HomeMy WebLinkAbout0155327-Plumbing � CITY OF OSHKOSH No 155327
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1125 N EAGLE ST Owner EVERGREEN MANOR INC Create Date 04/30/2013
Contractor J RASMUSSEN PLUMBING INC Category 443-Commercial-Interior(Replacement Fixtur� Plan
Inspector Jerry Fabisch
Bathtub 0 Clothes Wshr 1 Classrm Sink 0 Surgeons Sink 0 Roof Drain 0 Deduct Meters 0
Shower 1 Lndry Tray _ 0 Exam Sink 0 Sterilizer 0 Soda Disp 0 Wtr Sewer Mtrs 0
Whirlpool 0 Sump Pump 0 F Prep Sink _ 0 RPZ Valve 0 Coffee Maker 0 Wtr Usage Mtrs 0
Lavatory 1 San Sump/Pump 0 FIrIWst Sink 0 Bidet 0 Site Drain 0 Misc. p
Toilet 1 Water Softner 0 Hand Sink 0 Urinal 0 Wait.St. 0 Fixtures '
Kit Sink 1 Standp Rec 2 Lab Sink 0 Beer Tap 0 Ice Chest 0
Disposal 1 Gar Drain 0 Plaster Sink 0 Dip Well 0 Comm Ice Maker 0
Dishwasher 1 Local Waste 0 Sculry Sink 0 Drink Ftn 0 Int Grease Trap 0
Floor Drain 0 Bar Sink 0 Serv Sink 0 Wash Ftn 0 Ext Grease Trap 0
Hose Bibb 1 Breakrm Sink 0 Shamp Sink 0 Catch Basin 0 Eye Wash Statn 0
Water Heater 0
Use/Nature OMM/INTERIOR REMODEL '*debit acct
of Work i
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Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
1608640000
Valuation $6,0 0.00 Plan Approval $0.00 Permit Fees $90.00 ❑ Permit Voided�
Issued By L�l I I lnJ Date 04/30/2013
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
AgenUOwner
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.
Wentz, Sandra
From: PLUMBING PERMIT APPLICATION [Permit_App_Plumbing@ci.oshkosh.wi.us]
Sent: Saturday, April 27, 2013 8:58 AM
To: Inspections, Inspections
Subject: PLUMBING Permit Application
PLUMBING PERMIT APPLICATION
Date:4/27/2013 8:58:03 AM
Permit Fee Account System: YES
Job Address: 1125 N Eagle `
Owner: Evergreen
Contractor: J. Rasmussen Plg Inc
Use Category: Single Family
FIXTURES :
Bathtub: Sump Pump: plaster Roof
Sink: Drain:
Shower: 1 San. Scullery Soda
Sump/Pump: Sink: Disp:
Whirlpool• �'ater Service Coffee
' Softener: Sink: Mkr:
Lavato 1 Standpipe 2 Shamp Site
�' Rec: Sink: Drain:
Toilet: 1 Garage FD: Surgeons Waitrs
Sink: Stn:
Kit Sink: 1 Local Waste: Sterilizer: Ice Chest:
Comm
Disposal: 1 Bar Sink: �lVe. Ice
' Maker:
Breakrm Int
Dishwasher: 1 Sink• Bidet: Grease
' Trap:
Floor Classrm Ext
Drain: Sink: Urinal: Grease
Trap:
Hose Bibb: 1 Exam Sink: Beer Eye Wash
Tap: Stn:
Water F Prep Sink• Dipper Deduct
Heater: ' Well: Meter:
i
Drink Wtr
Floor Sink: Fntn: Sewer
Mtr:
Clothes �,asb Wtr
Wshr• 1 Hand Sink: Fntn• Usage
� ' Mtr:
Lndry Lab Sink: Catch Misc
Tray: Basin: Fixtures:
*USE/NATURE OF WORK Remodel
*VALUE 6000
ELECTRIC CONTRACTOR
Size Material Type # Conn. Type :
Sanitary Sewer
Storm Sewer
Water Service
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