HomeMy WebLinkAbout0140031-Plumbing (dishwasher) CITY OF OSHKOSH No 140031
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 501 W BENT AVE Owner DAVID /CYNTHIA RUDOLPH Create Date 03/11/2010
Contractor COMPLETE PLUMBING INC Category 413 - Res - Interior (Replacement Fixtures) Plan
Bathtub Clothes Wshr Classrm Sink Surgeons Sink Roof Drain Deduct Meters
Shower Lndry Tray Exam Sink Sterilizer Soda Disp Wtr Sewer Mtrs
Whirlpool Sump Pump F Prep Sink RPZ Valve Coffee Maker Wtr Usage Mtrs
Lavatory San Sump /Pump FIr/Wst Sink Bidet Site Drain Misc.
Toilet Water Softner Hand Sink Urinal Wait. St. Fixtures
Kit Sink Standp Rec Lab Sink Beer Tap Ice Chest
Disposal Gar Drain Plaster Sink Dip Well Comm Ice Maker
Dishwasher 1 Local Waste Sculry Sink Drink Ftn Int Grease Trap
Floor Drain Bar Sink Sery Sink Wash Ftn Ext Grease Trap
Hose Bibb Breakrm Sink Shamp Sink Catch Basin Eye Wash Statn
Water Heater
Use /Nature SFR / Replace dishwasher. * *debit acct
of Work
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id #
1208900000
Valuation $113.00 Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided
Issued By 01 " Date 03/11/2010
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 1197 RACINE ST MENASHA WI 54952 - 1735 Telephone Number 920 - 720 -5390
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.
Stephenson, Ann M.
From: admin @ci.oshkosh.wi.us
Sent: Thursday, March 11, 2010 7:55 AM
To: Inspections, Inspections
Subject: Data posted to form 1 of
http: / /www.ci. oshkosh .wi.us /Community_Development/ Inspections /Permit_App_Plumbing_
2002. htm
************************************************ * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Permit_Fee_System: yes
Job_Address: 501 W Bent Ave
Value: 113.00
Date: 03/10/10
Owner: Cynthia Rudolph
Contractor: Complete Plumbing Inc.
House_Type_Single_Family: X
House_Type_Duplex:
House_Type_Multi_Family:
House_Type_Rental:
House_Type_Commercial:
House_Type_Industrial:
Bathtub:
Disposal:
Drink_Ftn:
Catch_Basin:
Whirlpool:
Dishwasher: 1
Wait_St:
Wash_Ftn:
Lavatory:
Sump_Pump:
Ice_Chest:
Urinal:
Toilet:
Ejector_Grind:
Exam Sink:
Gar Drain:
Residential_Sink:
Water_Softener:
Sculry_Sink:
Soda_Disp:
BarSink:
Local Waste:
Hand_Sink:
Coffee Maker:
Water_Heaters:
Clothes_Wshr:
F_Prep_Sink:
Ice_Maker:
Water_Heater_Type: PwrVnt
Shower:
Bidet:
Serv_Sink:
Site_Drain:
Floor Drain:
Beer Tap:
Int_Grease_Trap:
Roof _Drain:
Laundry_Tray:
Classrm_Sink:
Ext_Grease_Trap:
Standp_Rec:
Lab Sink:
1
Surgeons_Sink:
RPZ_Valve:
Eye_Wash_Stn:
Plaster_sink:
Breakrm Sink:
Shamp_Sink:
Wtr_Sewer_Mtrs:
Sterilizer:
Dip_Well:
Flr_Wst_Sink:
Deduct Meters:
Hose_Bibs:
Wtr_Usage_Mtrs:
Misc_Fixtures:
Misc_Fixtures_Text:
Electrical_Contractor:
Use or_Nature_of Work:
Sanitary_Sewer_Size:
Sanitary_Sewer_Material:
Sanitary_Sewer_Type:
Number_Sanitary_Sewer:
Sanitary_Sewer_connector_Type:
Storm_Sewer_Size:
Storm_Sewer_Material:
Storm_Sewer_Type:
Number_Of_Storm_Sewer:
Storm_Sewer_Connector_Type:
Water_Service_Size:
Water_Service_Material:
Water_Service_Type:
Number_of_Water_Service:
Water_Service_Connector_Type:
Bi: Submit
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