HomeMy WebLinkAbout0099724-Plumbing (dishwasher)OSHKOSH
ON THE WATER
.lob Address 827 GREENFIELD TRL
Contractor RAPID SOFT LLC
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner JANET M CROSBY
Category 410 - Residential-Interior
Bathtub 0 Shower 0 Ejector/Grind 0 DipWell 0 F Prep Sink 0
Whirlpool 0 Floor Drain 0 Water Soffner 0 Drink Ftn 0 Serv Sink 0
Lavatory 0 Lndry Tray 0 LocalWaste 0 Wait. St. 0 Shamp Sink 0
Toilet 0 Lndry Stndp 0 ClothesWshr 0 Ice Chest 0 FIr/Wst Sink 0
Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0
Bar Sink 0 Dishwasher 1 Beer Tap 0 SculrySink 0 Wash Ftn 0
Water Heater 0 Sump Pump 0 Dent. Oper. 0 Hand Sink 0 Urinal 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
No 99724
Create Date 02/06/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
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 #
$400.00 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
02/06/2003
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
City of Oshkosh
Inspection Services ~
P OBox 1130
Oshkosh, WI 54903..1130
Phone: (920) 236.-5050
Fax: (920) 236-5084
Off'H
THE
Plumbing Permit Application
I hereby apply for a pei-mit to do and install the following plumbing on the premises hereinafter descnt~ed, the work to conform to the
Wisconsin State Plmnbing Code, in the performance of which ail 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 Insl~tion Services, PO Box 11'28,
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
ff_pou are a contractor participatin~ in the Permit Fee Account System and have adequate funds, check heft.
if you want this pKo..cessed through your account [-] ....
Owner To~ Cf,~.r dj Contractor ' ..ff~ ~& C
[~ingle Family [-'[Duplex ['"]Multi-Family [-"[Rental ~]Commercial [~]Iadustrial
Number of FLxtures:
Bathtub ~ Lndry Standp Dent. Oper. Shamp Sink
Whirlpool Disposal Dip Well Flr/Wst Sink
Lavatory Dishwasher / Drink Ftn Catch Basin
Toilet Sump Pump Wait. St. Wash Fan
Re~. Sink Ej~c~m'/Grind Ice Chest Urinal
Bar Sink Walrr Softner Exam Sink Gar Drain
Water Heater Local Waste Sculry Sink Soda ~
D Gas O Etect [3 PwrVnt
Clothes Wshr Hand Sink Coffee Maker
Shower
B~t r P~ Si~k ~ M~-~
Floo~ Drain
- ~ Beer Tap Serv Sink Site Drain
Ladry Tray ~ Sink Iht Grease Trap Roof Drain
Lab Sink
-- Surgeons Sink Ext Grease Trap Standp Rec
Plaster Sink
Breakrm Sink
Sterilizer
Electric Contractor
Use / Nature of Work
Size
~~lectric Install~iion Verificatidn form attached
(If Replacement)
Material Type # Conn. Type
Storm Sewer
Water Service
'F'~OP'i :~ POfdJ'IEBENG.
~=~ ~4 01 08:~Oe
Code
PHONE NO.
E~'or cement.
920213613112 Feb, 02 20013 08:4:!PP1 P~
9~0 ,-~3S-508~ p. ~
7
Electric Installation Verification
(addres~ where work is to be performed)
accgpt thc responsibility for performing the ¢lec~ricaI-work as slated beJow for ~he property list~
above_
The nature oflhe work cansi~ of: (C~eck One or De~cribe the Nalure of Work)
Reconnection or new circuit for replacement Heating Plant and/or A/C Condenser.
~ Rcco~nection or ncw circuit for replacement Electric Water Hcatc~.
~ Recommction of the 8ervic~ £nlrane¢ Cabl~, Meter Box, alterations to tz~.~placles
F'~R and lighting fixtures due lo siding / soffit in.~atlation. Note: New Re--ice
Entw~.. e Cables will require a sepa~e permit.
econnectton or new circuit for other permanently wired appliances / fixtures.
The value of~; work is $ -- ~ -
ll~omeowne~(s) S~
I hereby vesify this work will' be performed by me and further ver~ ti~ rcco~oo /
installation will be dolle ha compliance with mam~Pac~ur~- and l~lect~ic code n~luirement~