dlndustrial Number of Fixtures; I thfith .__, Sump Pump Mom-Sink _.-_.-__ Rote Drain -_._-.-_ Slinw r .._._._..... San.Suntritrtmp ____ Sorriest Sink -._._.._- soda Dien ._..._._,,.. whirlpool _„-_ - Walt Sec — Service Sink CMPee Mkr ____ f,.rvatrlfy -._-_-, Standpipe Rix -.. Shamp Sink __._-__ Site Drain ._-._„__ Trnim Garage Il) -_..-.-. Surge_nn9 Sink Milts Sin _.._.___., k:it Sink _J_.... r,.ocnl Waste 5tcrilimr _______ Irr.Chc^.t. -_.-,._. 1Napn:aal _..,-_.. Il r Sink RF7.Valve -... Comm Teo Maker _____ T)istn ocher „_/._. f3makrrn Sink -_-,- Bidet. ____ Int Grease Imp _____ Floor 1)rnin -..... Ciascrm Sink .,_,_... Urinol - -. Del Grease Trip -,._ lime Bibb rxam Sink --- Boer Tap :„__ Fyc Waal:Stn ^.,,,___. Nrntcr Flamer F'rem Sink -_,__ Dipper Well Deduct Meter _�..__- 1{.te l i kct f1 PwrYnt. Proof Sink ..-. . Drink Fran Wtr Sewer Mtr -,,., c'lrnhc;aWcltr __,..-_-. nand Sink __,___ WhahPntn ___-.., 1Vtr Usage Mtt _ t,ndry Troy _,_____ i.Mb Sink ,_ .-,,, Catch Baein Mime.F tttttnea ______- Electric Contractor(for projects not requiring an IEiV Form)_____—.._.,p. _.—_,....._._,- _.�...._______..__^__. Use/Natnre of Work____ e..4-1_,Q,_ 4 ± fi / ` A ff^ ; . 7 _ __ _ Size Material Type tl Conn, Type Sanitary Sewer Storm Sewer 1srrntnr SCI-Vi c e Received Time Aug, 28. 2012 7: 31AM No. 0620