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Home My WebLink About0123940-Plumbing (dishwasher) G OSHKOSH ON THE WATER Job Address 356 W 14TH AVE CITY OF OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD Contractor D R GLAZE PLUMBING Shower Floor Drain Lndry Tray Disposal Dishwasher Sump Pump Classrm Sink Breakrm Sink Ejector/Grind Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater Site Drain Roof Drain Misc. Fixtures Use/Nature SFR / REPLACE DISHWASHER of Work Sanitary Sewer Storm Sewer Water Service Valuation No 123940 Owner SUSAN K KEPPLlNGER reate Date 03/26/2007 Category 410 - Residential-Interior Ian 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 Size Material Type # Conn. Typ Issued By Plan Approval __~O.OQ Permit Fees $25.00 0 Permit Voide 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 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! I AgenUOwner Parcelld # 0904250000 Date 03/26/2007 rk ! Address 356 W 14TH AVE OSHKO~H WI 54902 - 6508 Telephone Number i To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Pe~ it Number, Type of Inspection (Le. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), lour Name and Phone Number. Unless specified otherwise, we will assume the project is ready at the time the request is rl ceived. Work may continue if the inspection is not performed within two business days from the time the project is real y. City of Oshkosh Inspection Services Division POBox 1130 Oshkosh, WI 54903-1130 Phone: (920) 236-5050 Fax: (920) 236-5084 ~ ifHKOfH ON THE WATER / Plumbing Permit Application I hereby apply for a permit 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 ofwIDch all parties hereto agree to and are b und by said statutes. . Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Se ices, PO Box 1128, Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees being do bled or $100.00 plus the normal permit fee, which ever is greater. OR I ou are a contractor artici atin in the Permit Fee Account S if you want this processed throuf!h your account n Job Address ~3~C eJ. \.hth~.. Value (Including labor and materials) 60. Owner ~()<,,~ ILc~~\ .~/"'"' Contractor ,Q. c...\ ~ 'Z-c..- ~ingle Family DDuplex DMulti~Family DRental DCommercia 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 Misc. Fixtures Disposal Dishwasher Sump Pump Ejector/Grind Water Softner Local Waste Clothes Wshr Bidet Beer Tap Classrm Sink -L Surgeons Sink Breakrm Sink DipWel1 Hose Bibs Electric Contractor Use / Nature of Work Size Material Type Sanitary Sewer Storm Sewer Water Service Date 3. ;j, (, . 0 ') DIndustrial DrinkFtn Catch Basin Wait.S!. Wash Ftn Ice Chest Urinal Exam Sink Gar Drain Sculry Sink Soda Disp Hand Sink Coffee Maker F Prep Sink Comm. Ice Maker Serv Sink Site Drain Int Grease Trap Roof Drain . Ext Grease Trap Standp Rec RP.Z. Valve Eye Wash Stn Shamp Sink Wtr Sewer Mtrs FIr/Wst Sink Deduct Meters Wtr Usage Mtrs OR DElectric Installation Ve 'fication form attached (If Replacement) # Conn. Type nlos