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Home My WebLink About0124814-Plumbing (dishwasher) e OSHKOSH ON THE WATER Job Address 417 ALGOMA BLVD CITY OF OSHKOSH No 124814 PLUMBING PERMIT - APPLICATION AND RECORD Contractor KOCH PLUMBING Bathtub Whilrlpool Lavatory Toilet Res. Sink Bar Sink Water Heater Site Drain Ro01f Drain Mise:. Fixtures Use/Nature of Work Shower Floor Drain Lndry Tray Disposal Dishwasher ----.1, Sump Pump Classrm Sink Breakrm Sink Ejector/Grind Water Softner Local Waste Clothes Wshr Bidet Beer Tap Lab Sink Sterilizer Dip Well Drink Ftn Owner THE SALVATION ARMY Create Date 05/16/2007 Category 440 - Industrial-Interior Plan Wait. St. Shamp Sink Coffee Maker Ice Chest FlrlWst Sink Int Grease Trap Exam Sink Catch Basin Ext Grease Trap Sculry Sink Wash Ftn RPZ Valve Hand Sink Urinal Eye Wash Statn Plaster Sink Standp Rec Wtr Sewer Mtrs Surgeons Sink Ice Maker Deduct Meters F Prep Sink Gar Drain . Wtr Usage Mtrs Serv Sink Soda Disp ICOMM / REPLACE DISHWASHER "debt acct I Size Sanitary Sewer Storm Sewer Water Service Material Type # Conn. Type Parcelld # 0102070000 Valucltion $80.00 Plan Approval IssuedBy ~~ $0.00 Permit Fees $25.00 0 Permit Voided I Date 05/16/2007 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 2005 DOTY ST Agent/Owner OSHKOSH WI '54902 - 7040 Telephone Number 920-231-6661 or 235 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. l'r 26 07 02:0SP. City of Oshkosh Inspection Services Division POBox 1130 Oshkosh, WI 54903-1130 Phone: (920) 236-5050 Fax: (920) 236-5084 Clarence Koch (S20) 235-0282 p. 1 ~ 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 pennit(s) VvilI result in fees being doubled or $100.00 plus the normal permit fee, which ever is greater. OR I Owner Si1ttll4,./;:;:/.~.l/l~.h?'1 Contractor DSingle Family DDuplex DMulti-Family Job Address 4/7 ..4'{(JI~#//r' &.vn.. Value (lncluding labor and materials) '8o~ t:OC/'; ~?rJ'~ Date 4 ... 2~ "0 ., Number of Fixtures: Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater o Gas :J Eject 0 Pm,-Vnt Shower Floor Drain Lndry Tray Lab Sink Plaster Sink Sterilizer Misc. Fixtures Disposal Dishwasher Sump Pump Ej.:ctor/Grind Water Softner Local Waste Clothes Wshr Bidet Beer Tap C1assrm Sink Surgeons Sink Breakrm Sink Dip Well Hose Bibs / DRental I5aCommercial DIndustrial Drink Fin Catch Basin Wait.St. Wash Ftn Ice Chest Urin al 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 Wrr Sewer Mtrs FlrAVst Sink Deduct Meters Wtr Usage Mrrs Electric Contractor OR DElectric Installation Verification form attached (If Replacemen t) Use / Nature of Work J?/:~?~PL ,.t:1/f/,../~A~'/#~';t:.. Size Type Conn. Type Material Sanitary Sewer Storm Sewer Water Service # ll/DS rC4x . . 0 4 -2c'.-O 0 _.../""