HomeMy WebLinkAbout0104627-Plumbing (water heater) CITY OF OSHKOSH
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1390 1394 MARICOPA DR Owner 1390 MARICOPA DRIVE LLC
Contractor RASMUSSEN PLUMBING Category 411 - Residential-Water Heaters
Bathtub 0 Shower 0 Ejector/Grind 0 DipWell 0 F Prep Sink
Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 Serv Sink
Lavatory 0 Lndry Tray 0 LocaIWaste 0 Wait. St. 0 Shamp Sink
Toilet 0 Lndry Stndp 0 CIothesWshr 0 Ice Chest 0 FIr/Wst Sink
Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin
Bar Sink 0 Dishwasher 0 Beer Tap 0 SculrySink 0 Wash Ftn
Water Heater 1 Sump Pump 0 Dent. Oper. 0 Hand Sink 0 Urinal
Site Drain 0 Classrm Sink 0 Lab Sink 0 Plaster Sink 0 Standp Rec
Roof Drain 0 Breakrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker
No 104627
Create Date 10/07/2003
Plan
0 Gar Drain
0 Soda Disp
0 Coffee Maker
0 Int Grease Trap
0 Ext Grease Trap
0 RPZ Valve
0 EyeWash Statn
0
0
0
0
0
0
0
0
0
Use/Nature MULTI-FAMILY/RENTAL/1390 Apt E/Replace electric water heater. *EIV form from Seckar Electric.
of Work
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Valuation $450.00 Plan Approval $0.00 Permit Fees $20.00 ~ Permit Voided
Issued By
Date
10/07/2003
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.
18/87/2883 17:49
C:By oi' Oshko*h
P 0 ~ox I
P~o~e: (930) 236-.5050
Fax: (920) 236-5094
2336747
J RASNUSSEN
PAGE
01/02
Plumbing Permit Application
'WL~nsb~ S~te plnmbing C~ · - ' ' "'
, . · ' 1128,
Appli;a~3on(s) ~d fee(s) can be brought to Ci~7 Hall, Room 205 or ~ded to h~cuon 8~.ces. ~ Box
Oshkosh WI 54903-1 t28. ( :( mmcnc~r~g work without put.it(s) will result in f~cs b~ing 8oubl~ or $100.00 pl,~s
18/'87/2083 17:49 2336,747 J RASMUSSEN. P~GE 82/82
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m ~bo ~te~iq m~mm:
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m .ulmmm.
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