HomeMy WebLinkAbout2003-Plumbing (water heater)OSHKOSH
ON THE WATER
.lob Address 1400-1414 W 2ND 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 0 Sump Pump 0
Site Drain 0 Classrm Sink 0
Roof Drain 0 Breakrm Sink 0
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner LJ2BROS LLC
Category 411 - Residential-Water Heaters
No 104865
Create Date 10/20/2003
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 MULTI-FAMILY/RENTAL/129 S Lark/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 $450.00 Plan Approval $0.00 Permit Fees $20.00 ~ Permit Voided
Issued By
Date
10/20/2003
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.
10/19/2003. . 89:15 2336747 J RASMUSSEN PAGE 01/01
P ORox 1130
Oshkosh, Wi 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
Plumbing Permit Application
!lere )y ~pp y for a penn t TO do and orilall thc following ~lumbing on file pretnJs~s hereinafter dcsmibcd~ the work to conform m the
WiscorlsJ.~ St~tc~ Plumbing C, odc, in thc performance ot which all partier, he:eto agree m al~d are bound by xaid ~ratutgs.
· Applicatioi~(s) a.nd fce(.~) eau be brought to City llall, Room 205 or mailed to Inspection Semces, I'O Box 1128
Os ~kosh WI 54903-1128. Commencing work ~thoul: p~it(a) will result
~o~al l~rmil: fee. which ever is ~cater.
OR
~ you a,'~ a
Number of l~xtm'es:
Electric Contractor ~ OR n._]El¢¢tfi¢ Instalhfion Verification form attached
S~/t~ Sewer ~~~
Wa~r S~ce ~