HomeMy WebLinkAbout0104901-Plumbing (water heater)OSHKOSH
ON THE WATER
.lob Address 1545 #229 ARBORETUM DR
Contractor RASMUSSEN PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner ELLEN M CRABTREE
Category 411 - Residential-Water Heaters
Bathtub 0 Shower 0 Ejector/Grind 0
Whirlpool 0 Floor Drain 0 Water Soffner 0
Lavatory 0 Lndry Tray 0 LocalWaste 0
Toilet 0 Lndry Stndp 0 ClothesWshr 0
Res. Sink 0 Disposal 0 Bidet 0
Bar Sink 0 Dishwasher 0 Beer Tap 0
Water Heater 1 Sump Pump 0 Dent. Oper. 0
Site Drain 0 Classrm Sink 0 Lab Sink 0
Roof Drain 0 Breakrm Sink 0 Sterilizer 0
No 104901
Create Date 10/22/2003
Plan
Dip Well 0 F Prep Sink 0 Gar Drain 0
Drink Ftn 0 Serv Sink 0 Soda Disp 0
Wait. St. 0 Shamp Sink 0 Coffee Maker 0
Ice Chest 0 FIr/Wst Sink 0 Int Grease Trap 0
Exam Sink 0 Catch Basin 0 Ext Grease Trap 0
Sculry Sink 0 Wash Ftn 0 RPZ Valve 0
Hand Sink 0 Urinal 0 EyeWash Statn 0
Plaster Sink 0 Standp Rec 0
Surgeons Sink 0 Ice Maker 0
Use/Nature CONDO UNIT/Replace electric water heater. *EIV form from Cumings Electric.
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 $400.00 Plan Approval $0.00 Permit Fees $20.00 ~ Permit Voided
Issued By
Date
10/22/2003
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.
,~9/22/2003 19:51 2336747
J RASNUSSEN
8~0-~3~~5004
PAGE 0i/02
Oi~,f O~hko~
? 0 ~x 1130
Os~osh~ WI 54~03-I lSD
~bone: (g20) 23~5050
Fax: (g20) 236-5~
Plumbing Permit Application
I hereby apply for m l~mtlt to <Io and i~staI1 tb~ follo~n~ p~b~ on ~e ~s b~ina~ d~,
Wisc~n 8~c Pl~b~g Code, ~ ~ p~a~nce ~f w~ieh ~11 ~es ~to a~ee to ~ ate b¢~d
· Application(S) and f~(s) can be ~ought to Ciw H~I, R~m 10~ or mailed to ~tion S~ces, ~ Bax 1128,
no~} pe~itORfee' w~ch ~r is ~' ~
Owner ~:~ 'Contractor ~, ~s~ e~
Nnmber of Fixtures:
Electric Con~ractor
0..~ [~Electric lnstall6t~on Verificatt6n form attached
Use / Nator, of Work }/~.~t~q ( ~ q ~ ~-~.
~-~ S~ M~md~l T~= g Conn. T~c ~
~ni~ Sewer
~0/22/2003 19:51 2336747
J RASMUSSEN
8~0 7ZZ 0769
PAGE 82/02
p.l
Electric Installation Verification
~ fficcr
(~'~nt N~C Of Officer)