HomeMy WebLinkAbout0130112-Plumbing (dishwasher)OSHKOSH
ON THE WATER
Job Address 2025 WHITE SWAN DR
Contractor JOHN D RANSOM
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
Valuation
Issued By
CITY OF OSHKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
Owner MARCUS D/MARY A BUTTS
Category 410 -Residential-Interior
Shower Water Softner Wait. St. Shamp Sink
Floor Drain Local Waste Ice Chest Flr/Vllst Sink
Lndry Tray Clothes Wshr Exam Sink Catch Basin
Disposal Bidet Sculry Sink Wash Ftn
Dishwasher 1 Beer Tap Hand Sink Urinal
Sump Pump Lab Sink Plaster Sink Standp Rec
Classnn Sink Sterilizer Surgeons Sink Ice Maker
Breakrm Sink Dip Well F Prep Sink Gar Drain
Ejector/Grind Drink Ftn Serv Sink Soda Disp
Date 05/22/2008
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
Address W5056 PARADISE LN FOND DU LAC
Date
WI 54935 - 9662 Telephone Number 920-922-1987
i o scneauie 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.
No 130112
Create Date 05/22/2008
Plan
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
___$469.00 Plarn Approval $0.00 Permit Fees $25.00 ^ Permit Voided
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C3N T1tiE WATER
Plumbing Permit Application
i h.~r;;h~: s.,}; :~>r a pe:;,.is t.: ~.u anii insra:i iite folio~~=ing plumbing on the premises hereinafter described, the work to conform to the
i'~ icc;r:~in ~iatc '3u 1biu;.t Code.. in the perfortndnce of which all parties hereto agee to and are bottnd by said statutes_
• :O~i>l:;:a:ianl sJ anti ~'ce(s) call 't1z broubht to Ciry Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
t_1;E:i:,~~, ~~ 1 ~-~9ti~ -? 12S. C onlmcrcing work without permit(s) will. result in fees being doubled or ~100A0 plus the
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OR
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U~tlleo• c,_~SDr~~Q-{}`~r+~-1 Contractor ~oh~.~~~sa-~
~:`sin~1C Fttn:i~~ ~lluplex ^vIulti-Family QRental {Commercial []Industrial
lnllil~er of l~i~ttires
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1'.ICCI::C L t111t1'.:Ci01f ____.
_ Dent. Oper. Shamp Sink
Dip Welt F1r(Wst Sink ~_._.
Drink Ftn Catch Basin _____ _
wait. St Wash Ftn ___
Ice Chest Urinai ___..
Exam Sink ,~ . Gar Drain
Sculry Sink Soda 1?isp < __
Hand Sink Coffee Maker _. _ .
F Prep Sink _ ice ,Maker _
!_~ Serv Sink Site Drain .__.__.
_ Int Grease Trap Roof Drain ~_ ..
F.xt Csrease Trap Standp Rec _~.
OR ^Electric Installation Verification form attached
(If Replacement}
l~sc i \~~ittire t~l~ ~~'t~r~_ _ re~l~~. ~ t 1'~1~1 ~~S~~P1/• --
~irc ~xa;~rial
Ttipe # Conn. Type