HomeMy WebLinkAbout2012 - Plumbing (water heater) CITY OF OSHKOSH No 153207
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1762 RIVER MILL RD Owner TERRENCE/ELLEN EISCH Create Date 10/26/2012
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 SFR/replace water heater
of Work
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
1224240000
Valuation $1,500.00 Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided
Issued ByJ'S. Date 10/26/2012
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.
10/26/2012 05:00
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Plumbing Perniit Appiication
) he rizby opriy f.ot r..1.perrni.t lin<In arid ;natal,the tToironving piwnhing on rhc premises hereinafter dc),Icribed.,fil e.thr4mr1 a)4g)rrf4rr1 to the
Wisconsin Stair.:Phirnl..)ing C'.4)•i4), in the peTiorrnancc of which All rrit.i e.8 hereto Agrec to and pire.II:Pound lily sald statutes.
0 App)iPalion(A)and fe.c(s)con be brought,krt City Mall.Room 205 or mailoci I:c)lInspr.:ction Services, PC)BON 1 J2 .(1,Siltr.9:411 vit
54.4:03-1.12p, (70.mimcncing work.wilsilopt pernit(s)91.ill resnit in fens 1)oiiii;dnubfed 4)r S 109,00 phis the nor rerrnii•1 ,7%,14,4d)
ever is greci:er.
OR
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.4-4, Advisory-For appllicable profectsls am.Eiectrecod Installation Verification(Er.‘7)frotinn,sigo.c11 ity the,EXCEillieFil
frotoraocor or itantemrimer(for Mgt,all/trims allowed to be performed,by the hotoconwner)most be stdrmittell
1,,w,ith tlic rcirmitt apicolicati.m,. lipplicaf60/10 MIliiiinfitittifi.witltout,au ETV when melt is reqtnircd, will Ii11411be
pi-met:sped for Pe,rotit Ins-glance and w.,i111 be niyarnell for compl.ctielA..
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:!'ir.n.Sump/Nam!) Scellirr.y Sink sruin Dim.,
:4,4ivc.,
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nce, cofrre mitt ............-_.
Scirt Sink ___
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Wniirn SAll
I(,..i If; —- .-... Chtntac.Ill ....._.......... Sill-Arm:Sink ------ .-.---.
lr.co:A!'Wow ............ Strrill?nr _...„ . ree Chr.18 . -.
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'halve li; . lrinr Sink ......... Fl P7.Valve _.. ..._ Cninn).irx,Malin,-
IRr firnaNr
ti Link=Sinlr ......_..
!lislyorwther ,,__,
rat Grencr.',7 t RP
Clitmcm Sink _____.,, VIrin al —.,... .
l',I.V01'D'il l'I ......._.,....
17,3ic Wsinh Son ........_. -,
F. Trip
Tnin '.',i1)k
1 Tcs•c,litog, .........
lletinel.Mole!
F.ink Piryper
Pr Well •-"
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17r7 E,,,,,o-As:, ............ ._
ii I.,),,,,,,-,.P„„ „! Ficmi-5irok _ n1.10 Ppitri ___._____
Clothe4*chi .._... Ilniid Sink ......-...... W;r911 Tilly ........... 1141.R low Mil.
1.n ilTy"Frir.' IA,..iril,. ........__ if.:atch.11anin ------ .10 iv,Plunnre ----
11,110N-11c iti.;())11:rair.7.t.or(for projects ni,tt reqtAirlittg an ETV Form). _,.. .
kl5e i Ngtho re of Work 14-41 I..-u_ 1,04_4--ear- 4-(-6A--1-e-e-- . ... ._ ...._
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sanitary rio,N.nr
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Received Time Oct. 26. - 2012 5:49AM No. 1411