HomeMy WebLinkAbout0127374-Plumbing (dishwasher)
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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.
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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)