HomeMy WebLinkAbout0103562 POSHKOSH
ON THE WATER
.lob Address 1522 MENOMINEE DR
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 RUTH H RUPRICH
Category 410 - Residential-Interior
No 103562
Create Date 08/15/2003
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 CIothesWshr 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 Homeowner attached.
of Work
Size Material Type # Conn. Type
Sanitary Sewer 0
0
0
0
0
Storm Sewer 0
0
0
0
0
Water Service 0
0
0
0
0
Valuation $400.00 Plan Approval $0.00 Permit Fees $20.00 ~ Permit Voided
Issued By
Date
08/15/2003
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.
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.
POB~ 11~0
< CEIVED
AUG 1 4 2003
DEPARTMENT OF
COMIvlUL; FY DEVELOPMENT
Plumbing Permit Application
Application(s) aml fe~(s) oan be brough~ to City Hall, R~
O~ ~ ~3-1128. ~ w~ ~ ~s)
OR
If ~ou are a coatrartor ~rtic~ti~ tn the Permit Fee Account System and kave oJeeuate fun~. ~eek ke~e
[]industrial
Electric Contra_e~_ r _ _
wat~
,~mi~ ~ $/ze Maierl. al Type #
Ele ric Installation Verification
--(p~int h~er{s) name)
s where work is to be performed~
accept the responsibility for performing the electrical-work as stated below for the properly listed
aboVe.
The nature of the work consists of.' (Check One or Deacn'be the Nature of Work)
~ Reconnection or new circuit for replacement Heating Plant and/or MC Condenser.
~ Reeonnecti°n or new circuit for replacement Elcch-ic Water Heater.
Recormecfion of the Service Enh'ancc CabIe, Meter Box, alterations to receptacles
and lighting fixtures due to siding / soffit installation. Note: New Service
Entrance Cables will require a separate penmt.
Reconnection or new circuit for other permanently wired appliances / fixtures.
_ Other
The value of this work is
I hereby verify this work will be performed by me and further verify thc reconnection /
installation will be done in compliance with manufacturer and Electric code requiremanks.
Homeowner(s) Si~n~ure ' '