HomeMy WebLinkAbout0156211-Plumbing (water heater) � CITY OF OSHKOSH No 156211 ,
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 416 S MEADOW ST Owner BRYAN/LEE ANN LILLY Create Date 06/17/2013
Contractor J RASMUSSEN PLUMBING INC Category 411 -Residential-Water Heaters Plan
Inspector Jon Mueller
Bathtub 0 Clothes Wshr 0 Classrm Sink 0 Surgeons Sink 0 Roof Drain 0 Deduct Meters 0
Shower 0 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 FIr/Wst Sink 0 Bidet 0 Site Drain 0 Misc. p
Toilet 0 Water Softner 0 Hand Sink 0 Urinal 0 Wait.St p Fixtures
Kit Sink 0 Standp Rec 0 Lab Sink 0 Beer Tap 0 Ice Chest p
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
Hose Bibb 0 Breakrtn Sink 0 Shamp Sink 0 Catch Basin 0 Eye Wash Statn 0
Water Heater 1
Use/Nature SFR/replace water heater
of Work I""debit acct"***
�
,
-
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
0610440000
Vatuation $1,200.00 Plan Approval $0.00 Permit Fees $30.00 ❑ Permit Voided I
Issued By ,Z�,.� Date 06/17/2013
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(worM
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.
PLUMBING PERMIT APPLICATION Page 1 of 2
Krause, Adam
From: PLUMBING PERMIT APPLICATION [Permit_App_Plumbing@ci.oshkosh.wi.us]
Sent: Friday, June 07, 2013 7:55 AM
To: Inspections, Inspections :
Subject: PLUMBING Permit Application
PLUMBING PERMIT APPLICATION
Date:6/7/2013 7:55:11 AM
Permit Fee Account �S
System:
Job Address: 416 S. Meadow
Owner: Lilly
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• 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:
�Z Comm
Disposal: Bar Sink: Valve• 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 1 F Prep Sink: Dipper Deduct
Heater: Well: Meter:
Drink �'tr
Pwr Vnt Floor Sink: Fntn• Sewer
' Mtr:
Clothes Wash �'�'tr
Wshr• Hand Sink: Fntn• Usage
� ' Mtr:
Lndry Lab Sink: Catch Misc
Tray: Basin: Fiactures:
*USE/NATURE OF WORK replace power vent water heater
*VALUE 1200
ELECTRIC CONTRACTOR
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
6/10/2013