HomeMy WebLinkAbout0155321-Plumbing (replace shower) � CITY OF OSHKOSH No 155321
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1010 N WESTFIELD ST Owner EVERGREEN RETIREMENT COMM 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 0 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 0 San Sump/Pump 0 Flr/Wst Sink 0 Bidet 0 Site Drain 0 Misc. 0
Toilet 0 Water Softner 0 Hand Sink 0 Urinal 0 Wait.St. 0 Fixtures
Kit Sink 0 Standp Rec 0 Lab Sink 0 Beer Tap 0 Ice Chest 0
Disposal 0 Gar Drain 0 Plaster Sink 0 Dip Well 0 Comm Ice Maker 0
Dishwasher 0 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 0 Breakrm Sink 0 Shamp Sink 0 Catch Basin 0 Eye Wash Statn 0
Water Heater 0
Use/Nature OMM(APT 514)/REPLACE SHOWER '*debit acct
of Work
I
�
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
1608650000
Valuation $1,200.00 Plan Approval $0.00 Permit Fees _ $30.00 ❑ Permit Voided J
Issued By 1 W 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 9:09 AM
To: Inspections, Inspections
Subject: PLUMBING Permit Application
PLUMBING PERMIT APPLICATION :
Date:4/27/2013 9:09:19 AM
Permit Fee Account System: YES
Job Address: 1010 N Westfield--Apt 514
Owner: Evergreen village
Contractor: J.Rasmussen Plg. Inc
Use Category: Multi-Family
FIXTURES
Bathtub: Sump Pump: Plaster Roof
Sink: Drain:
Shower: 1 San. Scullery Soda ;
Sump/Pump: Sink: Disp:
Whirlpool• water Service Coffee :
' Softener: Sink: Mkr:
Lavatory• Standpipe Shamp Site
Rec: Sink: Drain:
Toilet: Garage FD: Surgeons Waitrs
Sink: Stn:
Kit Sink: Local Waste: Sterilizer: Ice Chest:
Comm
Disposal: Bar Sink: �lVe. Ice
Maker:
Breakrm Int
Dishwasher: Sink• Bidet: Grease
' Trap:
Floor Classrm Ext
Drain• Sink• Urinal: Grease
' ' Trap:
Hose Bibb: Exam Sink: Beer Eye Wash :
Tap: Stn:
Water Dipper Deduct
Heater: F Prep Sink: well: Meter:
i
Drink wtr
Floor Sink: Fntn• Sewer
' Mtr:
Clothes Wash Wtr
Wshr: Hand Sink: Fntn: Usage :
Mtr:
Lndry Catch Misc
Tray: Lab Sink: Basin: Fixtures:
*USE/NATURE OF WORK replace shower--apt 514
*VALUE 1200
ELECTRIC CONTRACTOR
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
2