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Home My WebLink About2007-Plumbing (dishwasher) . CITY OF OSHKOSH OSHKOSH. PLUMBING PERMIT - APPLlCA liON AND RECORD ON THE WATER Job Address 1331 WASHINGTON AVE No 124951 Shower Floor Drain Lndry Tray Disposal Dishwasher Sump Pump Classrm Sink Breakrm Sink Ejector/Grind Owner MAUREEN STURM Create Date OS/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 MARK WOLZENBURG **check #15044 of Work Valuation Issued By Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service Parcelld # 0203690000 $0.00 Permit Fees $25.00 D Permit Voided I Date OS/23/2007 In the performance of this work, I agree to perform all work purs.uant 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 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 (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. City of Oshkosh Inspection Services Division POBox 1130 Oshkosh, VVI54903-1130 Phone: (920) 236-5050 Fax: (920) 236-5084 . ~ OfHKOfH ON THF 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 1128, Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the normal permit fee, which ever is greater. OR I VOll are a contractor artici atin in the Permit Fee Account S stem and have ade if VOll wallt this processed through vour account n . {F Job Address /:Ix I ~"'-, L 1'-7 '~__~ Value (Including laborand materials) {~, do Date--.5-;7:?/ d'7 Owner . (~o/~......bu>r'1 v Contractor P:o:fl Lt::-r- L,-LC J .. / ~Single Family DDupiex DMulti-Family DRental DCommercial DIudustrial Number of Fixtures: Bathtub Whirlpool Lavatory Toilet Res. Sink B<U" Sink Water Heater ::; Gas::': Elect = PwrVnt Shower Floor Drain Lndry Tray Lab Sink Plaster Sink Sterilizer Lndry Standp Disposal Dishwasher Sump Pump Ejector/Grind Water Softner Local Waste Clothes Wshr Bidet Beer Tap CIassnn Sink Surgeons Sink Breaknn Sink Electric Contractor Dent. Oper. Shamp Sink Dip Well FlrlWst Sink -L Drink Ftn Catcb Basin Wait.SI. Wash Fin Ice Chest Urinal Exam Sink Gar Drain Sculry Sink Soda Disp Hand Sink Coffee Maker F Prep Sink Ice Maker Setv Sink Site Drain Int Grease Trap Roof Drain Ext Grease Trap Standp Rec OR ~Iectric Installation Verification form attache! (If Replacement) Use I Nature of Work 4p'/~c< Size Material Sanitary Sewer Storm Sewer 'f>-sL...J~~~- ~ r S~~ r.:~ Type # Conn. Type "a8 ~~ ~1 09:40. Cod@ Enf'orcem@nt 920-236-5094 p.2 ~ nzEQ[R CiIYofOsllkoslo Division ofInsrxclion Senices llSCbwdJA_ PO Box U30 Oshk""IJ WI S49l):J-IIlO Officf: 92l)..2J(j.SOSO F:u !J2O.-236-S084 Electric Installation Verifieation I (We) /'YJ...,..K . ~p~~ ~~~~~s)}name) f3Jr (~w~~~~ZS~:-be~:~) the homeowner(s) of accept the responsibility for perfonning the electrical-work as stated below for the property listed above. The nature of the work: consists of~ (Check One or Describe the Nature of Work) f2 Reconnection or new circuit for replacement Heating Plant and/or Ale Condenser. Reconnection or new circuit for replacement Electric Water Heater. Reconnection of the Service Entrance Cable, Meter Box, alteratio~ to receptacles and lighting fixtures due to siding / soffit instaJIafion. Note: New Service Entrance Cables will require a separate permit. Reconnection or new circuit for other permanently wired appliances I fixtures. Other The value of this work is $ #fP' I hereby verify this work win be performed by me and further verity the reconnection I installation will be done in co Hance with manufacturer and Electric code requirements. :;-1 {~( U7 (Date)