HomeMy WebLinkAbout0104713 POSHKOSH
ON THE WATER
.lob Address 166 W 24TH AVE
Contractor RASMUSSEN PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner SUSAN A Y ENGLE/SHIRLEY A TERR
Category 410 - Residential-Interior
No 104713
Create Date 09/23/2003
Plan
Bathtub 0 Shower 1 Ejector/Grind 0 DipWell 0 F Prep Sink 0 Gar Drain 0
Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 Serv Sink 0 Soda Disp 0
Lavatory 1 Lndry Tray 0 LocaIWaste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
Toilet 1 Lndry Stndp 0 CIothesWshr 0 Ice Chest 0 FIr/Wst Sink 0 Int Grease Trap 0
Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0
Bar Sink 0 Dishwasher 0 Beer Tap 0 SculrySink 0 Wash Ftn 0 RPZValve 0
Water Heater 0 Sump Pump 0 Dent. Oper. 0 Hand Sink 0 Urinal 0 EyeWash Statn 0
Site Drain 0 Classrm Sink 0 Lab Sink 0 Plaster Sink 0 Standp Rec 0
Roof Drain 0 Breakrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0
Use/Nature
of Work
INSTALL BASEMENT PLUMBING FIXTURES ROUGHED IN UNDER PERMIT #99882
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 $2,000.00 Plan Approval $0.00 Permit Fees $20.00 ~ Permit Voided
Issued By
Date
10/10/2003
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.
· -10/11/2003 0B:12
2336747
J RASMUSSEN
PAGE 81/82
City of oshkc, sh
P 0 ~ox ~ 130
O~hkosh, W1 ~4903-1130
Phone; (920) ~36-5050
F~x: (920) 236-5084
Plumbing Permit Application
Wisconsin Stato ~ i~ b ~g C~le, in 0~e p~bn~n~ of which al~ panics here~ a~ce to anti am bound by said statu~.
~pli~s:don(s) and fe~(s) can bc brought to Ci~ Hall, Ro~ 205 or mailed to In~ction S~n~ces, PO Box 1128
Os~osh Wi 5490~- 1 ] 2g. Co ~encing work ~t~o p~m~(~) wild resuR m f~cs being doubled or $1 ~.~ plus tI~
no~al p~nfit t%6, whirls, e~er is ~'~at~.
~f ~ou wan~ this p~¢d thy~J~z, ur account I~
0 S~i~gle Fs;ily F-~Duplex
Number of Fixt~lres:
Electric Contractor
7
Use / Nature of Work._,.--{~)~-$'~' ~ ~
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[]Electric Installation Yerifica~io~ form attached
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