HomeMy WebLinkAbout0153161 - Plumbing (water heater) CITY OF OSHKOSH No 153161
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1040 N WESTFIELD ST Owner EVERGREEN VILLAGE Create Date 10/24/2012
Contractor J RASMUSSEN PLUMBING INC Category 411 -Residential-Water Heaters Plan _
Inspector
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 Unit 315-Replace NG water heater
of Work I
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
1608640200
Valuation $650.00 Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided
Issued By Date 10/24/2012
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.
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Plurnbni; Permit Application ,...,i,i.77,-,--u..7,7,,,t,---- •
i,orelti., ppi', •fir n• permit to do rand InstaI I the foltr.riving pforrhin 0: rl • . ' •
viiscr,min r7z13.0e.phimbinp,c odir.,. .„7...lt ._ . _ 1 .8 1 Ir.,PI enlISICS 11C:reillail.t,'Oe.qCfn.)4^4-1„tbc,saixtrk to coitforrn to Elbe
1 I pk".1.rOtTrlanCt Of 1./V 71Ch an rtarticz hnroto agrcr try aod ore bottrel lw maid gtottlf,..s..
or Apptioallf..m(S)and fee(s).carA be hrought to C.11y Ibt11,Room 20.5 or niniicd to Inspection Service,s„plo,p,o-x 12ft,e)F.4.6,-.0,1, Tvi/
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''.. A ItiliSernr-.For applicahRe projects, on.Egocibrical 7uPtollation lierif,ication(71.1V)fortrt,signed by the.13.7rellical
Canti11117Retetir or liorneove.nReur(fo•hostalliations allowed to be perfocurneall by be bolutenvet.aerr)imp*be uebumbrtrld
vp ith tbc permit applicatimt.. A,ppliratiosks snInnitta without utt MIT wbeu smelt is r elittio-cd, wii.li uM.•he
irpro,ccssetil for Pertu.it.1frtsmotuce. ouil will be reintrord fur completion.
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Fle.cirk Contracl.or(for proirrnis nog: requiring R111 F,I51 Ftrynro)________________....._______________________
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Received Time Oct. 24. 2012 5: 51AM No. 1375