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HomeMy WebLinkAbout0123392-Plumbing (dishwasher) e OSHKOSH ON THE WATER Job Address 1210 MORELAND ST CITY OF OSHKOSH No 123392 PLUMBING PERMIT - APPLICATION AND RECORD Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater Site Drain Roof Drain Misc. Fixtures Use/Nature 'SFR / REPLACE DISHWASHER FOR SEARS **check #14968 of Work Shower Floor Drain Lndry Tray Disposal Dishwasher Sump Pump Classrm Sink Breakrm Sink Ejector/Grind Owner TIMOTHY J JACKSON Create Date 0210212007 Category 410 - Residential-Interior Plan Water Softner Wait. St. Shamp Sink Coffee Maker Local Waste Ice Chest FlrlWst Sink Int Grease Trap Clothes Wshr Exam Sink Catch Basin Ext Grease Trap Bidet Sculry Sink Wash Ftn. RPZ Valve Beer Tap Hand Sink Urinal Eye Wash Statn Lab Sink Plaster Sink Standp Rec Wtr Sewer Mtrs Sterilizer Surgeons Sink Ice Maker Deduct Meters Dip Well F Prep Sink Gar Drain Wtr Usage Mtrs Drink Ftn Serv Sink Soda Disp Contractor RAPID SOFT LLC Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service P~lrcelld # 1 ~108930000 $923.00 Plan Approval $0.00 Permit Fees $25.00 0 Permit Voided I Valuation Issued By 'VYYl v._) Date 02/0212007 In the performance of this work, I agree to perform all work pursuant to rules goveming 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 Agent/Owner Address N1284 CRANDON CT GREENVILLE WI 54942 - 9750 Telephone Number 757-6130 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. City of Oshkosh Inspection Services Division POBox 1130 Oshkosh. WI 54903-1130 Phone: (920) 236-5050 Fax: (920) 236-5084 ~ OII--fKOJH ON THE WATER Plumbing Permit Application I hereby apply for a pennit to do.and install the following plumbing on the premises hereinafter described, the work to conform to the Wisconsin State Plumbing Code, in the performance of which 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 1 T28, Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the nonnal permit fee, which ever is greater. OR l~ ;011 ore 0 contractor par/icina!in/! in the Permit Fee Account System and have adequate funds. check here i ou want this processed throu~h your account n Job Address / c;J /6 1/]1"'10 r--e /_~-p k Value (Including labor and materials) c:;7;;> S'. C>cJ Owner (3, -",cf/"(./ Contractor 1~,4"fi.kJ f2.r- L-? c pgsingle Family DDuplex DMulti-Family C]RentalDCommercial Date / /:?o/tf":> , []Industrial Number of Fixtures: Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater o Gas 0 Elect 0 PwrVnt Shower Floor Drain lndry Tray Lab Sink Plaster Sink Sterilizer Lndry Standp Disposal Dishwasher Sump Pump Ejector/Grind Water Soflner Local Waste Clothes Wshr Bidet Beer Tap Classnn Sink Surgeons Sink Breakrm Sink Dent. Oper. Shamp Sink Dip Well FlrlWst Sink ---L Drink Ftn Catcb Basin Wail. St. Wash Ftn lee Chest Urimll Exam Sink Gar Drain Sculry Sink Soda Disp Hand Sink COm,.e Maker F Prep Sink Ice Maker Serv Sink Site ()rain lnt Grease Trap Roof Drain Ext Grease Trap Standp Rec Use I Nature of Work t-ylcc-c DElectric Installation Verification form attache (lfReplacement) D;r /.... (--,:J-~ L-..r ;z;",,-- S ~ '\ Electric Contractor OR Size Material Type # Conn. Type Sanitary Sewer Stonn Sewer Water Service