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HomeMy WebLinkAbout0127374-Plumbing (dishwasher) e OSHKOSH ON THE WATER Job Address 222 W 14TH AVE CITY OF OSHKOSH No 127374 PLUMBING PERMIT . APPLICATION AND RECORD Contractor RAPID SOFT LLC Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater Site Drain Roof Drain Misc. Fixtures Use/Nature of Work Shower Floor Drain Lndry Tray Disposal Dishwasher Sump Pump Classrm Sink Breakrm Sink Ejector/Grind Category 4.1g_=---~~i_~e_~~Cll:-ln_terio!_______d_ ___ Owner KENNETH E/SARA R MILLER Create Date 10/19/2007 Plan Water Softner Wait. St. Shamp Sink Local Waste Ice Chest FlrlWst Sink Clothes Wshr Exam Sink Catch Basin Bidet Sculry Sink Wash Ftn Beer Tap Hand Sink Urinal Lab Sink Plaster Sink Standp Rec Sterilizer Surgeons Sink Ice Maker Dip Well F Prep Sink Gar Drain Drink Ftn Serv Sink Soda Disp Valuation Issued By Coffee Maker Int Grease Trap Ext Grease Trap RPZ Valve Eye Wash Statn Wtr Sewer Mtrs Deduct Meters Wtr Usage Mtrs EIV provided by home-ow~--------------_._-------_._---_. jFR I Replace dishwasher. I I I l. Sanitary Sewer ~~____._,,,____...__.___.._._._l Storm Sewer Water Service Size Material Type Conn. Type Parcelld # 0901670000 # $500.00 Plan Approval __~g.O.Q Permit Fees ____ $25.00 0 Permi.t...~?~ed j O/TYVO Date 10/19/2007 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 Agent/Owner GREENVILLE WI 54942 - 9750 Telephone Number 757-6130 Address N1284 CRANDON CT Date 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 I hereby apply for a penull to do and install the fullowing plumbing on the premises hereioafter described. the worl< to confonn 10 the Wisconsin State Plumbing Code, in tbe performance ofwbicb aU parties.bereto agree to and are bound by said statutes. Plumbing Permit Application . Application(s) and fee(s) can be brought to City \l3II, Room 205 or mailed to Jospection Services, PO Box I U8, Oshkosh WI 54903-1128. Commencing work without permit( s) will result in fees being doubled or $ I 00.00 plus the normal permit fee, which ever is greater. OR f VOlt are a contractor artici atin in tile Permit Fee Account S VOIl want this rocessed throll It our aceou It Job Address~..2, / ~t!< ~ Value ("""ding bbor'''' _'ria')~ ra;>. c>c:J Owner ~~"e~ ,h't./ //~ Coutraetor ?IO'~ ;.;.?+- " / ~iugle Family ODuplex OMulti-Family ORental OCommerclal DateL&//r,U2 / t.-L-C OIndustrial Number of Fixtures: Batbtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater ::: Gas c: Elect'.:' pwrVnt Shower Floor Drain Lndry Tray Lab Sink Plaster Sink Sterilizer Lndry StaOOp Disposal Disbwilsher Sump Pump Ejector/Grind Waler Softner Local Waste Clothes Wshr Bidet BecrTap Classrm Sink Surgeons Sink Brcakrm Sink Dent. Oper. Shamp Sink JL Dip Well Flr/Wst Sink Drink Ftn Catch Basin Wail. St. Wash FIn Ice Chest Urinal Exam Sink Gar Drain Sculry Sink Soda Disp Hand Sink Coffee Maker F Prep Sink Ice Maker $erv Sink Site Drain Int Grease Trap Roof Drain Ext Grease Trap Standp Rec Electric Contractor OR ~Iectric Installation Verification form attacl . ~J , t (If Replacement) cL~A.J-(~ i"~ Z P-.J, t".- _,_ y ~ - IY ~ / -.-.., - T-<!J'.r c~ Use I Nature of Work ~/ICA::<- Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Has 2~ -01 08:40a ~ ~ Cod@ EnForcem@nt 920-236-5084 p.2 ~ o[~QtH CilYofO$hkosh Division of brspec;lion Services 21$ Cburcb Avenue PO Box 1130 Oshkosh WI S4OOl-I130 Office 920-236.$OSO Fa~ 920-236-5084 Electric Installation Veritication I (W e) re '7''l<:,--.1''-f- }1., :/IG./' (print homeowner( s ) name) the homeowner(s} of ? ;;;? I c.(" & S"'y: (address where work is to be performed) accept the responsibility for perfonning the electrical work as stated below for the property listed above. The nature ofthe work consists of: (Check One or Describe the Nature of Work) ~ Reconnection or new circuit for replacement Heating Plant andlor Ale 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 / soffit installation. Note: New Service Entrance Cables will require a separate pennit. Reconnection or new circuit for other permanently wired appliances / fixtures. Other The value of this work is $ 0 I hereby verify this work will be performed by me and further verify the reconnectioIl / installation will be done in compliance with manufacturer and Electric code requirements. -L6/"'~/6/ (Date)