HomeMy WebLinkAbout0142009-Plumbing (water softener) (‹D CITY OF OSHKOSH No 142009
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1100 OAK ST Owner CINDY L TYSON Create Date 07/13/2010
Contractor CULLIGAN WATER CONDITIONING Category 412 - Res - Interior (New /Relocated 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 1 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 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 / Install new water softener. * *debit acct
of Work
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id #
1110090000
Valuation /x $450.00 Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided
Issued By (/1/hk/ Date 07/13/2010
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 405 PROSPECT AVE N FOND DU LAC WI 54937 - 1498 Telephone Number 235 -1490 OR 233 -05
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.
07/13/2010 11:08 9209225822 CULLIGAN WATER PAGE 02/02
City Oshkosh
4
Inspection Services Division
P O Box 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050 c1f1-lKcJj'i--I
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.
Job Address Value ' Date '7— id—/0
Owner . 3Cilk I • [Single Family ❑Duplex ❑Multi - Family ❑Rental ❑Commerclal ❑industrial
•
Number of Fixtures:
llathtuh Lndry `tandp Dent. Oper. Shamp Sink
Whirlpool Disposal Dip Well Flr /Wsl Sink
Lavatory 1)i %Invrshcr Drink Fin Catch Basin
'roilci sump Pump vunil, SI. Wash Fin
Ilea. Sink I:jntod(iriud Ice Chest
Dar Sink Water Sultrier ,✓ Exam Sink Gar Drain
W:ihr I limier • local Waste Sculry Sink Soda Disp
Shower Clothes Wshr I land Sink Coffee Maker
IPIrxrr Drain Bidet F Prep Sink Ice Maker
Lndry Tray 114.4:r Tap Scry Sink She Drain
Lab Sink (Isrm Sink
Inc Inl (irrtsc Trap Roal' brain
I'Iazier Sink Surge ns Sink 1.xt Grease Trap Stund Rce
P
Sterilizer Iircakmr Sink
Electric Contractor
Use / Nature of Work .: _ . I bit. ,1. + t, 'IL . X t,. — or, _ ,
•
Size Material Type # Conn. Type
.Sanitary Sewer
Storrn Sewer
•
Water Service
Chock Isere if you want this processed through your account
•
Received Time Jul, 13. 2010 11:04AM No.1895