HomeMy WebLinkAbout0102987-Plumbing (dishwasher)OSHKOSH
ON THE WATER
,Jeb Address 1335 MORGAN AVE
Contracter 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 STEVEN P/ANNETT WING
Category 410- Residential-Interior
0 Ejector/Grind 0 DipWell 0 F PrepSink
0 Water Softner 0 Drink Ftn 0 Serv Sink
0 LocaIWaste 0 Wait. St. 0 Shamp Sink
0 Clothes Wshr 0 Ice Chest 0 FIr/Wst Sink
0 Bidet 0 Exam Sink 0 Catch Basin
I Beer Tap 0 SculrySink 0 Wash Ftn
0 Dent. Oper, 0 Hand Sink 0 Urinal
0 Lab Sink 0 Plaster Sink 0 Standp Rec
0 Sterilizer 0 Surgeons Sink 0 Ice Maker
No 102987
Create Date 07/22/2003
Plan
0 Gar Drain 0
0 Soda Disp 0
0 Coffee Maker 0
0 Int Grease Trap 0
0 Ext Grease Trap 0
0 RPZ Valve 0
0 EyeWash Statn 0
0
0
Use/Nature
of Work
IFR/Replace dishwasher for Seam.
*EIV form from Homeowner.
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Valuation $500.00 Plan Approval $0.00 Permit Fees $20.00
Issued By
Date 07/22/2003
[] Permit Voided
In the performance of this work, I agree to perform ell 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.
RECEIVED
JUL 2 t 200:
DEPARTMENT OF
DEvELOP ENT
Plumbing Permit Application
I hereby apply for a pei'~t to do a~d install the following plumbing on the pi~mises h~reinaftcr described, the work to conform to the
Wisconsin Slate Plumbing Code, itl the pcl formance of which all partly.hereto agree to and are bound by said statutes.
· Appl ca,on(s) and fee(s) can be broughi to City Hall, Room 205 or mailed to Inspection Services, PO Box 11'28,
Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus thc
normal permit fee, which ever is greater.
OR
If yOU are a contractor ;~artici~atin~ in thc peEmi~, Fee ,~CCOU,n,t,,~ystem ,~nd h,a~e adequate, funds, check h,ere
if ~au want this oroCesSed thr~ueh ~o,u]' a~o'u'~t r'l
JobAddress ./,~J-'/~oC~o.~..~ ¥fllue(~cin~s~b~ro.~) ~,F~-oc'~o, o .... Date
Owaer C,_3, -- ~ ....... Contractor .~o~- ~.c c__
[~Single Family [~l~nplex [--]Multi-Family J-]Rental E~ommer¢ial [~lndus~rial
Number of Fixtures:
Bathtub Lmtty Standp I~m. Ol~r. Shamp Sink ,
Whirlpool , Disposal ~ Dip Well ..... Ftr/WsI Sink ......
Lavatory , Dishwasher '{ Drink F~ ..... Ca~ch Basin .....
Toi~ci .... Sump Pump , ,, , Wait St Wash Fm
Res, Sink Eje~or/C_~ ........ ice Chest ,, , Urinal ,,
~ Sink Wa~er Soflner Exam Sink , ,, Gar
Water Heaa~ Local V,~aste Sculr~ Sink Soda Disp ,.
~ Gas ~ Eh~'t ~] PwrVnt ~ Wsbr Hand Sink ~ Maker
~ ..... I~idet F ~ si~k ....... tc~ Maker
Floor Dlain ' ' Bee~ Tap .... Serv Sink ...... Sile Drain , , ,
L~ Troy Classrm Sink lnl C. reas~ T~p , ,
Lab Sink Sur~x~s Sink , Exl ~ Trap S~andp R~ .....
Plas~ Sink
....... ~ Sink
Sleriliz~r .......
Electric Contractor
Use / Nature of Work
wa.~ s~r~ice. ,,
Material TYPe
,~leftric Installation Verificati6n form attached
Ma~ 24 01 08:4~a Code £n;orceme~t 9~0-~3G-5084
Electric Installation Verification
(p 'nt,.la6meowner(s) name)
(address where work is to bc performed)
accept the responsibility for performing the ei~c~cal ,work as stated below for the property listed
above.
The nature of the work consists of: (Check One or Describe the Nature of Work)
Reconnection or new circuit for replacement Heating Phnt md/or A/C Condenser.
~_ Reconnection or new circu/t for replacement Elec~c Water Heater.
Recormeefion of the Service 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.
Reconnection or new circuit for other permanently wired appliances / fixtures.
__ Other
value of this work is $
I hereby verify this work will be pm'formed by me and further verify the reconnection /
installation will bc done in compliance with manufacturer and Electric code requirement&
(Date)