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Home My WebLink About0096826-Plumbing (dishwasher) la) CITY OF OSHKOSH No 96826 OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 1213 MAGNOLIA AVE Owner FLOOD HOMES INC Create Date 08/23/2002 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 homeowner. 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 $550.00 Plan Approval $0.00 Permit Fees $20.00 Issued By kYv Date 08/23/2002 Ei 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 Fax: (920) 236 -5084 OJ ON THE WATER Plumbing Permit Application I hereby apply for a permit to do and install the following plumbing on the premises hereinafter described, Wisconsin State Plumb' `bed, the work to conform to the mg Code, in the performance of which all parties hereto agree to and are bound by said statutes. Job Address 4 • ' 6 1; Value (Including labor and materials) o. e r) Date 2 c> -v Owner 3:*--5 2 a. ,..- /Cue 2/ Contractor i te -,p -S ki C- [Single Family QDuplex DMulti- Family � DRental DCommercial []Industrial Number of Fixtures: Bathtub Sterilizer Whirlpool Breaknn Sink indry Standp Lavatory Disposal Dent. Oper. Slump Sink Dip Well Toiler Dishwasher FIr1Wst Sink Res. Sink Sump P Drink Ftn Catch Basin Pump Wait. St Wash Ftn Bar Sink Ejector /Grind Ice Chest Urinal Water Heater Water Softner 0 Gas 0 Electric 0 Power Vent Exam Sink Dram Shower Clothes Wshr Local Waste Scuhy Sink Soda Disp Floor Drain Hand Sink Coffee Maker Lrdry Tray Bidet F Prep Sink Ice Maker Lib Sink Beer Tap Sery Sink Site Drain Plaster Sink Classnrr Sink Int Grease Trap Roof Drain Surgeons Sink Ext Grease Trap Standp Rec Electric Contractor OR EIV form attached (If Replacement) Use /Nature of Work tC // c_e. �` szr....1 s .4 fire- J.d, -s Sani Sewer Size Material Type # Conn. Type �y Storm Sewer Water Service 6 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 which ever is greater. permit(s) will result in fees being doubled or $ 100.00 plus the normal permit fee, OR Check .here if you want this processed through your account May 24 01 00:40a Code Enforcement 3 20 - 238 -5084 p,2 City of Oshkosh Division otlm cciion Services 215 Cbutc) Mane PO Box 1130 Oshkosh WI 54903 -11)0 Oftce 920- 236.3656 ° Fax 920- 236 -5044 Electric Installation Verification I(We) %sto'�_` i • h / ' ► (print homeowner(s) name) the homeowners) of _ 1� ( ' 1VOL (. • s s where work is to be performed) accept the responsibility for performing the electrical work as stated below for the property Listed above. The nature of the work consists of (Check One or Describe the Nature of Work) Reconnection or new circuit for replacement Heating Plant and/or A/C Condenser. Reconnection or new circuit for replacement Electric Water Heater. Reconnection of the Service Entrance Cable, Meter Box, alterations to rece and lighting fixtures due to siding / soffit installation. Note: New Entrance Cables will require a separate Reconnection or new circuit for other permanentl wired Other Y appliances /fixtures. The value of this work is 1 hereby verify this work will be performed by me and further verify will be done in compliance with manufacturer and Electricucode re qu r c m / reQuircments. Homeowners ignature 1 (Date) (pate)