HomeMy WebLinkAbout0124368-Plumbing (dishwasher)
e
OSHKOSH
ON THE WATER
Job Address 1611 DELAWARE ST
CITY OF OSHKOSH
No
124368
PLUMBING PERMIT - APPLICATION AND RECORD
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/G ri nd
Owner JOSEPH E ESSLINGER Create Date 04/23/2007
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
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature SFR / REPLACE DISHWASHER FOR SEARS, EIV SIGNED BY THE HOMEOWNER (JOSEPH ESSLINGER) '*check 15022 .
of Work
Valuation
Size
Material
Type
#
Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
1302080100
Plan Approval
$0.00 Permit Fees
$25.00 0 Permit Voided I
Issued By
Date 04/23/2007
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
Agent/Owner
GREENVILLE
Address N1284 CRANDON CT
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 (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.
Hae t!.; ,01 08:408
Cod@ Enf'orcemf,!nt
920-236-5084
p.2
~
OfH<~
ON rue w'" #:
CilyofOsldrostl
Division or~ Serria!s
2ISCbun:bA_
POBox Jl30
Osbk""" WI $4903-11.10
0100. 920-2J6-SOSO
Fax 920-236-S084
.,:'\ /;.
: {rF,.,:'
Electric Installation Verification
J(We) W~~/./ ~~#CeR
(print homeownU(s) name)
thehomeowner(s)of It/I bpj4~Re, '
(address where work is to be performed)
accept the responsibility for perfonning the electrical -work as stated below for the property listed
above.
The nature ofthe 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 forrepJacement Electric Water Heater.
Reconnection of the Service Entrance Cable, Meter Box, alterations to receptacles
and lighting fixtures due to siding I soffit installation. Note: New Service
Entrance Cables will require a separate pennit.
Reconnection or new circuit for other permanently wired appliances / fIxhrres.
Other
The vwueoftlris work: is $
I bereby verify this work will be perfonned by me and further verify the reconnection I
installation will be done in compliance with manufacturer and Elcctric code requirements.
~ ~ ~0;/
H eowner(;t Sign~
~j;1 /61
(Date)
City of Oshkosh
Inspection Services Division
POBox 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
~
OfHKOfH
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 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 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees being doubled or S100.00 plus the
normal permit fee, which ever is greater.
OR
I 'ou' are a contractor artici atin in tile Permit Fee Account S stem and have ade
VOll want this rocessed throu h vour account
Job Address ,/ {./ ( IQ.I~~ .......>- ~ S-f.
-
Owner L;:; >5: .,.. je.J
~Single Family []Duplex
;/I
Value (Including labor and materials) /6" c 0
y: ~:fl k?-r-
.. / .
DRental DCommercial
Contractor
DMulti-Family
Number of Fixtures:
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heatcr
:J Gas c: Elect::: PwrVnt
Lndry Standp
Disposal
Dishwasher
Sump Pump
Ejector/Grind
Water Softner
Local Wasle
Clothes Wshr
Bidet
Beer Tap
Classrm Sink
Surgeons Sink
Breakrm Sink
--L.
Shower
Floor Drain
Lndry Tray
Lab Sink
Plastcr Sink
Sterilizer
Electric Contractor
Use I Nature of Work ~/cee.
Date 7" -7~:..a7
L.-'-C
DIndustrial
Deni. Oper. Shamp Sink
Dip Well Flr/Wst Sink
Drink FIn Caleb Basin
Wait. St. Wash Ftn
Ice Chest Urinal
Exam Sink Gar Drain
Sculry 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
OR ;gIElectriC Installation Verification form attacbe
(If Replacement)
o .r'< ,. ~e.5~""" 4- Sa._....- S
Size
Material
Type
#
Conn. Type
Sanitary Sewer
Storm Sewer