HomeMy WebLinkAbout0092526-Plumbing (dishwasher)
0
OSHKOSH
ON THE WATER
Job Address 816 BAVARIAN CT
CITY OF OSHKOSH
PLUMBING PERMIT. APPLICATION AND RECORD
OWner ANDREW J. PHILLIPS
Contractor RAPID SOFT LLC
Category 410 - Residential-Interior
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
0
~
0
~
0
~
0
0
0
Roof Drain
Shower
Floor Drain
Lndry Tray
Lndry Stndp
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
0
~
0
0
0
----1
0
0
0
Ejector/Grind 0
Water Softner ~
Local Waste 0
Clothes Wshr ~
Bidet 0
Beer Tap 0
Dent. Oper. 0
Lab Sink 0
Sterilizer 0
Dip Well
Drink Ftn
Wait.St.
Ice Chest
Exam Sink
Sculry Sink
Hand Sink
Plaster Sink
Surgeons Sink
0
0
0
~
0
~
0
0
0
F Prep Sink 0
Serv Sink 0
Shamp Sink 0
FlrlWst Sink ~
Catch Basin 0
Wash Ftn ~
Urinal 0
Standp Rec 0
Ice Maker 0
No 92526
Create Date 02/05/2002
Plan
Gar Drain 0
Soda Disp 0
Coffee Maker 0
Int Grease Trap 0
Ext Grease Trap ~
Use/Nature SFRf Install replacement dishwasher for Sears. 'EIV form from homeowner.
of Work
Valuation
Sanitary Sewer
Storm Sewer
Water Service
Size
Material
Type
#
Conn. Type
Issued By ~ rý\
$700.00
Plan Approval
$0.00
Permit Fees
$20.00
Date 02/05/2002
D~~~~Voided ¡
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Address P.O. BOX 4052
AgenVOwner
APPLETON
WI 54915 - 0052
--
Telephone Number
Date
920-757-6432
Ha~ 24 01 08:40a
Code Enf'orc"ment ~
920-236-5084
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POBox 1130
O"ko,' WI $490J-1I30
Offi" 920-236-S0SO
F" 920-236-5°'.
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Electric Installation Verification
Þ/#¿,L/.p$"
if {print homeowner(s) name)
the homeowner(s) of
2:J/6 J)rV~¡¿,'A'" ¿;,1:
(address where work is to be performed)
accept the responsibility for performing the electrical work as stated below for the property listed
abovc.
The nature of the work consists of: (Check One or Describe the Nature of Work)
-A-
Reconnection or new circuit for replacement Heating Plant and/or NC Condenser.
Reconnection or new circuit for replacement Electric Water Heater.
Reconnection 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
/J " 5/1 W~'5"J/(?'R-
The value of this work is $ /¿;O. 0<:,)
I hereby verify this work wi]] be performed by me and further verify the reconnection /
installation wi]] be done in compliance with manufacturer and EJectric code requirements.
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;1/1/0;)
I (bate)
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