HomeMy WebLinkAbout0107405-Plumbing (dishwasher)OSHKOSH
ON THE WATER
.lob Address 1280 WHEATFIELD WAY
Contractor RAPID SOFT LLC
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner SCOTTW/MELISSA NOWICKI
Category 410 - Residential-Interior
No 107405
Create Date 04/13/2004
Plan
Bathtub 0 Shower 0 Ejector/Grind 0 DipWell 0 F Prep Sink 0 Gar Drain 0
Whirlpool 0 Floor Drain 0 Water Soffner 0 Drink Ftn 0 Serv Sink 0 Soda Disp 0
Lavatory 0 Lndry Tray 0 LocalWaste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
Toilet 0 Lndry Stndp 0 ClothesWshr 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 1 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
of Work
/ REPLACE DISHWASHER*EIVHOMEOWNER
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type
#
0
0
0
0
0
0
0
Conn. Type
Valuation $650.00 Plan Approval $0.00 Permit Fees $20.00 ~J Permit Voided
Issued By
Parcel Id #
1341480000
Date 04/13/2004
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 P.O. BOX4052 APPLETON WI 54915 - 0052 Telephone Number
920-757-6432
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.
920-~3S-5084
Electric Installation Verification
(print homeowner(s) name)
(~dO~ wh~ w~k is to ~ ~rfo~)
a~t ~e ~mibilRy for perfo~g ~e el~t-work ~ s~t~ ~w f~ ~e pr~y list~
a~vc.
The nature of the work consists o~ (Check One or Descn'be the Nature of Work)
Reconncction or new circmt for replacement Heating Plant and/or MC Condenser.
~ Rcconnecfion or new circu/l for replacement EI~ Water Heater.
· . ~ R~ec~d~of_thegerv?e.E~...~Cable, Mct~rBox, altcrationsto~uceplacles
gaung ~x~'es one to s~dmg / soffit installation. NOte: New Serric¢
~ E~trma~ Cable~ will require a separate permiL
Reeonnection or new circuit
_ Other for other pcrmanemly wired appliaaces / fixtures.
']'he value of this work is $
!! hereby verify lhis work will be performed by me mud fret.her verify the mconneetiou /
installation will be done in compliance with manufacturer and Electric code requirements.
Homeowner(s) Signature
(Date)