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Home My WebLink About0094969-Plumbing (dishwasher) o OSHKOSH ON THE WATER Job Address 1905 HICKORY IN ..,.~ CITY OF OSHKOSH No 94969 PLUMBING PERMIT - APPLICATION AND RECORD Owner WilLIAM E/ROBIN EVANS Create Date 06/07/2002 Contractor RAPID SOFT llC Category 410 - Residential-Interior Plan Bathtub 0 Shower 0 Ejector/Grind 0 Dip Well 0 F Prep Sink 0 Gar Drain 0 - - - - Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 Serv Sink 0 Soda Disp 0 lavatory 0 Lndry Tray 0 Local Waste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0 - - Toilet 0 Lndry Stndp 0 Clothes Wshr 0 Ice Chest 0 FlrlWst Sink 0 Int Grease Trap 0 Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0 - - Bar Sink 0 Dishwasher 1 Beer Tap 0 Sculry Sink 0 Wash Ftn 0 - Water Heater 0 Sump Pump 0 Dent. Oper. 0 Hand Sink 0 Urinal 0 - - - Site Drain 0 Classrm Sink 0 Lab Sink 0 Plaster Sink 0 Standp Rec 0 - - - Roof Drain 0 Breakrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0 Use/Nature of Work Valuation Issued By '\(.'N\ SFRllnstall dishwasher for Sears. *EIV form from homeowner. Size Material Type # Conn. Type Sanitary Sewer 0 0 0 0 0 Storm Sewer 0 0 0 0 0 Water Service 0 0 0 0 0 $600.00 $0.00 Permit Fees $20.00 Plan Approval Date 06/07/2002 D Permit Voided I Signature In the performance of this work, I agree to perform all work pursuant to rules governing the described construction. Address P.O. BOX 4052 Date Agent/Owner APPLETON WI 54915 - 0052 Telephone Number 920-757-6432 ,,' <:ity of Oshkosh Ins~tion Services Division POBox 1130 Oshkosh, WI 54903-1130 Pbone: (920) 236-5050 Fax: (920) 236-5084 Plumbine Permit A{Wlication I hereby apply for a pennit to do and install the following plumbing on the premises hereinafter described, the worlc to conform to the Wisconsin State Plumbing Code, in the performance of which all parties hereto agree to and are bound by said statutes. ,.I8single Family DDuplex ~/ . Value (Including labor and materials) (\ C9 ~. c> ,;; Contractor !<04.~.>~~ ~c. , , DRental DCommercial Date 6-4-0 ~ Job Address / ?,e>S- d -- ~.kd"J ~Pr Owner ~/'"" ~6c'-"5 []Multi-Family Dlndustrial Number of Fixtures: Bllthtub Sterilizer Breakrrn Sink \Vbirlpool Lndry Standp Dent. Oper. Sbamp Sink U1Vatory Disposal Dip Well FJrIWst Sink Toilet Dishwasher -L Drink Ftn Catch Basin R<~. Sink Sump Pump Wait. S1. WashFtn Bar Sink Ejector/Grind Ice Chest Urinal Water Heater Water Softner Exam Sink Gar Drain ] Gas 0 Electric 0 Power Vent Local Waste Sculry Sink Soda Disp Sllower Clothes Wshr Hand Sink Coffee Maker Floor Drain Bidet F Prep Sink Ice Maker Ltldry Tray Beer Tap Serv Sink Site Drain Ltlb Sink CIassnn Sink Int Grease Trap Roof Drain Plaster Sink Surgeons Sink Ext Grease Trap Standp Rec E,lectric Contractor OR T.., )~ ~( ..D. ~ . ~-' .s4h:._~ "pcEIV form attached (If Replacement) IJse I Nature of Work Size Material Type # Conn. Type Sanitary Sewer Storm Sewer 'Vater Service · 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 Check here if you want this processed through your account 0 .. ... -,.,- Ma~ 2~ 01 09:40. Code Enforcement 920-236-5094 p.2 ~ ~ City ofOshkosk DivisiolIor~ScMces :!1S Cbun:lI A_ PO Boll. 1130 O:sbkoslt WI S490).IIJO O/l';iu 920-236-50$0 Fax 920--236-S0S4 I (We) Electric Installation Verification IW tOuL 8)A1{S (print homeowner(s) name) J q 0 5 +h uGot2.L{ UL, (address where work is to be performed) the homeowner(s) of accept the responsibility for performing the electrical -work as stated below for the property listed above. The nature of the work consists of: (Check One or Descnoo the Nature of Work) ~ Reconnection or new circuit for replacement Heating Plant and/or AlC Condenser. Reconnection or new circuit for replacement 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 permit. Reconnection or new circuit for other permanently wired appliances I fIXtures. Other The value of this work is $ J'~O. 0 d I hereby verify this work will be performed by me and further verify the TeCOllRection I installation will be done in compliance with manufacturer and Electric code requirements. ~'lA~. Homeowner(s) Signature ~ ~ 0{}[)~ I (Date)