HomeMy WebLinkAbout0152018 - Plumbing (water heater) CITY OF OSHKOSH No 152018
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 2430 HAMILTON ST _ Owner THOMAS J/KRISTI RICHARDS Create Date 08/29/2012
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 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 1
Use/Nature SFR/REPLACE GAS WATER HEATER **debit acct
of Work
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
1229280000
Valuation $650.00 Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided
Issued By c Y)Li 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 06:48 9202311289 J RASMUSSEN PAGE 01/01
*nation Services Division
0 1�4X 1130
��5111CC19h,WI 54!)03-D D3q
Phone:(920)236-.5050
Or
Fax! (920)236-50$4
Plumbing Permit Application -" '';-IF,Nitr
f hereby apply fur a.permit to do 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 e1D pr»cs hereto,agree to and are bound by said Matured-
* Application(s)and fee(s)ea.n be brought.to City Hail,Room 205 or mailed to.inspection Services,PO Bent t 1.2R,Omhkogh Wl
5490:1-1128- Commencing work without permit(s)wilt result in fees being doubled or Maio plus the normal permit fet:,which
ever is greater.
OR
I.f E _SLI_a_CPPOiraclor Rg"aGigatitai E a1e_a kSy. VSt;Rrn /Wye ade_auttli...{,?£ 4�rt�..£.r.�.cj-ire.
if_Y2 _11Per._tl�i,s,PrA.Cf F ,1111-q lath accOV?t'
**.Advisory-For applicable projects, an Electrical Installation Verification(E fotrm,signed.by the.Electirical
Contractor or Homeowner(for installations allowed to be performed by the homeowner)must be snbmiittt4
with the peewit application. Applications submitted without an IEIV When such is irrquired,will not be
processed for Permit Issuance and will!be returned for completion.
Z51) 92 Job Ad.dreJs.... L 3°„._f7P.t/ti.JJ Willie(hitthMina labor and mnterialn) __—_._-- Date___...-_...
Owner
11)IN, 2 t c;�ar)J Contractor , i tx,5 t�u.1 S 142. :1 c:
'Single Pamfy Dbnpllea DMniti-Family (Rental °Commercial rj.lndustrlal
Number of Finrturett:
natbnib —_. Sump Pump P1aatoc Sink Roof Drain
Grover Con.Suntp/Pamp Scullery Sink ,_-_ Soda DLL _-_„--_
Whirlpool ,—_. Water Softener _.__._.._ Service Sink Coffee Mkr ------
l..euatirry .-__. Standpipe Rae —__,,.,., Shnmp Sink' —__,._- Site Drain __
Toiler: __-.._._ Cramp FD ,-_._ surgeons Sink __..__ Waltz Sin - - --
Kn.sink Local Waste __-__ Srertlim _... ,. .Inc Cheat ....—.-.
1)isponn.1 ._—. Bar Sink RPZ Valve ,_.____. run cc Maker _-.. -
0 ittWaaha _.. 8teekrm Sink _-- Bidet __.- , to Grease ease Tntp
Finer Drain —,� Ciasarm Sink Clrinal _,,,_„_,,, T.rrI.Crease Trap
l Tnve ftihb _ CXntn Sink _-,— Beer Tap _,^ Eye Waah Sin
Water'Renter 1 F Prep Sink Dipper Well .,,,.,— octivet Merest -�,.,�
liG(ins r.,Elect fl Pm*Vnt Floor Sink _ ..,_-.- Drh,k Porn _.-- Wes Sewer Mir
Clothes Wchr ,. ____ Hand Sink ---- Wash Fntn -,.;._-. Wli Usage Mir ---
1.ndry Trny ______ i.ah Sink. _ Catch rtanin Mix.Piictirrct+
Electric Contractor(for projects not rregniring an ETV Form)___ _ ._...._.._. ----
Use/Nature of Work_____L4.1.6.' c�.e (-1 Go,
.....__ ,. .----__ -_Size -......... -'TAacexiExl ._...._—_,, Tyne_,__ .. .._— -tC'cmn.,T '� -----
Sanitary Sewer
Storm Sewer
mratcr Service
06/09
Received Time Aug. 28. 2012 7: 36AM No, 0626