HomeMy WebLinkAbout0128191-Plumbing (dishwasher)
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OSHKOSH
ON THE WATER
Job Address 252 W SOUTH PARK AVE
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner LORI M BOUGIE
Contractor RAPID SOFT LLC
Category 410 - Residential-Interior
.______._._.._._...~ ______,_._._,____..._____..~_ __ ". ___n___..'.
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature rsF~RTREPCAcE DISHWASHER FOR SEARS (Noe-Iectric~gged inio~waTi outlet) "check #15198
of Work I
I
I
Shower Water Softner Wait. St. Shamp Sink
Floor Drain Local Waste Ice Chest FlrlWst Sink
Lndry Tray Clothes Wshr Exam Sink Catch Basin
Disposal Bidet Sculry Sink Wash Ftn
Dishwasher Beer Tap Hand Sink Urinal
Sump Pump Lab Sink Plaster Sink Standp Rec
Classrm Sink Sterilizer Surgeons Sink Ice Maker
Breakrm Sink Dip Well F Prep Sink Gar Drain
Ejector/Grind Drink Ftn Serv Sink Soda Disp
L_~_____
No 128191
Create Date 12/18/2007
Plan
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Size
Material
Type
#
Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Valuation _~___J~QQ.:9_Q Plan Approval _____~Q.O_Q Permit Fees
Issued By Qv) ~
$25.00 0 Permit Voided i
________._______ ______________.1
Parcelld #
0901370000
Date 12/18/2007
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 N1284 CRANDON CT
Agent/Owner
GREENVILLE
WI 54942 - 9750 Telephone Number 757-6130
Date
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, VVI54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
ON THF WATER
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 performance of which aU parties hereto agree to and are bound by said statutes.
411 Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 11"28,
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
I VOIl are a contractor artici atin in the Permit Fee Account S
VOIl want this rocessed throll hour ac ollnt
Owner
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ODuplex
Value (Including labor and materials) (; be 0 c...)
p: 0 ,"fl ~?+
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ORental DCommercial
Contractor
Date !iJ//Y/6?
L-L-C
Job Address .::>:r;;> w _ S~".>:-c:.. ~fk
DSingle Family
DMulti-Family
DIndustrial
Number of Fixtures:
BathlUb
Whirlpool
LavalOry
Toilet
Res. Sink
BaT Sink
Water Heater
"~~ Gas ~ Elect':: PwrVnl
Shower
Floor Drain
Lndry Tray
Lab Sink
Plaster Sink
Sterilizer
Lndry Standp
Disposal
Dish,vasher
Sump Pump
Ejector/Grind
Water Softner
Local Waste
Clothes Wshr
Bidet
BeerTap "
Classrm Sink
Surgeons Sink
Breakrm Sink
Dent. Oper. Shamp Sink
Dip Well Flr/Wst Sink
-I- Drink Fill Cateh Basin
Wait.S\. Wash Fin
Ice Chest Urinal
Exam Sink Gar Drain
Seulry Sink Soda Disp
Hand Sink Coffee Maker
F Prep Sink ice Maker
Serv Sink Site Drain
lnt Grease Trap Roof Drain
Ext Grease Trap Standp Rec
Electric Contractor PI" t 7~'P . .4fv
V"
Jle'"1'
~il OR DElectric Installation Verification form attacl
(lrReplacement)
Use I Nature of Work Kc:..tJlec: e ~j?: s", ~~_"5.t.......-
"
Size Material Type
..--
r -=/
~e-.;./'5
#
Conn. Type
Sanitary Sewer
Storm Sewer