HomeMy WebLinkAbout0105606-Plumbing (water heater)CITY OF OSHKOSH
105606
No
OSHKOSHPLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address357 WINDINGBROOK DROwnerTHOMAS L/SUSAN K HASENSTEINCreate Date12/05/2003
ContractorRASMUSSEN PLUMBINGCategoryPlan
411 - Residential-Water Heaters
Bathtub0Shower0Ejector/Grind0Dip Well0F Prep Sink0Gar Drain0
Whirlpool0Floor Drain0Water Softner0Drink Ftn0Serv Sink00
Soda Disp
Lavatory00Local Waste0Wait. St.0Shamp Sink00
Lndry TrayCoffee Maker
Toilet00Clothes Wshr0Ice Chest0Flr/Wst Sink0
0
Lndry Stndp
Int Grease Trap
Res. Sink00Bidet0Exam Sink0Catch Basin0
Disposal0
Ext Grease Trap
Bar Sink000Wash Ftn0
Beer Tap0Sculry Sink
Dishwasher
RPZ Valve0
Water Heater100Urinal0
Sump PumpDent. Oper.0Hand Sink
0
Eye Wash Statn
Site Drain000Standp Rec0
Classrm SinkLab Sink0Plaster Sink
Roof Drain000Ice Maker0
Breakrm SinkSterilizer0Surgeons Sink
Use/Nature SFR/ Replace power vented water heater.
of Work
SizeMaterialType#Conn. Type
Sanitary Sewer0
0
0
0
0
Storm Sewer0
0
0
0
0
Water Service0
0
0
0
0
$0.00Permit Voided
Valuation$850.00Plan ApprovalPermit Fees$20.00
Issued ByDate12/05/2003
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.
Date
Signature
Agent/Owner
Address1914 GREENBRIAR TRLOSHKOSHWI54904-8887Telephone Number920-233-6747
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.
li p
City orOslikofsh
Inspection Services Division 04,
Pn Box 1130
Oshkosh, W1 S4903- 1.130
Phone: (920) 236 -51)50 O r yr
Fax: (920) 236 -5084 (7N Tr,P W.. WR
Plumbing Permit Application
1 herby apply for a permit to do and install the following plumbing ou the premises hereinafter described, the wink to conform to the
Wisconsin State Plumbing Code, in the performance of which all parries hereto agree to and are bound by said statutes.
Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to inspection Services, .PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without: permit(s) will result in fees being doubled or 5100.00 plus the
normal permit fee, which ever is greater.
r.
OR
([sou are a cg,nrrc{ctor gr_tLgipatinte' in ihi_P:rint�t .ti accntlLh1 tiu}.Lm rand hors_ (rrlegYra ;.N Junes. the k._here.
1 you want thi,s- prt!cs sd th..ouj'kr vuu.r.accnurrt JVt
3 s �1 r.11 c ma r� /2 1—°-3
.lob Address 8461_ Va lue (Including labor and nwterials). V r V Date
O tfl r 1 Contractor r eAs r+4 u sS _r�w N j4 r
n M►
ingle Family []Duplex _Multi- Family [.]Rental []Commercial ❑Industrial
Number of Fixtures:
Dent. 0p Shanr{t Sink bathtub t(rdry srandp
Di Well Flt/W 1 Sink
Whirlpool Disposal p
!)rout( Fin Cinch Basin
Lavatory Dishy /a: he' —v
Sump rump welt. Si WW1 rus
'toiler
Urinal 1 ?jat lrwK.irinit Ice. Chest
1W. Sink (:ear chain
Bar Sink Water `ultrier Exam Sink
Sculry Sink Soda rasp
Water Heater ��!!--1 Local Waste
I I Gas LI Ricci VINer•Vnt Clothes Wsnr Huri Sink Conte hi aka
Shower Bidet F'Prop Sink lee Maker
Fluor Drain Beer Tap Sery Sink Site Drain
hrtdry Tray C'lascmt Sink lot(ireus�- Tap Roof Drain
C absink Ext (3rtaae'rrap Stand_ l e
Surgeons Sint
Piaster Sink Breakrrn Sink R Valve E Wash Sm
Jlerilizcr
Electric Contractor OR DEiectric Installation Verification form attached
(If Ruplru:entcat)
Use Nature of Work_ ._�''k_
Size Material Type ti Conn. Typo
Sanitary Sewer
SLUM Sewc t
Waier Servicc
7/(JA
t0 /i0 39Cd N3SSf1WSti21 r LtL9EEZ tVG :90 E00Z /S0 /ZI