HomeMy WebLinkAbout0104707-Plumbing (water heater)OSHKOSH
ON THE WATER
.lob Address 306 W 12TH AVE
Contractor RASMUSSEN PLUMBING
Bathtub 0 Shower 0
Whirlpool 0 Floor Drain 0
Lavatory 0 Lndry Tray 0
Toilet 0 Lndry Stndp 0
Res. Sink 0 Disposal 0
Bar Sink 0 Dishwasher 0
Water Heater 1 Sump Pump 0
Site Drain 0 Classrm Sink 0
Roof Drain 0 Breakrm Sink 0
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner JEAN M BUEHNER LIFE ESTATE
Category 411 - Residential-Water Heaters
No 104707
Create Date 10/09/2003
Plan
Ejector/Grind 0 DipWell 0 F Prep Sink 0 Gar Drain 0
Water Softner 0 Drink Ftn 0 Serv Sink 0 Soda Disp 0
LocaIWaste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
CIothesWshr 0 Ice Chest 0 FIr/Wst Sink 0 Int Grease Trap 0
Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0
Beer Tap 0 Sculry Sink 0 Wash Ftn 0 RPZ Valve 0
Dent. Oper. 0 Hand Sink 0 Urinal 0 EyeWash Statn 0
Lab Sink 0 Plaster Sink 0 Standp Rec 0
Sterilizer 0 Surgeons Sink 0 Ice Maker 0
Use/Nature SFR/ RENTAL/ Replace gas water heater.
of Work
Size Material Type # Conn. Type
Sanitary Sewer 0
0
0
0
0
Storm Sewer 0
0
0
0
0
Water Service 0
0
0
0
0
Valuation $500.00 Plan Approval $0.00 Permit Fees $20.00 ~ Permit Voided
Issued By
Date
10/09/2003
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
Agent/Owner
Address 1914 GREENBRIAR TRL OSHKOSH WI 54904 - 8887 Telephone Number
920-233-6747
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.
10/10/2003 0B:05 2336747
J RASNUSSEN
PAGE 01/01
]nspecfio. Servicc~ T)~visiov~
p OBox 1.130
Oslxkosh. WI 54003 - [ 130
Ptmne; (920) 236-5050
(920) 235-5084
O/}.-KQfH,.
Plumbing Permit Application
hereby appl.y for *s permit to do and ir~slall the followittg plumbing om tl~ premises hereinafter' desc~51md, the ¢,oTk ~:o conform m the
Wisco~lgi~ State PlumbJ~g C~dc, Jn thc p~fmmmce of whict~ all parties hereto ~gree to and arc ~:md by said statutes.
A~lication(s) and Fee(s) can he brought to Chy Hall, R~ 205 or ~mtilcd to Inspection Scm,ices, PO Box I t 2~
Oshkosh WI 54903-1128. Comnmncing work without ~it(~) will result in fees ~blg ~ubled m $10000 plmq the
no~al ~m*Jt t~e~ which ever is ~'eater.
OR ~
If yOU ar~ a (:onlr~or pa. stL~!~t{~!~.t~.~e~!~~cc°u~.,.S~J-~d ha~¢ adcq~ ~9~d,5. cl~f::k he:;;jL
~ou"~ant this procexsed tl;rng~our accg~Ft I~
Nnmber of l~ix~J1 re-g:
Electric Co~tractor
Use / Natm'e of Work
Stont~ Sewer
Watc! Service
OR
[~Electric Installation V£rificz.tJo~ form attached
# Corm 'ry~e