HomeMy WebLinkAbout0105444-Plumbing (water heater)OSHKOSH
ON THE WATER
,Job Address 2200 CRANE ST
Contractor RASMUSSEN PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner SHEILA LALVAREZ
Category 411 - Residential-Water Heaters
No 105444
Create Date 11/21/2003
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 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 1 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 gas water heater.
of Work
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type
#
0
0
0
0
0
0
0
Conn. Type
Valuation $400.00 Plan Approval $0.00 Permit Fees $20.00 ~ Permit Voided
Issued By
Date
11/21/2003
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the
easement holder(s) and to secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address 1914 GREENBRIAR TRL OSHKOSH WI 54904 - 8887 Telephone Number
920-233-6747
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
11/19/2883 0B:28 2336747 J RASNUSSEN PAGE 0i/8i
City of Oshlt oab
P O Box 1 t30
Oshkosh, WI 5490%
Pbm~e: (920) 236-5050
Fax: (920) 2~C. 508a
Plumbing Permit Application
the t~m'rti~es hcreiv~ficr ~Jescrlbed t1~¢ work to co~form to
· the following plamb~-$ on
I hcreby agplY for a ~1: ~o do and ingr~l~thc I~ffo~ma~cc of which alt p~Ses he~eto ag~c~ to and m'e box ~d by ;aid g~t
W~sconsit~ ~ta e P nmbing Code,
Application(s) an~ 'reels) can be Nought to Ciiy Hall, Room 205 or mailed to [aSpec6o~ So.caS. PO Box l 1
OsbkoshWl 54~3-1128. C, ommeneing work without ~it(s)will resUltm qe~bei~gdoubled or S100,00 phis
~o~a] ~rmit fee, which cver is ~-cater.
~Single FamiLy ~Duplex
~Multi-Family E-~Reutal ~Commer¢ial L-jlnttustrisl
Electric Contractor
Use I Nature of Work__
Sanitary Sewer
[~]l~lectric Installatiou Verification form attached
(If Rcplaecmcn~[)
# Com~. TFpe