HomeMy WebLinkAbout0152621 - Plumbing (replace kitchen sink) CITY OF OSHKOSH
OSHKOSH No 152621
PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 2271 PATRIOT LN Owner RONALD L TENPAS TRUST
Contractor J RASMUSSEN PLUMBING INC Ca Create Date 09/27/2012
Create
413-Res-Interior(Replacement Fixtures) Plan
Inspector Jerry Fabisch
Bathtub Clothes Wshr Classrm Sink
Shower ---- Surgeons Sink Roof Drain
Lndry Tray Exam Sink Deduct Meters
-- -- Sterilizer Soda Disp Whirlpool P Wtr Sewer Mtrs
Sump Pump F Prep Sink RPZ Valve
Coffee Maker
Lavatory San Sump/Pump FIr/Wst Sink Ws Usage Mtrs
Bidet Toilet Water Softner Site Drain Misc.
Hand Sink Urinal Wait.St. Fixtures
Kit Sink 1 Standp Rec Lab Sink
Disposal -- _.— Beer Tap Ice Chest
is
P 1 Gar Drain Plaster Sink Dip Well
- — P Comm Ice Maker
Dishwasher
Local Waste Sculry Sink Drink Ftn
Floor Drain B Sink — Int Grease Trap
ar
- Sery Sink Wash Ftn Ext Grease Trap
Hose Bibb Breakrm Sink P Sham Sink
Catch Basin Eye Wash Statn
Water Heater — -
Use/Nature CONDO/REPLACE KITCHEN SINK AND DISPOSAL IN SAME LOCATION **debit acct
of Work
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
1621641501
Valuation $ 0.00 Plan Approval $0. Permit Fees
00 $25.00 ❑ Permit Voided
Issued By arn - - Date 09/27/2012
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement,the City strongly urges the permit applicant to contact the
easement holder(s)and to secure any necessary approvals before starting such activity.
Signature
Date
Agent/Owner
Address 1914 GREENBRIAR TRL OSHKOSH WI 54904 -8887 Telephone Number (920)233-6747(work
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing,Service, Final,etc.),Access into Building if Secure(how do we gain entry),your Name and Phone
Number. Unless specified otherwise,we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
KeceIved I Ime Jeo. 1/. /(ill h• MMNI iv,. i,,,l ,
09/27/2012 05:26 9202311289 J RASMUSSEN PAGE 01/01
0,9iik Ction 1 549,04-113$]011
l'0Box1130
(.?,Ahkosh.WI 54903-1130
Phone:(920)2363050 "� f/
Fax: (920)236-501141 C JI---\ 1 I
GN Ti-IF ih ■Tr.•a
Plumbing Permit Application
I hereby apiTly for s permit to do and install the following plumbing on the premises hereinafter dcscril,>ed,the work to conform to the
Wisconsin State Plmnthin0 Code, in the performance of which all parties hereto agree to and are bound by said statutes.
ot Appl,ication(s)and fee(s)can be brought.to City.Hall,.Room 205 or mailed to inspection Services,PO Box 112s,Oshkosh WI
54903-1 128. C:.ontrncneimg work without pe Mit(s) trill result in fees being doubled or 5100.00 plus the normal permit fee,which
c vcr i.5 greater.
OR
If..u.._tt_ater se rsctor nariicipaling i_n bl-ag,r 1711.- . Ac count SJ'cre�rt.9.pi.b.g._C`ar>1eau9ig...ttlOs,_beck.EtB-t..t
if v_97., rt 71.f_rJth_Arocv.,rsed lhrnugh your ace a nr_.
** Adviiso y-For applicable projects, an Electrical Installation Verification(EIV)form,signed by the llecirrical
Contractor or Homeowner(for installations allowed to be pt rfnrtncd by the lionseown )must be slnbttrtitted
with the permit application. Applications wthntittetl without au EIV wJle?l such is regalred,lIrilt not be
processed for Permit Is trance arid will be retIIflled for completion. `
CA, o i)ate _Z Z ` 1 L
'� f— �"/tr.0 A,L-1-!`'t Vall1C(Inulnding tabor end materials)._ --�-- —
,1 oh Address Q9 p :.:43-, n p�S yea u s e<Q t w N
�'��� iC:oRt:raCtOT R. 1----i--- 1 .,
nSh gle'Nati y cJi ;plex [OMulti Falptiiy DRental OColmmerrial
• Number of Fixtures: Roof Drain Sump Pump Plaster Sink ,-
f•Scrdmdr _-._..... Soda'Div �---.
Scullery Sink
?�Iunnrcr —__...., Sail.Sump/pump -- Coif=Mkt - -—
Wautr Softener ,,, Service Sink ..- --
i.A inery --.. Shoo Sink --_,-._,. Sir'r t)raiv
Taft r���arory _. Standpipe tier. ._- .._� WaitrR Sin(mraw,c 1`1) --_-, Sus oci's Sink -,
—,I Local Waste __, knaiitTre _._..-_-
r�it Sink -_ — t nrnm Tae Maker --
RPZ Valve
roiapnca.l _._.I - Bar Sink _-_. lot fircaxe Trap --.r
T3rcakrm Silk ---_., Bidet -�
'Distavoaltca -___.. TJrinal ___ .� E%1 t3rcasc Trap Clnasrrn Sink Eye tVnslr Stn _,
Floor Drain Rea Tan
J�tam Sink
T•iraeRihh —u.-- F Prep Sink -- nitperWeli rnducrMcrc _: —
Wu Sewer er Mtr
Water Feiner Drink Ptttrt ----
1 rtes 0 Elect l'1 PwrrVnt floor Smir - Wtr l,lsAttr Mir
Tjand Sink Wauh irntn -�•---.-
l".Iofhr5 Wsltr ,___r_._ —.�,. Cecil,Basin _,.. Mlisc Pi%Urncrt ,...-_..-•
1.ndrY'T'rrnl _._._.-•- tab Sink -.._-••_
Electric Contractor(for protects not requiring an EIV Form) ._. —.___.______... _--- -.
C •� !��S of,� Qi S.4 r•-e q•e]':rr
Use/Nature of Work_ _._�'e'f f a� 4 P _ A C��-'-�_ J I .. — --.. -._ _.__.—.._.�-—
,1V1arerial_r,. -- - YPe
It -Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
08/09
Received Time Sep. 27. 2012 6: 14AM No. 1002