HomeMy WebLinkAbout0153450 - Plumbing (water heater) CITY OF OSHKOSH No 153450
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1234 SPRUCE ST Owner CYNTHIA L FIELD Create Date 11/08/2012
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 ISFR/REPLACE GAS WATER HEATER **debit acct
of Work
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
1205980000
Valuation $ 0.00 Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided
Issued ByZ/ }
Date 11/08/2012
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(wort■
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.
11/08/2012 04:54
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Pfmric:020)236-5050
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Plunibing Permit Application
I hc,rebY oPPIY itIr a PciMit It.,■:11:1 and .117.51i I ili e.following plurnifing on 'lle.premises Ilet.eina•.1zr descril)ed,the work to conform to tilt
iiscorlsil')Stitig.Ph-101411P,CO4c, n tillc.'Performance e,coillich OP.mu.. Iles hereto agree.1.0 aDol Kr.boom3 111,Inid sutiat,:n.
ApplicatioNs.)arid fee(s)ea be troug17t 0 city frall,.R4./oir 205 or mailed to rnspection ...,;eirvices, PC)Tlo.!r /!2R,Olhkosb WI
2A. Commencing 11,■Ivk' thou permit( v;111 result Fin fres being doubled or$100.00 pfw the ti()ma/perraii,fix. whfr.th
ri3Or iS rztvate:t,
OR
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1.1.:J/1214....eLC.A....CALLESICLEaglIZSIIL41.1.i11,Cla...th...q....ec..!:??.'1!!—If_01
Advisoly-Fr-applicab Ic.projects, an Electrical!TtAstallation VerMicaltiou(MIT)form,s:igtted ky dpe Eitectrica11
Com:moor or HonrAeowner(fot illetallatims allowed to be performed by the honotowner)rrowst bc AFRIPM/61.rd
itrith
it licurtit.app.Ilitratiogw, Appli.cati(ris sTshrnitteel witikotrt an EDT vulsien Anal is reipehred will not he
procrsReet frar Permit Ismaimce moll w711 be Tetnitnee for cermpletion,
Job Adbirmi ,,I).-3 4 SfAA.L.c_ 'Value rinain2 lour srv.1 rnntr...rinIN) C 57)
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Citverner ri c",-
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/;.dS611gita rniroilly. rillupleN [jA4ofttl-ll'oTIF166-.V D.Remt21 ri•Cown no ercial 1:11,ndutstriati
Tw.uon bell-oif Fixturres:
11FrowrI, ..........— S111111.1 reiTIllp — .---- hlostc.r Sink
Roof Drain
:•:iyo:Fct Sm.Savo/Pump Scnikini!link Soda Di:0 . ... -
Whirlon,g 15/ m So Reties __. ....._ .---— Coffee Mly-
... sSItirnVTriple4:7:
Nifl,t NH In
Ntancipipc.Rea..
:tti,itiory • • -
1:141011 Sill
liaragn l'Ur Surgeon:4 t.'ink ..._____. •• •--•••
00. ....—
:it Sink 1.:tertl Waal,: .....__ Staili7)-4- ... -..-• ire Ohl'do- . ... . ..
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ri)inorgi.;
1. ;:ii'llc ..... ..... R.P7 Valve _- _ (.70117M TrU.1 M1111CCI• ._....—.■.
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c4rclektlut Sir& RiclC1 _ ___. lot(kr.rm.Trap
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C...latterni Sir& Cfrirtal __...-...._. T.7.1ti gicar.r.:Trmi ._,... -_..
Picot 1..)rniti ....., ... .
e:e t'ainth Sink
?n .Ffitih _...... _....._._...
44 Prrip Sink .,. ,.... Dirrper Will " 1.),unte.t.Istfetra- ......_....
'11:P1 Pleaf,..1 _ __f__.
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14-.0 II NIIIVIlf 190C.It Silltk ...____..-- 1:11.61k MIST, Wit Tkavra-MIT
S7lothe.91Vshr ... Fiand SEMI .,.,.. .—... WrIsli Pntn _.....,-., . WV thitity.:Mt) ...._...._
Mr,: F111. ....‘.. „, !.;11'i S111 ------- Mix FirtetrPA ,......-...
,c1/lir C....illlitranfler(for pr ojects. nut regnirfing an ENV Vuo-m)
r:5e.f Np time of Work 0—ei)(.L-f...e... Ly a...1
r " sizc IV:lirli:I .6.).To... it rtiiaill. Ptrpc.
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Received Time Nov. 8. 2012 4:43AM No. 1564