HomeMy WebLinkAbout0094371-Plumbing (dishwasher) CITY OF OSHKOSH No 94371
OSHKOSH PLUMBING PERMIT APPLICATION AND RECORD
ON THE WATER
Job Address 1638 WHITE SWAN DR Owner NOELLE A BAKER Create Date 05/15/2002
Contractor RAPID SOFT LLC Category 410 Residential- Interior Plan
Bathtub 0 Shower 0 Ejector /Grind 0 Dip Well 0 F Prep Sink 0 Gar Drain 0
Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 Sery Sink 0 Soda Disp 0
Lavatory 0 Lndry Tray 0 Local Waste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
Toilet 0 Lndry Stndp 0 Clothes Wshr 0 Ice Chest 0 FIr/Wst Sink 0 Int Grease Trap 0
Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0
Bar Sink 0 Dishwasher 1 Beer Tap 0 Sculry Sink 0 Wash Ftn 0
Water Heater 0 Sump Pump 0 Dent. Oper. 0 Hand Sink 0 Urinal 0
Site Drain 0 Classrm Sink 0 Lab Sink 0 Plaster Sink 0 Standp Rec 0
Roof Drain 0 Breakrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0
Use /Nature SFR/ Replace dishwasher for Sears. *EIV form from Witzke Electric attached.
of Work
Size Material Type Conn. Type
Sanitary Sewer 0
0
0
0
0
Storm Sewer 0
0
0
0
0
Water Service 0
0
0
0
0
Valuation $900.00 Plan Approval $0.00 Permit Fees $20.00
Issued By K� Date 05/15/2002
0 Permit Voided
In the performance of this work, I agree to perform all work pursuant to rules goveming the described construction.
Signature Date
Agent/Owner
Address P.O. BOX 4052 APPLETON WI 54915 0052 Telephone Number 920 757 -6432
City of Oshkosh
Inspection Services Division
P O Box 1130
Oshkosh, WI 54903 -1130
Phone: (920) 236-5050 OJ]
Fax: (920) 236 -5084
ON THE 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 the
Wisconsin State Plumbing Code, in the performance of which all parties hereto agree to and are bound by said statutes.
Or
Job Address J p y
3 o "AA :fGS..i.›..4 Value (including labor and materials) 7 et, d o Date ,77///0
Owner /00 ri /c
�F� C ontractor ��r,
[Single Family [Duplex QMulti- Family [Rental (]Commercial ❑Industrial
Number of Fixtures:
Bathtub Sterilizer n
Breakrm Sink
Whirlpool Lndry Standp Dent. Oper. ghamp Sink
Lavatory Disposal Dip Well P FIr/Wst Sink
Toilet Dishwasher
_L Drink Ftn Catch Basin
Fes. Sink Sump Pump Wait St.
Wash Ftn
Star Sink Ejector/Grind Ice Chest Urinal
Water Sorter Exam Sink Gar Drain
0 Gas Electric Power Vent
Steer
Local Waste Scuhy Sink Soda Disp
Floor Drain Wshr Hand Sink Coffee Maker
Bidet F Sink
Lndry Tray Ice Maker
Lab Sink Boer Tap Sere Sink Site Drava
tab Sink Classrm Sink Int Grease Trap Roof Drain
Surgeons Sink Ext Grease Trap Standp Rec
Electric Contractor Left �U w �-4 4°."'"C-c' r C iG #k— 4 Sew f -t
OR 0 EIV form attached (If Replacement)
Use Nature of Work i S ,/..-S 5 4--- r
Sanitary Sewer Size Material Type Conn. Type
Storm Sewer
Water Service
r 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 permits) will result in fees being doubled or $100.00 plus the normal permit fee,
which ever is greater.
OR
Check here it you want this p rocessed throu h y our account 0
MAY. 13.2002 1 :42PM WITZKE ELECTRIC NO.062 P.1 /1
'Min 24 01 011: 40a Code Enforcement 920-236 -6084 p.' 1
XSCIr*
POi 13%
Oftili rls 1110
t: Oita 104.150403.
nK rs:aoe+
El ctric4nstallatlon Verification
rn
(Electriod Contractor Name)
/5s ��ker cam o5� t,�: �Y°
(Address) (CO) (State) (Zip ice)
have been contracted to perform dectric %Monition WO* ibr �l e-
(Namc ofpatycontracted to)
at the following addreelec b 3 8 cJ L� �,Su �r"'�.
(Address where wok wilt be perRrmed)
The mom of the work consists of (Check Ora or Doodle the Nature of Work)
Reconnection or new wit for teplacaneat Heating Plant and/or WC Condoler-
Reconnection ar new eirt nit for replacement Electric water Beater.
Reconnection of the Swim Entrance Cable, Meter Box, akendons to receptacles end
lighting extant Ike to sib t eon installation. Note: New Service Entrance
Cables will woke a separate permit.
Recootedion or new circlet fix other pammtemfy wined appliances Sonya
Other
e-
lite valve of this work isS 2.4
1 lierdty verify this work will be perforated by an employee of this compaeay and gather verii r the
r000atneetietn won will be done in compliance with memadsct ere r and Electric code
m fr ati 'Vet OIL s -/3 •oa
(Sly of Company Officer) (Print Nana of Officer) (Date)