HomeMy WebLinkAbout0122092-Plumbing (water softener)
. CITY OF OSHKOSH No 122092
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1058 BISMARCK AVE Owner DANIEL W KELM/ERIN E REINKE Create Date 10/17/2006
Contractor CULLIGAN WATER CONDITIONING
Bathtub Shower Water Softner
Whirlpool Floor Drain Local Waste
Lavatory Lndry Tray Clothes Wshr
Toilet Disposal Bidet
Res. Sink Dishwasher Beer Tap
Bar Sink Sump Pump Lab Sink
Water Heater Classrm Sink Sterilizer
Site Drain Breakrm Sink Dip Well
Roof Drain Ejector/Grind Drink Ftn
Misc.
Fixtures
Use/Nature Late Permit/Install water softener.
of Work
Category 410 - Residential-Interior
Plan
Wait. St.
Ice Chest
Exam Sink
Sculry Sink
Hand Sink
Plaster Sink
Surgeons Sink
F Prep Sink
Serv Sink
Shamp Sink
FlrlWst Sink
Catch Basin
Wash Ftn
Urinal
Standp Rec
Ice Maker
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Size
Sanitary Sewer
Storm Sewer
Water Service
Material
Type
#
Conn. Type
Valuation
$775.00 Plan Approval
~
$0.00
Parcelld #
0608700400
Issued By
Permit Fees
$25.00 0 Perrnit.~oi9.~
Date 10/17/2006
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 405 PROSPECT AVE
Agent/Owner
N FOND DU LAC WI 54937 - 1498 Telephone Number 235-1490 OR 233-05
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.
OCT. 17.2006 8:36AM
City ofOshli.osh
Inspection Services Division
POBox: 1130 ~
Oshl(osh, WI 54903-1130
Phone; (920) 236-5050
Fax: (920) 236-S084
CULLIGAN WATER FDL
NO.84~/2
~
OJHKOfH
ON tHE W/lTEI(
Plumbioe ~ermit AJmlicatiol!
( hereby apply for a pem1it to do and illSt~lI the following plumbing on the premises hereiuafter desclibed, the work to c:onfOl"m LO the
Wiscollsin SUllO Plumbing Code, in the performance of which all parties hereto agree to and are bound by saId Sltltutes.
JobAddress 1058 BISMARCK AVE
Owner DAN KELM
[]Single Family DDuplex
Value 775.00 Date 10/17/06
Contra~tor CULLIGAN WATER CONDITIONING
DMulti-Family
DRental
DCommercial
Dlndustrial
Number of Fixtures:
Ullll\lub
Whlrl[1110f
I~Vllllll'Y
l'lIIlcl
l.ndry Slundp Dent Opcr. S!1pmp Sink
Di~[1usn I Dip Well Flr/W51 Sink
l) I ~ h \V11~ her Drinl' rtn Cnlch B~sin
~llll'l) 1111111fl -' WoU, SL W~sl1 FIn
I ij!:1:111r/Cil'i nil Ice Chest Urlnnl
WIller SI,II\II~I' ( B~Qm Sinl. allr Pr~1I1
1.111::11 WU~le Scu Iry Slnl( Sodn Di~(l
ClllLhc~ W~hl' I Jllnd Sink conae Milker
(lldc\ F l'['l!p Sinlc Ice M~ k~r
Iluur "l'IIP 15crv Sllll, SILl: Drnin
(.'\11/;51111 Sink Inl Gl'lmSIl T"np Ruof Dr~ III
SLU'gcullS Sillk I.lXl GrCllse Trill' Slnm.Jr I~cu
lln.:llkllTI Shlk
Rl.!s. SIIlI(
U;lrSlnk
WlIlcr Ilv~h:r
~hllW\lr
Flour DIll/n
Lnliry Tray
l..iIb Sillk
/":Istc:r Sillk
SLcnli/,c:r
Electric Contractor
Use f Nnture or\Vo"k
Size
Mattlrial
Type
ft.
Conn. Type
Sanitary Sewer
5torm Sc:wer
Water Service
....:heck here if you want this processed through your accoum ,
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