HomeMy WebLinkAbout0156072-Plumbing (water heater) � CITY OF OSHKOSH No 156072
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
i Job Address 1440 FAIRFAX ST Owner NICOLE M PUFAHL Create Date 06/10/2013
I Contractor J RASMUSSEN PLUMBING INC Category 411 -Residential-Water Heaters Pian
Inspector Jerry Fabisch
Bathtub 0 Clothes Wshr 0 Classrm Sink 0 Surgeons Sink 0 Roof Drain 0 Deduct Meters 0
Shower 0 Lndry Tray 0 Facam Sink 0 Sterilizer 0 Soda Disp 0 Wtr Sewer Mtrs 0
WhiNpool 0 Sump Pump 0 F Prep Sink 0 RPZ Valve 0 Coffee Maker 0 Wtr Usage Mtrs 0
Lavatory 0 San Sump/Pump 0 FIrIWst 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 Slnk 0 Beer Tap 0 Ice Chest 0
Disp�al 0 Gar Drain 0 Plaster Slnk 0 Dip Weil 0 Comm ice Maker 0
Dlshwasher 0 Local Waste 0 Sculry Sink 0 D�ink 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 1 ,
Use/Nature FR\Replace water heater
of Work
Size Materiai Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#�
1343080000
Valuation $7 0.00 Plan Approval $0.00 Pertnit Fees E30.00 ❑ Permit Voided�
Issued By I��� Date 06/10/2013
In the performance of this work,I agree to perform all work pursuant to rules goveming the described construction.
While the City nf 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 strongy urges the permit applicant to contact the
easement holdmr(s)and to secure any necessary approvals before staRing such activity.
Signature Date
AgenUOwner
Address 1914 GREENBRIAR TRL OSHKOSH WI 54904 -8887 Telephone Number (920)233-6747(wo�k
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 othervvise,we will assume the project is ready at the time the request is received. Worlc may
continue tf the inspection is not perfortned within two business days from the time the project is ready.
PLUMBING PERMIT APPLICATION Page 1 of 2 �
Krause, Adam
From: PLUMBING PERMIT APPLICATION [Permit_App_Plumbing@ci.oshkosh.wi.us] "
i
Sent: Friday, June 07, 2013 7:53 AM
To: Inspections, Inspections
Subject: PLUMBING Permit Application
PLUMBING PERMIT APPLICATION
Date:6/7/2013 7:52:40 AM
Permit Fee Account �S
System:
Job Address: 1440 Fairfax
Owner: Pufahl
Contractor: J. Rasmussen Plg Inc
Use Category: Single Family �
FIXTURES
Bathtub: Sump Pump: Plaster Roof
Sink: Drain:
Shower: San. Scullery Soda
Sump/Pump: Sink: Disp:
Whirlpool: �'�'ater 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:
Beer Eye
Hose Bibb: Exam Sink: Wash
Tap: Stn:
6/10/2013
�
PLUMBING PERMIT APPLICATION Page 2 of 2
Water F Prep Sink: Dipper Deduct
Heater: Well: Meter:
Drink Wtr
Gas Floor Sink: Fntn: Sewer
Mtr:
Clothes Wash Wtr
Wshr: Hand Sink: Fntn: Usage
Mtr:
Lndry Lab Sink: Catch Misc `
Tray: Basin: Fia�tures:
*USE/NATURE OF WORK replace water heater �
*VALUE 700
ELECTRIC CONTRACTOR
Size Material Type # Conn. Type
i
Sanitary Sewer
Storm Sewer
Water Service
6/10/2013