HomeMy WebLinkAbout0153755 - Plumbing (water heater) CITY OF OSHKOSH No 153755
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1607 1609 SPRUCE ST Owner JEREMY/CAROLINE M THOMPSON Create Date 11/29/2012
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 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 DUPLEX(1607)/REPLACE GAS WATER HEATER **debit acct
of Work
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
1202000000
Valuation $650.00 Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided I
Issued By a n( _ Date 11/29/2012
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.
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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. h.WI 54903-1 l30 J RASMUSSEN PAGE 01/01
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Plumbing Permit Application
f hereby apply for a permit to cf.()and install the following plumbing on the premises. hereinafter dese)ibed,.the work to conform to the
Wisconsin Stai.o.Plumbing Code,in the peTformanct,of which all parties hereto agree to and are bound by tund siltn.13.0.f..c.. .. .
Applicatif.1.11(s)and ret(s)r-,an be brought to City.14.al1,Room 205 or mailed to Inspection Services,PO Box 1 I 7.1l.,Oshkosh WI
. 4...90.3-1 1213. C.I..ortmencing Wk Without port(a)will re,gult in fees being doubled or S100..00 plus the nortual permit'fee,which
ever is'Ire:J.61T. •
• OR
ILYP.Y....rtitg.A.S.A.?.71Lel.tlf.(71_11.2.411.10.4g1.0 ..OLIALZgliatie_A_c.L:vattlx.imPls..10..itor 8 24P.O.Mai e (RP 4,...__c_hAr,k_htg r.g.
.i. k.Irgrit_?..h.iA.p.r..LPS.,rt.5,EELLELCO-Sigi,
Advisory-Fm applicable prOersts,an Electrica]Installation Verification Mir)foto+,!ignea II'1140.El"lbrAc4
Con.tractor or 1.1.01111ENDWOCT(AI'itlistalltimutions Willawed to be pelfromea by the:boxintcovetter)grnimit he onAnttirred
with tbe permit applieartion, .Applicattons sabotfated.without an ETV when at. cb is retrnired.,will not be
prroCtlitged for Permit ISSillarioCC and Will be terorneal for comnletion.
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..gol) Address ,IL _.)..,S e,!‘ 11-_(-e _....4.e• Vi u .(InchnlingInbel anti
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Contractor
1-3Siisgle tl'ainrtily IgIlrotplex DIViliniti-romily EIRentsti F3Cormlnercisti
Number a Fivtures:
Sotrip rtinna .-,—. rIARrni Sink ____-- • 12 not Pimp ...—,
.r.1...rriv■zr ..._,......,_.
I.Strtm/1,mm Senflery Sink ----- . Sndn
Waicr Sefloner _._... f.crvice Sink —.-- coffee Mier -.......--.
Silinclnipc..R% ,...___. Stuityin ii1111" ......... Site Droiro -- ----- .
... .-..
.1 ml.'...; .__...--.. ClorRfr.rn ..,,..___. sirgoons sto _• __. weokr.9 sit, ....._____
vil f.,•:,in -LorAI Waste Sterilivx
IN-Sink ------ RP1 Valve ------ criinfo icc.Mikes .......-.-
Rrr,akini Sink .... --....
I'll al■wrolvw —
ekinn■Sink tkiroil _.-...... I:xi Cirosse Tpip ---.•-.
or Drnin -.--..
----- F.ye Viinli Sm
Tbrriin Sink lile,ar Irin --___
1.10iii;rtiliti ---„...
,oiin,cr Itater I E rm..,!Sink ----. Dipper Weil ______.. pcduni Mere,'
'X(ins....Elm,.ri PwrVin rim.s.init Drink Dorn .----- 1/Irti Sewcx 1,11x ._....,...__
.._-_.--
:.lotrn WNIv. _...... End Sins,. _..--.- "Woist•Pinn ___.--- wt,r I!how:MO ..._,.......
T Jib Sink ___..... Cinch FinAin -......--- Niiiir,Fimtents ---.....
Electric C2ontraletor (for projects not requiring an ETV Fortis)
( _c.. _ -eA‘41"3
.. Size Materiol TYPe. it CCM Type
fianitTry Se.‘.,,rc.i'
i4rn-rn Sever
; ti 8tIrvicl:
Received Time Nov. 29. 2012 5: 55AM \la. 1781 •