HomeMy WebLinkAbout0127586-Plumbing (dishwasher)
e CITY OF OSHKOSH
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1670 S OAKWOOD RD
No
127586
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
Owner KEVIN LlKERRY S KULICK Create Date 10/31/2007
Category 410 - Residential-Interior Plan
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Water Softner Wait. St. Shamp Sink Coffee Maker
Local Waste Ice Chest FlrlWst Sink Int Grease Trap
Clothes Wshr Exam Sink Catch Basin Ext Grease Trap
Bidet Sculry Sink Wash Ftn RPZ Valve
Beer Tap Hand Sink Urinal Eye Wash Statn
Lab Sink Plaster Sink Standp Rec Wtr Sewer Mtrs
Sterilizer Surgeons Sink Ice Maker Deduct Meters
Dip Well F Prep Sink Gar Drain Wtr Usage Mtrs
Drink Ftn Serv Sink Soda Disp
Contractor RAPID SOFT LLC
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
Valuation
Issued By
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SFR / Replace dishwasher. No electrical woi-k,-PJugged into -eXisting outlet.
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Size
Material
Type
Conn. Type
#
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
1318630000
$500.00 Plan Approval _____iQ,_QQ
----71rr1(,4
___ $25.00 0 Permit Voided I
Permit Fees
Date 10/31/2007
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
Date
Agent/Owner
GREENVILLE
WI 54942 - 9750 Telephone Number 757-6130
Address N1284 CRANDON CT
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
Plumbing Permit Application
I hereby apply for a permit to do and install the following plumbing on the premises hereinafter described, the work to conform to tl
VVisconsin State Plumbing Code, in tbe performance of which all parties hereto agree to and are bound by said statutes.
fl 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 t}
normal permit fee, which ever is greater.
OR
ll_ VOII are a COil tractor artici atin ill the Permit Fee Account S
it VOll wallt this processed through vour account n
Date! Ort'~M?
L-LC
Job Address 16 7() 6.,.,K~eQc.?J
Owner k;. J;A- 1<-,.: <'--cc
.
[,2JSingle Family
Value (Ineludinglaborandmaterials) S-CO,od
If/: ~..fl L?-r-
.. /
DRentnl OCommercial
Contractor
DDuplex
DMulti-Family
Number of Fixtures:
BathlUb Lndry Standp
Whirlpool Disposal
Lavalory Dishwllsher -L
Toilet Sump Pump
Res. Sink Ejector/Grind
Bar Sink Water Softner
Water Healer local Wasle
~ Gas C; Elecl :: PwrVnt Clothes Wshr
Shower Bidet
Floor Drain BecrTap
Lndry Tray Classrm Sink
Lab Sink Surgeons Sink
Plaster Sink Breakrm Sink
Sterilizer
DIndustriai
Dent. Oper. Shamp Sink
Dip Well Flr/Wst Sink
Drink Ftn Catch Basin
Wait.SI. Wash Ftn
Ice Chest Urinal
Exam Sink Gar Drain
Sculry Sink Soda nisp
Hand Sink Coffee Maker
F Prep Sink Ice Maker
Scrv Sink Site Drain
Int Grease Trap Roof Drain
Ext Grc:lse Trap Standp Rec
Electric Contractor
jJ/~11t'P :...
C>c,;> 'f- (c... ""t"-
OR OElectric Installation Verification form attaci
(If Replacement)
rO
Use I Nature of Work
Le..// /C/c.e
t/
D~'r L -...J --Skf~ ~/ J.co;: r--~~
Size
Material
Type
#
Conn. Type
Sanitary Sewer
Storm Sewer