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Home My WebLink About0128096-Plumbing (dishwasher) co OSHKOSH ON THE WATER Job Address 1846 SHERIDAN ST CITY OF OSHKOSH No 128096 PLUMBING PERMIT - APPLICATION AND RECORD Owner RALPH D/SUSAN B FERNANDEZ Create Date 12/07/2007 Contractor RAPID SOFT LLC Category 410 - Residential-Interior ~-,--,--------"-'-'-'-"-~-----"-'--'--'-~--'-----"._- Plan Shower Water Softner Wait. St. Shamp Sink Coffee Maker Floor Drain Local Waste Ice Chest Flr/Wst Sink Int Grease Trap Lndry Tray Clothes Wshr Exam Sink Catch Basin Ext Grease Trap Disposal Bidet Sculry Sink Wash Ftn RPZ Valve Dishwasher Beer Tap Hand Sink Urinal Eye Wash Statn Sump Pump Lab Sink Plaster Sink Standp Rec Wtr Sewer Mtrs Classrm Sink Sterilizer Surgeons Sink Ice Maker Deduct Meters Breakrm Sink Dip Well F Prep Sink Gar Drain Wtr Usage Mtrs Ejector/Grind Drink Ftn Serv Sink Soda Disp Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater Site Drain Roof Drain Misc. Fixtures Use/Nature $-FR / REPLACE DISHWASHER FOR SEARS, EIV SIGN EO-gY-HOMEOWN ER (Ralph -Fernandez) ..check -#15185---------- of Work Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service Parcelld # 1217130000 Valuation $800.00 Plan Approval _____.iQ.QQ Permit Fees _____.-E~:gQ O_~_e:~r11.i~\'<>_~~_dj IssuedBy ~~ Date 12/07/2007 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 (i.e. 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, WI 54903-1130 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 Wisconsin State Plumbing Code, in the perfonnance of which all parties hereto agree to and are bound by said statutes. \9 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 tl normal permit fee, which ever is greater. OR f 'Oil are a contractor artid atin in the Permit Fee Account S stem and have ade VOll want this rocessed tllroll hour ac ount Job Address 18-t:/'~ S' h er-lo""l . Owner ~/d F-b''''n,e..,.,fl-z.-. / Iftsingle Family ODuplex Value (InelUdinglaborandmateriaIS)l~-cZ) Date /';>/~/b;Z- Contractor f/: ,(I.-fl h?+ t--'- C .. / DMulti-Family DRental DCommercial DIndustrial Number of Fixtures: Bathtub Lndry Standp Dent. Oper. Shamp Sink Whirlpool Disposal Dip Well flr/Wst Sink Lavatory Dishwilsher -I- Drink Ftn ~ Catch Basin Toilet Sump Pump Wait. St. Wash I'm Res. Sink Ejector/Grind Ice Chest Urinal Bar Siok Wilter $ortner Exam Sink Gar Drain Water Heater Local Waste Seulry Sink Soda Disp ::; Gas ;~ Elect::: PwrVnt Clothes Wshr Hand Sink Coffee Maker Shower Bidet F Prep Sink Ice Maker Floor Drain Beer Tap Serv Sink Site Drain Lndry Tray Classrm Sink lot Grease Trap Roof Drain Lab Sink Surgeons Sink Ext Grease Trap StandI' Rec Plaster Sink Breakrm Sink Sterilizer Electric Contractor OR rs:JIDeetric Inst.albitioD Verification form attacl / - (If Replacement) ;Z;;,,-- J~_rS Use I Nature of Work~/ ....?~ Pv'}" hc.J.:;.) .t..,.... Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Hag ~.; ,~)1 08: 40a Cod@ EnForcement 920-236-5084 p.2 ~ Q[f-!QtH City ofOshkosll Division ofblspwtion SclVices 215 Cbwcb Avenue PO Boll 1130 Oshk""b WI >490)-1 1)0 Offi<<, 920-236-S0S0 E.. 9!0-:l36-SOS4 I (We) Electric Installation Verification KACpI-! ':D. FbRt0 ANb~"Z.- (print homeowner(s) name) the bomeowner(s) of [ g L/- h S H6-R.. ( DA;J 0--rtLEGT I OSf-f k-6Sf-( I WL 5<17'01 (address where work is to be performed) 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 Describe the Nature of Work) Reconnection or new circuit for replacement Heating Plant and/or Ale Condenser. Reconnection or new circuit for replacement Electric Water Heater. Reconnection of the Service Entrance Cable, Meter Box, alterations to receptacles and lighting futures due to siding / soffit instal Iation. Note: New Service 6' 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 $' 0 I hereby verify this work win be performed by me and further verify the reconnection I installation will be done in compliance with manufacturer and Electric code requirements. ~~~~ -~ Ho eowner(s) Signature / ;z - S--OL..- (Date)