HomeMy WebLinkAbout0105445-Plumbing (laundry tub)OSHKOSH
ON THE WATER
,Job Address 1002 JACKSON ST
Contractor RASMUSSEN PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner ALL AMERICAN INVESTMENTS LLC
Category 410 - Residential-Interior
No 105445
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 1 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 MULTI-FAMILY/Replace laundry tub.
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.
11/21/2883 18:55 2336747 J RASMUSSEN PAGE 01/01
C. ity ol'Ot;hkosh
POBox 1130
Osh~gh~ WI 5490g* t 130
Phone: (920) 236-5050
Fax: (9~0) 236-50g~
D HKO./Fi
Plumbing Permit Application
hereby apply for a pel-~: m do a;'~d ~ a[ ~ nc '(o ow t g plttmbmg on fl)e premis~ hereinaRe~ d~cribcd, thc ~rl¢. to conform to thc
Wiicnn~Jn Sta:;e Plu~tbil~g C~Ic. Jt~ the p~ibrt~mme of which all pa~jes bcrt~o agree to arid are bound hy said gtatutcs,
Application(g) and 'fee(s) can be brought to City I:I~ll ~o~a1205 Or mailed to Inspection So, iccp, 1K) Box 1
oshkosh WI 54903-I 128. Comme~ch~g work ~thou~ permit(s) ~ill result m fees being doubled or $100.00 plus the
no~aI ~l~t fee, which ever is ~eater.
Ow. er _ __
hate //..2
Electric Contractor
Use / Nature of Work__, {Z,¢ 7~_~__~
Sanita~ Sewer
~ W'mer Ser,~/ee
O_~R [~Eleetrle Installation Verification form attached
Size -- Ma~crla/ Type