HomeMy WebLinkAbout0152269 - Plumbing (water heater in Mud Room) eD CITY OF OSHKOSH No 152269
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1140 N EAGLE ST Owner EVERGREEN MANOR INC Create Date 09/11/2012
Contractor J RASMUSSEN PLUMBING INC Category 446-Commercial-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 MULTI-FAMILY/REPLACE WATER HEATER IN MUD ROOM-WITH CORD **debit acct
of Work
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
1602810000
Valuation $500.00 Plan Approval $0.00 Permit Fees
$25.00 Permit Voided
Issued By I J Date 09/11/2012
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party,if you perform the work
described in this permit application within an easement,the City strongly urges the permit applicant to contact the
easement holder(s)and to secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address 1914 GREENBRIAR TRL OSHKOSH WI 54904--8887 Telephone Number (920)233-6747(worts
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type of
Inspection (i.e. Footing,Service, Final,etc.),Access into Building if Secure(how do we gain entry),your Name and Phone
Number. Unless specified otherwise,we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
II 09/11/2012 05: 01 9202311289 J RASMUSSEN
PAGE 01101
sh ko.(in.n,tic 5490 D V1SID
P 0 tiox 1130
Oshkosh, WI 54903-1..130
Phone:(920)236.5050 0
Fax:(920)236_5OR4
)
l
fnr r-p,,„„i,rPlu bin( Permit Application
1 hereby apply;for a permit to do and install die following plumbing on the pt�rnises hereinafter riescribed,the work to cordon',by the
Wisconsin Slate Plumbing Code, in the performance of which all parties.herein agree to and are bound.b said
y state rgs.
• Application(s)and felts)can be brought.to City Hall,Room 205 or mailed to Inspection Services,P()Box i 12$,Oshkosh Wr
54903-1128. Commencing work without permits)vrrill result in fees being doubled or$100.00 plus the normal permit,fee,which
ever is greater.
OR
1.1_34 r .Sf:. 4 e_ocor1,kctpalg Ln h
.e ('rr• r .c or tdLS.EIL��a Q,1�l,.j eve c u r
1. .rtx„02_,ty proc4L a z g.?.'2 .accjo; t3 ��vt,df wtheck i�gr�
*`,Advi$ory-For applicable projects,an Electrical Installation Verification(FlV)funs.sighed by the Electrical
Contractor or Jiomcowltuer(for installations allowed to be performed by the homeowner).must;be submitted
with the permit application- Applications submiitted without an E1V when such is required, will not be
processed firm refloat Issuance and wl["ll be returned for completion.
Job.A�l.drt�ta^_�I�i!�.. '_ Value `,��0._,. M__ 51”/ �' 12--^
sllu a(including litho and materials) �atC
Own ear ElN4 f u,, 11 i l l �.. Contractor t i`045 u J S.e P i eI e•'c.
[5ingle Family DDupler EiMulii-Family (Rental OComimercial D.1ndustriial
Number of FIxtlures:
Bathtub ____ Sump Primp __ Plaster Sink — Rnnf Drain _,._,.
Shower .—__. San.SumpfPump _ Scullery Sink ____ SadaDisp -_--
Whirlpool ______ Water Softener „-^_._ Service Sink Coffee Mkr ______
Lavatory ,__.—_ Standpipe Roc _,- Slump Sink ,,.-..,.,- Site Drain __.—.
I'nlirt ,_ _,_.,-. Garage VT) Surgeons Sink •.._ ViTaitrr Stn , _---
KirSink ___ -. [nearWaete ...-„ ..,. Sterilizer ,_-...._.. lee Chest ---
i)iapewI __._ 13acSink _____ RPZValve ._.- Comm tee Maker .`.,,...
piN1 rNUarxx 13rcalcrtn Sink Bidet Int Grcasc Trap --
i
Floor Thnin _, CIasrtn Sink _.�.__ )Urinal __-`_ FSrt Gikmrnc Trap -
[•Iou l3ihb team Sink _—_ Beer r Tap P.ye Wash(stn 9999..._
Water Hester F Prep Sink _.__-._.. Dipper Well _ __„_ Deduct Meter
GI Cans f..Elect.C1 t'* Vnt Floor;ink ...-- Drink Prim _— Wrr Securer Mu -------
CClorbes Wrhr Fland Sink Wash Fmn ---, Wit iime Mtr __,.,_,
T.ndry Tray „_____ Lab Sink
_9,999..-_9999 Catch Aanin Mrvc Fixtures ._..__—
Electric Contractor(for projects not requiring an ETV Form)
Use/Nature of Work_P-.4.4 I at.� ,..�e v �M.a ,; n�t oa'” i�, �.
Sim Met,cri;r.l Type it Conn.Type ----
Sanitary Sewer Sewer
Water Service
n8/o1,
Received Time Sep. 11. 2012 5: 50AM No. 0779