HomeMy WebLinkAbout0104625-Plumbing (toilet)OSHKOSH
ON THE WATER
.lob Address 1145 GREENFIELD TRL
Contractor RASMUSSEN PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner REGINAA HARVAT
Category 410 - Residential-Interior
No 104625
Create Date 10/07/2003
Plan
Bathtub 0 Shower 0 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 0 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 SFR/Replace toilet.
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 $200.00 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.
~8/07/2003 17:57
233B747
J RASMUSSEN
PAGE 81/81
P O Box l{3({
o~hkosh, W! 54903-1130
Phon~: (920) 236-5050
Fax: (920) 236-5084
Ptumbing Permit Application
Wi~onsin Sram Pithing Code, in ~Jme ~formance of which all pan,es hereto agree
A~plieafion(s) and fe~) cma be I~ou~t to Ci~ tlal], Room 205 or n~iled to Inspection Services, pO Box 1128
Os~osh WI 54903-1 t2g. Cornicing work withou~
normal p~it~, which ev~
Own~ ~~ ~ Contractor
~le Family ~Duplex ~M~lti-Family ~Rental ~Commerclal ~l~dns~ial
Number of Fixtures:
s,~,in~ lecttic Installation Verification form attached
oR
....... ~ ( f Rcplac.emen0
Electric Contractor
Use / Nature of Work___ ~
............ ~'- M~tcri;sl
.~.mitary Sew.r
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