HomeMy WebLinkAbout0153237 - Plumbing (water heater) CITY OF OSHKOSH No 153237
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 344 LEGION PL Owner TIMOTHY PAULSEN/CHRISTIE M DEMOSTHEP Create Date 10/29/2012
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 _ FIrIWst Sink Bidet Site Drain _ Misc.
Fixtures
Toilet Water Softner Hand Sink Urinal _ Wait.St.
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 1SFR/REPLACE GAS WATER HEATER **debit acct
of Work
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
0206400000
Valuation $650.00 Plan Approval _ $0.00 Permit Fees $25.00 ❑ Permit Voided
Issued By ()IT O- Date 10/29/2012
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.
Date
Signature
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.
10/29/.2,10,1021ta,v0145; E/3111,31,f)119202311289
i30
Phmte7("12(1)"?..36,5r,5i) J RASMUSSEN PAGE 01/01
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Pitinlbing Penrnit Application ......, ':•:31 'A/ATI-17- ---
r h,-...yekly;gppty ii,n.pc/ -nil;tr,,..1G Rilci insiai!the folIcTITing pillti111.)ills ontlie premises hcrefuertr occerittpd tbe u-ki-e 1 f••I 1. /i'
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''"'..Adeuisellr-For arlq..i.fabie projects, am rIteratrical instalPation Verification (Try)IF oven.,signed hy.the T.Recrekar
Contractor or lriameowner(for ingtagations;income/1 01.he spe.yrfermed by dior loome.Awffirw)muss he.sohimfittc,ii
'011 ill]thr pcilnit applIcation. ,A.pplicatinms sidrinitteglIwitlItynt km ETV vrber4 melt,is reqpnii/-cfs,wag la,,vg:h4..
processed for Permit.E3saanic_e.and Trill bc tritir,rned 4=or coinptetion..
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Brcntccii.Sink ......_.... Bidet .----•
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ECllnniwin Sink __ __ TD Nicit11n'a,a ._ E.Vc.(i.3AiN-Nsrtif,:ST
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E;lerrtric C:ontratefor(for projeRts no$ rcnniring an 1F,TV IFm) .
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Received Time Oct. 29. 2012 6: 27A No. 1428