HomeMy WebLinkAbout0152780 - Plumbing (water heater) CITY OF OSHKOSH No 152780
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1080 N WESTFIELD ST Owner EVERGREEN VILLAGE
--- -- — Create Date 10/04/2012
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 FIr/Wst Sink _ Bidet
k Site Drain Misc.
Toilet —_Water Softner Hand Sink Urinal Wait.St.
Fixtures
Kit Sink Standp Rec Sink Lab Sin Beer Tap Ice Chest
Disposal Gar Drain — Plaster Sink Dip Well
P 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(APT#215)/REPLACE GAS WATER HEATER **debit acct -- —_
of Work
1
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
1608640200
Valuation $650. Plan Approval $0.00 Permit Fees
$25.00 El Permit Voided
Issued By
Date 10/04/2012
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.
10/04/2012 06:31 9202311289
J RASMUSSEN PAGE 01/01
Op h nect(9 Services i vi,9inla
P sl Oshkosh,1130
()sltikOSh,11J.i.X4903-11311
Phone:(920)23(i-5050
1'ix:(920)2'36-5084.
C:NI TI-IF WilTrF
Plumbing Permit Application
Thereby t7.ppl.y for n.permit to do and install the following plumbing on the premises hereinafter described,the work to conform to the
Wisconsin ante Mouthing Codc,in the performance of which All parties hcreto Agree to and are bnund by said statute .
Application(S)and fee(s)can be brought.to City Hall,.Room 205 or mailed to lnslaertion Services,PO Rex 1 128.Oshkosh W1
54003-1.128. CoMmet,cing work vithout ertrit,(s)will result in fees being doubled or$100.00 plus the normal permit fee,which
ever is greater.
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_1JZ2!.at'g_..4._c .1r'aCint' PAUiciLtallidte in thfi ZRt _. .4 ccf.)unl ySysieT._(srAist ye ad&a_rie ?.iu?Ld_s,..cdseck b ra,.
if_vs u.-.w.:, „n..t_tdrjc tl_cESlid_azzatat iva..czc4.:o 1.1- .
".Advisory-For applicable projects, an Electrical Installation.Verification(ETV)forth.,signed.by the Electrical
CmnntTaCtolr or Homeowner(fsrx installations allowed to be pC�rp Cd by the homeowner)must be sxetnnnifetcd
with the pew application. Applications submitted without an MT when such is required,will nor be
processed for Permit istznsutincC and will be rammed for cotttpletion- c /1
Cf l�-3�
(� 1V 1 (�4 t 7�2'aVa1Dti (Tnclttding tnhnr and matcrin4c)_ b=..1..."�--, Date e
K.. SSrti
Ev 2' Contractor ► 0.S— U , .14_,________,
Owner _ - __. — -- lndustrtatll
OSitt Ole Family ODnroler �01Vttt11t,6-Family ❑nentt d ]Cornlan�enitaI
Number of X'INtures: Rorrfuratn
Master Sink ---
Fiathurh -•--•..-. Sump Plnt+p _ __.._ Scda l7i�p -----___..
ga9r.Srnnp/NIMD ---.- Scullery Sink __...—_ `
�h+>urcr _
Coffer:Taller _---
Wntu Softener _ Semler,Sink --, —
Wlrirlpool -- SitcTlraio
Shrimp Sink — --
t;tPantry _...._..-. Stsrndpinc Rcc �—_.__ Ws Os Stn —
C;ara;r 17D _.---- Surgeons Sink .......-,..�
1"nilG __---._. ice t::ha9t. ---_
Stetilint —_ __-
Y.nral V6ante
r`itCrnk Comm Ira Maker
Ear Sink. _ RP7.VAl1re .—.,_.-
Disposal .....__..._. - Bidet Fnt Grr nqe Trap ---
T;rcnkmr Sink
T)isln+.aalrcr — Urinal Fxt lircnsc Trap
Float Drain _.__.., Con..^son Sink
RCM'Trip -- Eye Wash Stn .—.
Exam Sink ---- —__
Hose Shah T>ippcc WeU __.._.._—. Deduct Mrter .--
( P Pc Sink --- Wn.Sewer Mtr .._._--
tir+,tcx.T•irstu' -- Drink Firm ----•-
NiCias C:Vico.11 T'rerVnt glom Sink ,..-.- .. Wit Usage MIN
_._.
[-land Sink Waal'Fntn —.__-_
Clothes Wain _...-_---. -'--__. htat Phiticm ..,.,.......
Lab Sink _- Chin ._. -..--.
-
Electric Contractor(for projects not requiring -- --
Use/ Nature of Work______It
-- - ....�°l--s_.._ �K -- --- -- ... w__
_.. - ..._..-- - - -size Material Type 0 Conn.Type
Sanitary Scwcx
Storm Sewer
Warm Service _ .-•.--
es/o?
Received Time Oct. 4. 2012 7 : 20AM 'o. 111.2