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HomeMy WebLinkAbout0103317-Plumbing (dishwasher)OSHKOSH ON THE WATER ,Job Address 1414 GROVE ST Contractor RAPID SOFT LLC 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 Sump Pump Site Drain 0 Classrm Sink Roof Drain 0 Breakrm Sink CITY OF OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD Owner KENNETH L/LEIGH LISKE Category 410 - Residential-Interior No 103317 Create Date 08/05/2003 Plan 0 Ejector/Grind 0 Dip Well 0 F Prep Sink 0 Gar Drain 0 0 WaterSoftner 0 Drink Ftn 0 ServSink 0 Soda Disp 0 0 Local Waste 0 Wait. St. 0 ShampSink 0 Coffee Maker 0 0 ClothesWshr 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 1 Beer Tap 0 SculrySink 0 Wash Ftn 0 RPZValve 0 0 Dent. Oper. 0 Hand Sink 0 Urinal 0 Eye Wash Statn 0 0 Lab Sink 0 Plaster Sink 0 Standp Rec 0 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0 Use/Nature SFR/Replace dishwasher for Sears. *EIV form from Drexler Electric. of Work Valuation Issued By Sanitary Sewer Storm Sewer Water Service Size Material Type # $700.00 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 08/05/2003 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. POBox I130 Oshim~ WI S4903-I 130 Pho~: (920) 236- Fax: (920) ' ECEJVED AUG 0 4 2003 Plumbing Perm~Ai~j~. OF ~ ~r,,vru~,~ ~ ~' ~I:VELOP~ENT I lan~°Y apply f.°r a Plnmit to ~lo and imlail fl~c followhlg p~mhing oa th~ premises h~,imt~cr ~ ~ ~ ~ ~ m ~ W~ $~ P~ ~, ~ ~ ~ of ~ ~.~o a~ m ~ ~ ~ ~ ~ s~ ~h ~ ~3-1128. ~ ~ ~ut ~s) ~H ~ ~ ~ ~ If ~ou ~re a co~tractor oartictoatt~e t~ tie Permit Fee Jccou~r 8v~em asd have ad~ate ifv°u want tlts ~r° ce~sed tkrOu~h your aC ~ou~ ~ Number of Fixtures: Whirtp~o! ......... Disposal .... D~p Well l:tt~tst Sink Tdl~ ..... .... ~ w~t.~ w~ ~' ~ ' ~ ..... lc~ ~ ,, ,. ~ '" ' ~$~ ....... W~ . ~$~k ~ i" ' W~ ~ ~ W~ ~ Sink ' ~w~ , , ~s~ ,,, ~ "' $~ F~ ........ ~S~k ~si~ ~T~ .... S~ , ~ S~ .......... Electric Contractor , Use / Nature of Work Wa~ ,Ser*ic~ 0)~ /~lectric lnstahtlon Yeriflcmi~n form {.n.::.,~) (c~,) "'~e) - (z~c~) (lqa~c oflm~ ~ to) (AdMu where week M~ bo pabmed) T~ ~ oft~ Mx~k mmhU ~: (Che~ (~ ~ Dem:zi~ t~ NeUm~ of' WoW) TM wdue~ of'tldm wmf~ b S _ ~:).c-~-%