HomeMy WebLinkAbout2003-Plumbing (dishwasher)OSHKOSH
ON THE WATER
.lob Address 1505 REPP AVE
Contractor RAPID SOFT LLC
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner TODD A/BRENDA L REPP
Category 410 - Residential-Interior
No 103185
Create Date 07/30/2003
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 SFR/Replace dishwasher for Sears. *EIV form from Homeowner.
of Work
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
$1,000.00 Plan Approval $0.00 Permit Fees
Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
$20.00
Date
07/30/2003
Permit Voided
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
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.
of oshkos
P 0 Box 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
Plumbing Permit Application
I hereby apply for a permit to do and install the following plumbing on thc premises hercineflex ckscn'bed, the work to conform to thc
Wisconsin State Plumbing Code, in the performance of which all parties.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 $100.00 plus the
normal permit fee, which ever is greater.
OR
If you are a, contractor participating in the Permit Fee Account System and have adequate funds, cheek here
if you want this processed through your account ~
Job Address ! ~'~ Y /~.~//'/~,..,~, ~
V~ue(~,.~,.~...~.~) ,/~..~ Date
Single Fa y uplex MuRi-Family Rent Commerci Indus
Number of Fixtures:
Bathtub l.mtry Smndp Dent. (3per. Shamio Sink
Whirlpool Disp~al Dip Well FIr/Wst Sink
Toilet Sump Pun~ Wait. St Wash Fm
R~. Sink Ejeetor/Grin~ Ice Chest Urinal
~ Sink Water Soflner Exam Sink Gar Drain
Water Hea~r Local Waste Sculry Sink Soda Disp
Q Gas ~ Elect Q PwrVnt Clothes Wshr Hand Sink Coffee Maker
Shower Bidet F Pr~, Si~k Icc Maker
Fto~' Drain
, , Beer Tap Serv Sink Site Drain
Lndsy Tray_ Classrm Sink Iht Caease Trap Roof Drain
Lab Sink Surgeons Sink Ext Grease Trap Standp Rex
Plasgr Sink Breakrm Sink
Sterilizer
Electric Contraetor
Use / Nature of Work
(If R~lac~raeat)
Sanitary Sewer
Storm Sewer
Size
O'R ~Electric Installition Verificati6n form attached
Material Type # Conn. Type
Water Service
Electric Installation Verification
· (pri~ homcowner(s)name)
(addrcs~whcrc work is to be performed)
accept the responsibility for performing the electrical.work as stated below for the r !
above, p operty isted
The nature of the work consists of.' (Check One or Describe the Nature of Work)
_. Reeonnection or new circuit for replacement Heating Plant and/or A/C Condenser.
~ Rec°nncefi°n °r new circuit for replacement Electric Water Heater.
-- · Reconnection oftbe 8ervien Entrance Cable, Meter Box, alterations to receptacles
and lighting fixtures due to siding / soffit installation. Note: New Service
Entrance Cables will require a separate permit.
(~t~crnnecfion or new circuit for other permanently wired appliances/fixtures.
The value of tiffs work is $
I hereby verify this work will be performed by me and further verify the reconne~on /
installation will be done in compliance with manufacturer and Electric code requirements.
(Date)