HomeMy WebLinkAbout0105258-Plumbing (shower stall)OSHKOSH
ON THE WATER
.lob Address 442 W 15TH AVE
Contractor RASMUSSEN PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner 442W 15TH AVENUE LLC
Category 410 - Residential-Interior
No 105258
Create Date 11/11/2003
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 0 Lndry Tray 0 LocaIWaste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
Toilet 0 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 DUPLEX/RENTAL/Replace shower stall.
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 $1,000.00 Plan Approval $0.00 Permit Fees $20.00 ~ Permit Voided
Issued By
Date
11/11/2003
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the
easement holder(s) and to secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address 1914 GREENBRIAR TRL OSHKOSH WI 54904 - 8887 Telephone Number
920-233-6747
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
11/89/2803 15:56 2336747 J RASHUSSEN PAGE el/el
City ~f Oshkosh
Ih,.qp¢¢tioo ,,qeiwic~:~ l)ivi$ion
P 0 Box ! t 30
Onhkosh, WI 54903~
Pho~a: (920) 236-5050
Fax: (920) 236-5084
Plumbing Permit Application
heleby apply for a ~n~i to do am nsmll the fc Iowiug plumbing ou thc )remi~s herein~Cter dcst:ribed, the work to con~orm ~ the
Wisconsin State Pkt~Bing Code, in thc performaBee of which at part cs hereto agree m ~nd are bound by said s~amtes.
Applieatio~.(s) and t~e(s} can be brought to Ci.ty Hall, Room 205 or ma/led to ln~etion S~ices, ~;) Box 1128,
O~osh WI 549034128. Commmcing work without pemit(s) will result in fees being doubled or $1~.00 plus the
nomal p~it fee, which ev~ in ~cater.
~,'~a co,,g~*'Or ~,.~i,,~. in ~he Pe~ Accou,~s,em aod ha,,¢ ade~,~,,~nd.~e~ he.~
.... ~ '. ' _ '-_._ .MS.. '"' .-.- '
want this zrocesSed thron~{our account ...~
Owner _fi.~&[''' >' *" ~'
['-]Single Family [~uplex
Number of Fixtures:
Electric Co~tractor
O~ [~Electric Installation Verification form attached
Use / Nature of Work
Storm Sewer
Water SmMcc
Type