HomeMy WebLinkAbout2007-Plumbing (dishwasher)
o
OSHKOSH
ON THE WATER
Job Address 343 SUNNYBROOK DR
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner JEREMY G/KATHRYN A GARDNER
Category 410 - Residential-Interior
Contractor RAPID SOFT LLC
Shower Water Softner Wait. St. Shamp Sink
Floor Drain Local Waste Ice Chest FlrlWst Sink
Lndry Tray Clothes Wshr Exam Sink Catch Basin
Disposal Bidet Sculry Sink Wash Ftn
Dishwasher Beer Tap Hand Sink Urinal
Sump Pump Lab Sink Plaster Sink Standp Rec
Classrm Sink Sterilizer Surgeons Sink Ice Maker
Breakrm Sink Dip Well F Prep Sink Gar Drain
Ejector/Grind Drink Ftn Serv Sink Soda Disp
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature LATE PERMIT/Install new dishwasher, EIV provided by Excellence Electric **check # 14950
of Work
No
123199
Create Date 01/12/2007
Plan
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Size
Type
#
Conn. Type
Material
Sanitary Sewer
Storm Sewer
Water Service
$0.00 Permit Fees
$25.00 0 Permit Voided I
Parcelld #
0622450000
Valuation $991.47 Plan Approval
IssuedBy ~U J
Date 01/17/2007
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
Address N1284 CRANDON CT
Agent/Owner
GREENVILLE
WI 54942 - 0000 Telephone Number 757-6130
Date
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (Le. 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.
City of Oshkosh
Inspection Services Division
POBox 1130
Oshkosh, VVI54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
JAN 1 7 200~~
~
OfHKOfH
ON THE WATER
Plumbing Permit Application
I hereby apply for a pennit to do and install the following plmnbing on the premises hereinafter described, the work to conform to the
Wisconsin State Plmnbing Code, in the performance ofwbich all 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 Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without penmt(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
I
. ,
Job Address IY f ...r.......,...j h"-66 t:::t.:r: Value (Jnc1udinglaboundmaterials) 79/... Y7
Owner C-c.rA ~/ Contractor Pc: r./..fi k,?+-
.. /
~Single Family DDuplex DMulti-Family DRental DCommercial
Date !/N/ e> "7
,
L"LC
DIndustrial
Number of Fixtures:
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
::: Gas C Elect:: PwrVnt
---'-
Lndry Standp
Disposal
Dishwasher
Sump Pump
Ejector/Grind
Water Softner
Local Waste
Clothes Wshr
Bidet
Beer Tap
Classnn Sink
Surgeons Sink
Breaknn Sink
->c-
Dent. Oper. Shamp Sink
Dip Well FlrlWst Sink
Drink Ftn Catch Basin
Wait. St. Wash Ftn
Icc Chest Urinal
Exam Sink Gar Drain
Sadry Sink Soda Disp
Hand Sink Coffee Maker
F Prep Sink Ice Maker
Serv Sink Site Drain
Int Grease Trap Roof Drain
Ext Grease Trap Standp Rec
Shower
Floor Drain
Lndry Tray
Lab Sink
Plaster Sink
Sterilizer
?
OR
DElectric Installation Verification form attache4
(If Replacement)
Electric Contractor
Use I Nature of Work W/c<~ D;s~u.)",,!.~~ rv-...r~J
Size
Material
Type
#
Conn. Type
Sanitary Sewer
Storm Sewer
~ 01/12/2007 FRI 11:09 FAX.920 687 2445 EXCELLENCE ELECTRIC
::: ;" )
/
;I
~ 0011001
,..
I .( i
~
0IHI<0.fH
ON THe WATER
City of Oshkosh
Division of luspeclion Scrvi~es
215 Church Aven\lC
PO Box 11 ~o
Oshkosh WI S4902'IIJO
Office 92D-23~50SQ
Fn>; 9;lo.2J6.S01l4
Electric Installation Verification
(I) . (We) <:::xae~ ei:..-e<:;:;T?'2.4<Z-
(Electrical Contractor Name)
,.
/4/Z e /111/,J S,
(Address)
L~t?.4u~
(City)
~I
(State)
&I/~o
(Zip Code)
. have been contracted to perform electric installation work fOT KArE 6/1J!!!1)Nc::/2-
(Name of party contracted to)
at the following address: 34& ~A/Jrf~JL. IX.-
(Address where work will be performed)
, (, The nature of the work consists of: (Check One or Describe the Nature of Work)
Reconnection or new circuit for replacement Heating Plant and/or Ale Condenser-
Reconnection or new circuit for replacement Electric Water Heater. ,
Reconnection of the Service Entrance Cable, Meter Box, alterations toreceptac1es and
lighting fixtures due to siding /soffit installation. Note: New Service Entrance
, Cables will require a separate permit.
~ ~~o~~ectiOi!)r new circuit for other permanently wired appli~ces / fixtures-
Other t
- ~ -olS~WASHc::::IL . .
The value of this work is $ 4175~.
I hereby verify this work will be performed by an employee oftlrls company and further verify the
recoIUlection / installation will be done in compliance with manufacturer and Electric code
requirements.
. ~Il~ h.'i1lJ(]~v~
. (Si~~~J"'$.<--," (Frin Name of Officer)
~ ~ BtoS c9- -~\ 4-
1/10/ c 7
---,
(Date)