HomeMy WebLinkAbout0143224-Plumbing (dishwasher) CITY OF OSHKOSH No 143224
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 2780 -2790 VILLAGE LN Owner DONNA J WORTH Create Date 09/20/2010
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 Flr/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 Condo (2780) / Replace dishwasher. * *debit acct
of Work
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id #
1320512700
Valuation $113.00 Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided
Issued By 4"21.4. Date 09/20/2010
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.
PLUMBING PERMIT APPLICATION Page 1 of 2
Steinike, Sandra
From: PLUMBING PERMIT APPLICATION [ Permit _App_Plumbing @ci.oshkosh.wi.us]
Sent: Thursday, August 05, 2010 1:36 PM
To: Inspections, Inspections
Subject: PLUMBING Permit Application
PLUMBING PERMIT APPLICATION
Date:8 /5/2010 1:35:30 PM
Permit Fee Account YES
System: 6 ,(IGL
Job Address: 4932- hpoitrt St
Owner: Donna Worth
Contractor: Complete Plumbing Inc.
Use Category: Multi- Family
FIXTURES
Bathtub: Sump Pump: Plaster Roof
Sink: Drain:
Shower: San. Scullery Soda
Sump/Pump: Sink: Disp:
Whirlpool: Water Service Coffee
Softener: Sink: Mkr:
Lavatory: Standpipe Shamp Site
Rec: Sink: Drain:
Toilet: Garage FD: Surgeons Waitrs
Sink: Stn:
Kit Sink: Local Waste: Sterilizer: Ice
Chest:
Comm
Disposal: Bar Sink: RPZ Ice
Valve: Maker:
Breakrm Int
Dishwasher: 1 Bidet: Grease
Sink:
Trap:
Floor Classrm Ext
Drain• Sink• Urinal: Grease
' Trap:
Beer Eye
Hose Bibb: Exam Sink: Wash
Tap: Stn:
8/6/2010
PLUMBING PERMIT APPLICATION Page 2 of 2
Water F Prep Sink: Dipper Deduct
Heater: Well: Meter:
Drink Wtr
Floor Sink: Fntn: Sewer
Mtr:
Clothes Wash Wtr
Wshr: Hand Sink: Fntn: Usage
Mtr:
Lndry Lab Sink: Catch Misc
Tray: Basin: Fixtures:
*USE / NATURE OF WORK replace dishwasher Ann- Can you please fax permit to me at
920 - 886 -2244 - Thanks! Sue
*VALUE (Including labor and all 113.00
materials including light fixtures)
ELECTRIC CONTRACTOR
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
8/6/2010