HomeMy WebLinkAbout0157682-Plumbing � CITY OF OSHKOSH No 157682
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1601 MARICOPA DR Owner GREGORYlSHARON M MALKOWSKY Create Date 07/17/2013
Contractor J RASMUSSEN PLUMBING INC Category 412-Res-Interior(New/Relocated Fixtures) Plan
Inspector Jon Mueller
Bathtub 0 Ciothes 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
Whiripool 0 Sump Pump 0 F Prep Sink 0 RPZ Valve 0 Coffee Maker 0 Wtr Usage Mtrs 0
Lavatory 1 San Sump/Pump 0 Flr/Wst Sink 0 Bidet 0 Site Drain 0 Misc. 1 .
Toilet 1 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 1 Booster pump to water system
Use/Nature ;SFR/ Remodeling the bathroom and replacing water heater. Adding booster pump
of Work !
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Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
1319410000
Valuation $5,000.00 Plan Approval $0.00 Permit Fees $45.00 ❑ Permit Voided'i
Issued By 7� Date 09/12/2013
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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: Wednesday, September 11, 2013 7:22 PM
To: Inspections, Inspections
Subject: PLUMBING Permit Application
PLUMBING PERMIT APPLICATION
Date:9/11/2013 7:22:21 PM
Permit Fee Account yES
System:
Job Address: 1601 Maricopa Drive :
Owner: Malkowski
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• water Service Coffee
' Softener: Sink: Mkr:
Lavatory: 1 Standpipe Shamp Site
Rec: Sink: Drain:
Toilet: 1 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:
9/12/2013
PLUMBING PERMIT APPLICATION Page 2 of 2
Water 1 F Prep Sink: Dipper Deduct
Heater: Well: Meter:
Drink wtr .
Electric Floor Sink: Fntn• Sewer
' Mtr:
Clothes Wash Wtr
Wshr• Hand Sink: Fntn: Usage
' Mtr:
Lndry Lab Sink: Catch Misc 1
Tray: Basin: Fixtures: :
*USE/NATURE OF WORK remodel master bathroom--add electric water heater-add
booster pump to water system
*VALUE 5000
ELECTRIC CONTRACTOR :
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
9/12/2013