HomeMy WebLinkAbout0104626-Plumbing (laundry tub)OSHKOSH
ON THE WATER
,Job Address 2005 FAIRVlEW ST
Contractor RASMUSSEN PLUMBING
CITY OF OSHKOSH No 104626
PLUMBING PERMIT - APPLICATION AND RECORD
Owner NYAL M SCHEUERMANN Create Date 10/07/2003
Category 410- Residential-Interior Plan
Bathtub 0 Shower
Whirlpool 0 Floor Drain
Lavatory 0 Lndry Tray
Toilet 0 Lndry Stndp
Res. Sink 0 Disposal
Bar Sink 0 Dishwasher
Water Heater 0 SumpPump
Site Drain 0 Classrm Sink --
Roof Drain 0 Breakrm Sink --
0 Ejector/Grind 0 DipWell 0 F Prep Sink 0 Gar Drain 0
0 Water Softner 0 Drink Ftn 0 Serv Sink 0 Soda Disp 0
1 Local Waste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
0 Clothes Wshr 0 Ice Chest 0 FIr/Wst Sink 0 Int Grease Trap 0
0 Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0
0 Beer Tap 0 SculrySink 0 Wash Ftn 0 RPZValve 0
0 Dent. Oper. 0 Hand Sink 0 Urinal 0 EyeWash Statn 0
0 Lab Sink 0 Plaster Sink 0 Standp Rec 0
0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0
Use/Nature
of Work
IFR/Replace laundry tub.
Sanitary Sewer
Size Material Type #
Conn. Type
0
0
0
0
0
Storm Sewer
0
0
0
0
0
Valuation
issued By
Water Service
0
0
0
0
0
$300.00 Plan Approval $0.00 Permit Fees $20.00 ~[~ Permit Voided
Date 10/07/2003
In the performance of this work, I agree to perform all work pumuant to roles 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.
Date
Signature
Address 1914 GREENBRIAR TRL
Agent/Owner
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.
~ ~0/07/2003 86:46 2336747
P 0 Bo~ I t 30
(~b);os~. W~ 54903-1, ~30
~o~e: (920) 236-5050
Fax: (920) 236-50S4
j RASMUSSEN
PAGE
81/81
Plumbing Permit Application
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, ..:,_,~n ~m20. ,'.._~;..doabledor $100'00 plus the
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3ob Addr~s~~-- Contractor '
Owner
~Single Family ~-JDupI~x [~lVlo.lti-FamilY
[~Rental ~Comx~ercial ~Jlnduslrial
Use I Natnre of Work__
ISanit3ry ,.q~wcr
Number o[ FixtureS: Dent. (~cr. ' ..... Fk/%v~t Sink
sxerili*cr .... Electric Installation Vegficafion form attached
Elect~C Contractor __.
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