HomeMy WebLinkAbout0143258-Plumbing (water softener) gl CITY OF OSHKOSH No 143258
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 280 GREENFIELD TRL Owner JAMES UBRENDA L SCHRADER Create Date 09/22/2010
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 Flr/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 #
0618160000
Valuation $450.00 Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided
Issued By Date 09/22/2010
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.
09/22/2010 10 :06 9209225822 CULLIGAN WATER PAGE 02/02
ity of Oshkosh
V
aspection Services Division
'0130x1130 .
)shkosh. W1 54903 -1130 OJHKOJ'd
'hone; (920) 236-5050 ON THE WATER ,ax: (920)236 -5084
Piumtbing Perm A lication
thereby apply l 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 R -(0 —
Owner _. Contractor
Single Family O uplex ❑Multi - Family ❑Rental DCbmmereial DIndustrial
•
Number of Fixtures: Shunts Sink
Ind Swill,
Dent, oper.
�ladnuh Fh /Wsl Sink
Disposal _ Dip Well
I avatory Drink Ftn Catch Basin
1:watttry Dishwasher Wash Fin Sump Pump Wait. St.
Toilet .--.— Urinal I:jccturl(irint - tcc Chest Res. Sink 1� Gar Drain _. -----
Water Sullner Exam Sink
Bar Sink Soda Diap
Local Waste Sculry Sink
Water 11caWr Cane Maker
Clothax W,lr Iland Sink
Shower Ice Maker -.-- --
tut F Pr Sink
I�I+xtr Drain Sitc Drain
(leer Tap Sure Sink
trdry Tray f— Int Grime Trap Roof grain
Lab Sink Classrm Sink Stolidly Rct:
Muster Sink _
Surgeons Sink Est Grease Trap
Sterilizer -- areal rm Sink
•
Electric Contractor otn /
Use / Nature of Wurk ` :_ _ ■ ►A• `f, ` • • i .
S ize Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Serv --
Check here if you want this processed through your account
Received Time Sep. 22. 2010 10:01AM No.2921