HomeMy WebLinkAbout0152127 - Plumbing (replace water heater) (ID CITY OF OSHKOSH No 152127
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1150 N WESTFIELD ST Owner EVERGREEN MANOR INC Create Date 09/05/2012
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 DUPLEX/REPLACE ELECTRIC WATER HEATER "`debit acct
of Work
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
1608640000
Valuation $600.00 Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided
Issued By Y) f� Date 09/05/2012
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.
Date
Signature
Agent/Owner
Address 1914 GREENBRIAR TRL OSHKOSH WI 54904 -8887 Telephone Number (920)233-6747(wor■
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.
09/05/2012 06:51 9202311289 J RASMUSSEN PAGE 01/01
fnnpeC>!inn S'ervic fllvi,slon
F°hF3ox1130
Oahkoc((920) 54903)130
Phone:(92U)23C.,••SQSp
Pax:(920)236-5084 10 ...
Plumbing Permit Application 741:wflTl:F
i hereby apply for a1 permit,to do and install the.fol,lowing plumbing on the premises hereinafter described,the work to conform to the
Wisconsin State Plumbing Code,in the performance of which A11 l�a,rt' Yttetetn agree to and are bound by alr.id statutes..
* Application(R)and fee(c)ca.n be brought.to Cily Hall,Room 205 or mailed to inspection Services,PO Box 11128,Oshkosh W1
54903-1128, C".nmmcncing work without permit(s)will rrgult in flees being doublexi or,$100.00 plus the normal permit fee,which
ever is greater.
OR
1f5?2L!.ar_q_as4»,lrcterct• gEtic i Ring ira the i'ert •x P ..2,_. 1.11,o74 S , a n_g7.61.hav 4.. 4degypJ a L ,_check h
if vnu_w_pr{f_1 iL-nlnLc,cse4 ilmough yD�r aSta1,V.....
**Advisolry-For applicable rri jects, an]Electrical Installutlioo.Vc fi'icatiion.(ETV)form.,signed.by the Electrical
Contractor or Homeowner(far installations allowed to be performed by the homeowner)must be Arty. %nutted
with the permit application. Applications subunit' ed without an EIV when such is required, will not be
processed for Permit issnance/a/Ind will be returned
for completion. / /'
N. Weil- 7 r ��111H t
(Including labor and matcriofa) v D `�Q D1atc r� l G
Job Address R.01/45 _ __
Owner ki y r.e.t N G'olna:lrs>ctor l t u S net.) . �'''c
f Single Vomily _..I1DtnPlet (]Monti-Fanelly ❑Rental f Cnnwmercial n ustrlal
Number of FlkWres:
;Vann At __.__-..- Sump t"utnp „_— Pinata,Sink Roof Drain _.._ ..,,,.
Shooter _----. San.Smnp/Pnmi _—, Scullery Rink --- Soda Diap —.--
Whirlpool _______ Winer Softener _ Service Sink Coffee Mkr k•„r—.,
Lavatory ---- Standpipe Rel.- Shrilly Sink Silt Drain —..--,_.
Toilet .----_ (ianigr,FT _____ S,try a n.i Sinlc ------ Waitrs Sin _,,, _,—,
Kit Sink —_..., Ltxal Waste. ----- Sterilizer "_,_,., Ice:Cheat ___
Dittira4nt _--- Bar Sink ,-,,,,- RPZ Valve —_ Comm Tcc Maker --_
Breakers.'Sink Bidet, _ Int Ornnsn Trap __,._..,....
Distnvnslter .,_.__— —_..
hlnnr Drain —_ ... Clasarin Sink _. Urinal ,�—_ E,i Crease Trap _-
1'tavc rdihh ---- Exam Sink -.,,,_.._._ Boer Tap eye Wash 96t
J�rrcMacs r f rep sink —,—__. Dipper Weil Vrner licnior _(_—_
I:I(tae LEtect 11 PwrVn1. Floor Sink ,. _-.-,— Drink nun Wm Sower Mn „_.-.___
Clnthe9 Walt __._-.,, flans Sink _—.—. Wash Pntn _,,,••,_....,. Wm Tinge Win --
Lndt'y Troy ._—_ Loh Sink Cinch Ruin --_..__, Miac Pi amts ____
Freebie Contractor(for projects not requiring an EIV Form) _ . __
Ilse/Nature of Work___._.f L t t t t-"- 5-.C.a1 a.; C1,("l,._. ..____._ _ . __ ._.____ _.._
Size Material Type # Conn.Type
Sanitary Saver
Storm Sewer
Water Service;
ut/0S
Received Time Sep. 5. 2012 7: 39AM No. 0715