HomeMy WebLinkAbout0132453-Plumbing (dishwasher)OSHKOSH
ON THE WATER
Job Address 2020 CRANE ST
Contractor RAPID SOFT LLC
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
Owner DENNIS W GALECKI
No 132453
Create Date 08/25/2008
Category 410 -Residential-Interior
Shower Water Softner Wait. St. Shamp Sink
Floor Drain Local Waste Ice Chest FIrIWst 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
Classrm Sink Sterilizer Surgeons Sink Ice Maker
Breakrm Sink Dip Well F Prep Sink Gar Drain
Ejector/Grind Drink Ftn Serv Sink Soda Disp
Plan
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Valuation $700.00 Plan Approval $0.00 Permit Fees $25.00 ^ Permit Voided
Issued By ~ ~ Date 08/25/2008
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 Date
Agent/Owner
Address N1284 CRANDON CT GREENVILLE
WI 54942 - 9750 Telephone Number 757-6130
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 pertormed within two business days from the time the project is ready.
CITY OF OSHKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
City of Oshkosh
Inspection Services Division
P O Box 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
Plumbing Permit Applica#ion
~' s `.~
ON THE tVATFR
I hereby apply for a permit to do and install the following pltm~bing on the premises hereinafter described, the work to conform to the
Wisconsin State Plumbing Code, in the performance of which all parties.hereto agree to and are bound by said statutes.
• Application{s) and fee(s) can be brought to City Hall, Room 245 or mailed to Inspection Services, PO Box 1 T28,
Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees being doubled or 5100.00 plus the
normal permit fee, which ever is greater.
OR _ _ _ .
Job AddresS~a~d Cc--- ~~. Ste': Value {btcluding rotor and materials)~~,~_ Date/~L
Owner ~c ~ ~cG~;' Contractor ~rr ~ - ~ ~~ ~-~" C
}Single Family QDnplex QMulti-Family QRental OCommercial (Industrial
Number of Fixtures:
Bathtub t-nt1rY SAP
Whirlpool Disposal
Lavatory Dishwasher
Toitct Sump Pump
Res. Sink Ejector/Grind
Bar Sink Water Softner
Water Heater Local Waste
Gas ~ Ekct PwrVnt ~~ Wshr
Shower Bidct
Floor Drain Beer-rap
fin' Tmy Classrm Sink
Lab Sink Surgeons Sink
Plaster Sink Brcakrtn Sink
Stcrilizer
Electric Contractor
Use /Nature of
Sanitary Sewer
pmt. pper. Shamp Sink
Dip Well FtdVVst Sink
~_ Drink Ftn Catch Basin
Wait. St. Wash Ftn
tce Chest I1rinal
Exam Sink Gar Drain
Scuhy Sink Soda >~
Hand Sink Coffee Maker
F Prep Sink Ice Maker
Scrv Sink Site Drain
Int Grease Trap Roof Drsin
Ext Grease Trap Standp Rec
OR ~lectric Installation Verification form attache,
(lf Rcplxcrrter-t)
Size Material Type #
Cores. Type
Storm Sewer
t"t~9 ~ -+ 1 08: 40a Code Enforcemeni<
CnyofOshkosh
Divi9ioe, aCFnispeetian smites
2i5 Cpwch Rveaua
f'Ot3ox FF30
Oshkwh WF 5490)-t IJO
Office 924236-5050
o.. ~ wn Fai 920-136_5084 t
920-236-5084 p.2
Electric installation Ve~ritication
~ (print homeowner(s) name)
the homeowner(s) of ~~a d ~` ~ ...a,.,~. ~7c
(address where work is to he performed)
accept the responsibility for performing the electrical work as stated beloti~cr for the property listed
above.
The nature of the work consists o£ (Check One or Describe the Nature of Work)
Reconnection or new circuit for replacement Heating Plant andlor A/C Condenser.
.____ _ Reconnection or new circuit for replacement Electric Water Heater.
Reconnection of the Setvice Entxancc Cahle, Meter Box, alterations t~ reccyptacles
grid lighting fixtures due to siding / soffit installation. Nate: New Service
Entrance Cables wi21 require a separate permit.
~ Reconnection or new circuit for other permanently wired appliances /fixtures,
~T Other
The value oftltis work is $
I hereby verify this work will be performed by me and further verify the reconnection 1
installation will be done in compliance with manufacturer and Electric code requirements.
homeowner(s) Signature
(Date} T