HomeMy WebLinkAbout0127131-Plumbing (water softener)
G CITY OF OSHKOSH No 127131
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 925 PHEASANT CREEK DR Owner JORDIS J BRICKHAM Create Date 10/05/2007
Contractor CULLIGAN WATER CONDITIONING
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature ISF-R /Install water softener. **DEBIT ACCT**.-----~----------
of Work
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
Water Softner
Local Waste
Clothes Wshr
Bidet
Beer Tap
Lab Sink
Sterilizer
Dip Well
Drink Ftn
Category 410- Residential-Interior
Wait. St.
Ice Chest
Exam Sink
Shamp Sink
FlrlWst Sink
Catch Basin
Wash Ftn
Urinal
Standp Rec
Ice Maker
Gar Drain
Soda Disp
Plan
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Material
Conn. Type
Size
Sculry Sink
Hand Sink
Plaster Sink
Surgeons Sink
F Prep Sink
Serv Sink
Type
#
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id #
1342650000
Issued By
Valuation $500.00 Plan Approval ~_______$JLog Permit Fees
$25.00 0 Permit Voided i
_..__.___.__~_ _~____.___._..._._______.__.__.,____._J
O/Yu-eJ
Date 10/05/2007
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
Address 405 PROSPECT AVE
Date
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 (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.
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:::
OCT. 5.2007 6:56AM
CULLIGAN
NO.801
P.1/1
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City ofOlbkolh
llllptlCUon Sctvicaa Di...ilion
..... POBox 1I30 .
., Olhkolh. WI 54903.1130
Phone: (9Z0) 236-$050
F&X:(920)236.$O~
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. \Ii" I'
Plumbin$! Permit App!lcation '
I hereby apply for II ptnl\il U\ do and iN&aU Ibt t"oUowma plW1\bina olllhc pnnni_ hllrcinancr dUll:ribW. Ihe WQl'k III Cl.mfonn 10 the
Wi,lCOILII!n Slal. Plumbin; Cod.. in 'b. perrorn\Ancc or whieh all [lI1rtisl hnlO IIPW to and .~ bound br Mi\l $Ialulta.
. Application(s) AlId fce(l) CIJ\ be broulht to City Hllll, RoolII 2U~ or InDiled lO Inspection Serviccs. PO Bo~ Il28.
Oshkosb WI S45l03-1128, 'ColnlUCl\cillll worJnvithouI pcnnit(s) will res\llt ill fecI bcil\Q doubled or $100.00 plUSlhc
nORUIlI penuit fcc. which eyer i'lIn:ator.
OR
!(o;I'UU ore Q ~o,,'r.ncto,. p{)",/e/~~:~n:~~?, '::~~..t1..ttPJ!!11_~~J-fllllUuu'(f If(lUlluUt"/i!.!!.d,t.. _''.b.!illJ!lLl
([ VOlt Ulan' fhi.f or"elll"s.d tltnllt,h ""It;' d"~
J.. ~dd"'" ~ 5" p~,~ I~ ~". """.....C.!?rd":~~t -?/5/) .o<l DR" l () - ftJ IJ
OwncrJ"~~IH~ j3/bvthAh\ Contl'actOl' C~ LLr1.,lJA.J ~ ~)~ ... ... .. . '
(]3srP.lle FamUy o Duptex DMlIlti-Fnmlly DRclltnl OCommercial Dlndustrial
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-- QB. OElctbic hlltnllntioll Vel'ineRtion fOI'o Rtta<:hed
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/p?'JT4-/,/ 1A),4"7;;., ~~~ ,
Numbcl' of Fb,NI"CI:
BoWllb
\lilt itlpl.lol
l..I....IlMY
Toi...
!WI. ,Sink
Un :lInk
W.. Utlltr
oJ t,i.. U w..l U l!w,vlll
llh__
f.l-t Drain
L.ndcy 1n.,. _
I~b Si,*
I"IN... !link
S..,.oI;rAt
Mite.
r~I~'"
Electric Contrllctol'
_K
DtiAk 11111 C.lo:rllDlIln
"'.iL SI. W..II llln
lei <"111' lHillll
~,,"SilllC air ""ill
~Clllr,. ('Iill~ Soda DiIIl'
II.~" Sink "on_ Male_
F l'rql 111111; r ~ . -",nm.ld Mlki'
S.", siuk Silc Dr.in ,
IBlllt'IUI&: 'l'rlll - IblUr Ur. ill
t:J\1 Orc.." Trip SIlolldp Ita: ..
It,P.Z. V.IY1l E)-II WI.h I'll"
S"amp ~~ll:. \YII s....., !\olin
1-1rtW., Sink o.s...:all.fII01cn
Wlr u..,c Mln
Dllpu~1
OIIh...I.llW
Sutnpl'llmp
P.j_OIiOrlnd
w'hI'SoAn.,
W&:II ""N'i
C1D1I1. Wlltt
DMS.
u.."'P
CIIUI1II15inll:
Sllra..lI11 Sink
U...kmt Sink
DiJl Will
HIlit. DiIlI
-
Use / Natul'e of Work
SiP
MIlI.rial
TYI)1l
"
Conn. Type
I Sllnilary Se\lller
: Slurn1 Sewer
I
.
I Waler Scrvica
. Il)\
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