HomeMy WebLinkAbout0123223-Plumbing (water softener)
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OSHKOSH
ON THE WATER
Job Address 677 MONROE ST
Contractor CULLIGAN WATER CONDITIONING
CITY OF OSHKOSH
No
123223
PLUMBING PERMIT - APPLICATION AND RECORD
Owner RODNEY SIDIANNA G DONNER
Create Date 01/18/2007
Category 410 - Residential-Interior
Plan
Bathtub Shower Water Softner Wait. St. Shamp Sink Coffee Maker
Whirlpool Floor Drain Local Waste Ice Chest FlrlWst Sink Int Grease Trap
Lavatory Lndry Tray Clothes Wshr Exam Sink Catch Basin Ext Grease Trap
Toilet Disposal Bidet Sculry Sink Wash Ftn -" RPZ Valve
Res. Sink Dishwasher Beer Tap Hand Sink Urinal Eye Wash Statn
Bar Sink Sump Pump Lab Sink Plaster Sink Standp Rec Wtr Sewer Mtrs
Water Heater Classrm Sink Sterilizer Surgeons Sink Ice Maker Deduct Meters
Site Drain Breakrm Sink Dip Well F Prep Sink Gar Drain Wtr Usage Mtrs
Roof Drain Ejector/Grind Drink Ftn Serv Sink Soda Disp
Misc.
Fixtures
Use/Nature ~FR /INSTALL WATER SOFTNER **debt acct
of Work
-l
I
I
I
__J
Size
Material
Type
#
Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
0405570000
$350.00
~kJ
Plan Approval
$0.00
Permit Fees
$25.00 D Permit Voided I
Valuation
Issued By
Date 01/18/2007
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
Date
Address 405 PROSPECT AVE
Agent/Owner
N FOND DU LAC WI 54937 - 1498 Telephone Number 235-1490 OR 233-05
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.
~
JAN. 18,2007
8:59AM
CULLIGAN/MERMAID OSH
JAN. 1 8 2007
City of Osl'ltosh
Inspeclion Services Di...ision
.M... POBox II 30
,. Oshkosh, Wl54903-1130
Phone: (920) 2)6-5050
Pax: (920) 236.5084
.,
Plumbing Permit Application
.
NO. 311
P.1/1.
~
[5{l":~~Qf)3
I bereby apply for Q I)ennit to do trnd install lhe foHolivinB plumbing 011 U\C premises h~rc:inaC\.er Llescrib~u\ U~e wtwk Il) clmlonUlO the::
Wisconsin Slole Plun'l.bing Code, in the llerfonnlll1c.e of which aU parties herelo agree to and nre bound by said slntutes
. Application(s) IInd fco(s) can be brmlghllo City HaIL, Room 205 or mailed 10 Inspection Services, PO Bo~ 1128.
Oshkosh WI 54903-1128, Comll\cl\cing work without pemlil(s) willl'eS\llt il' fees being doubled or $1 oo.on pillS the
llonllO I perJuit fee, which ever is greater,
OR
J(,VQU al'e {J ctJntractol' 1HH1J~..mt7tiM~ irl thl!.J~~."ml/ Fel!. All!l.!L!'J.!_~'V,~I~m (lI"Ulf1J'6 (~de(/ rlClI.!J1!J1rl{, (b.t..f.~. !un:y
if YOII waitt this Df'oCnsed tf1/"UJIf!h VUll" acco,mf ~
Job Add.'ess
Owne.' R cd,v 0/
[BS'ingle Family
bt)
Vnlue (In..:lulliIlB IlIlull' IInd mAlerlAls) l ;?~O '
Conll'nctOl' ~ 'JAJ../ WD"'7:tt
DMulti-Fnmil)' ORental DCommercial
h?? //~A:} ~^~_
DD/./ /.I fA....
DDul)lex
Numbel' of FixtLu'es:
DAte. L-/(P-o 7
t.SJJ #/CdLi:L_.:.-.
Dlndus t1"isl
8.lhluh
Whil'lpj)(tl
LO\lolol)'
TI)i1OL
lu,.. Slid.
l~~r :-link
"'AI!;r I lOftier
, IUAA L.J 1:.1;':1 L11'wrV1l1
SIIOWCf
Floor Droin
I.."LI~y Tl':lll
LAb Sink
I'lnsl~r Sink
~tcrH ~or
M;a~.
Fi:.;l~rc:a
DiBJlOftnl Dt'I"1c pin CnL.:ll 8nUII
Oi~h l~..1I1!1' WIll, SI, WPNh Fill
SUllIlll'llnlll It;e Cha~t l!rill~1
I;icclor/Grin~ .-.-? !;~III Sink O~r DI'ain
Wnler sunner !lc:"lJ'y Sink SQdn D~fl
I./.lcnl Wnall: TI oml ,~il"~ com:1:: Mnker
C'loIhll.'l \Vshr F Pr!;11 Si1d~ 4 'onllll I~e Malic!
Didol S!,;IV Sink Sile: Drllin .
lllll~r TAil IlliG rCIIBe '1'1'01' ({(,of DI'lliu
CI~141'111 Sink r.~1 Gr!;n~e 'l'rnp :llallllp Rc:.: ..
SIII"iCIlI1\ Sil.k lU'.Z. Vol".: Eiya WMh SIll
Urc*"" Sink Shnmr ::llllk Wlr Se,ver Mlr~
Dil,Wcl! l:h'I\V~1 Sil'l:. Dcdul:l t>.1clcr.l
HClne Blba WI.. U4fig; MlflI
--- - ..~. ---.------------.---.... ---.---.
Electt'ic Contl'acto.'
1l.)/;4
r
OR
OElectl;c lustnllation Veritkation form attached
IlrRclllncl:II1tl1II)
Use I Natul'e OfWorltr;i,~"7"ad l~tiToiA.." rf'~~J
Size
Malerial
Type
f1
Conn, Type
S!lI'Ulal)' Sewer
:{ll.lnll S~wer
Wtller Service
.-..-..---- .. r.-, _ .__. __. R.~' R__'_.---'
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