HomeMy WebLinkAbout0100411-Plumbing (water softener)OSHKOSH
ON THE WATER
,Job Address 741 W 17TH AVE
Contractor CULLIGAN
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner RANDALL L BORSKI
Category 410 - Residential-Interior
Bathtub 0 Shower 0 Ejector/Grind 0 DipWell 0 F Prep Sink 0
Whirlpool 0 Floor Drain 0 Water Softner 1 Drink Ftn 0 Serv Sink 0
Lavatory 0 Lndry Tray 0 LocaIWaste 0 Wait. St. 0 Shamp Sink 0
Toilet 0 Lndry Stndp 0 CIothesWshr 0 Ice Chest 0 FIr/Wst Sink 0
Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0
Bar Sink 0 Dishwasher 0 Beer Tap 0 SculrySink 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
No 100411
Create Date 03/26/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature SFR/Install water softener (rental).
of Work
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
$500.00 Plan Approval $0.00 Permit Fees
Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
$20.00
Date
03/26/2003
Permit Voided
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
N FOND DU LAC WI 54937 - 1498 Telephone Number
Address 405 PROSPECT AVE 235-1490
.... ~tAR. 24. :='003 4: 4OPM
CitT of Oshkosh
Inspection Services Division
P O Box 1130
Oshkosh, WI $4903-11:30
Phone: (920) 236-$050
Fax: (920) Z36-5084
CULLIGRH NRTER FDL
~0,43~
.Qff H O./H
T~
Plumbing, Permit Application
i hereby apply For a permit to do nnd install the following plumbing on the premises herel~eD"~cribed, the work m cnnFonn to the
Wisconsin State Plumbinl~ Code, in the performance o£ which a~i parfios h~~, ['~'ag'd are bound by said statutes.
Family [:]Duplex [:]Multi-Family [~Rentnl [~Commercial ['"]Industrial
Number of Fixtures:
I)aduub __ ~td;y Sl~mlp Dent. Opet. Sh~mp Sink
Whirlpool Di~posnl Dip W~ll ~ FIrlW~, Nink
I'mlci Sump INm~ Wnh, St, W~k Fm
liur ~ink Wm~( ~l~r ~ Bxnm Sink ~ ~t Drain
WaNt iNoIcr Local Wu~l~ Seul~ Sink S~ Dlap
~lm~r C~I~s Wshr I land g~k Collie Maker
i:l~r ~ain OKlel F Pr~ Sink Ice Mak6?
Lodry Troy Bcc~ 'l~p ~w Sink Site Drain
I~b Sink Classrm Sh~k lot Grease Trap Roof Dr;tin
Stc~iliver II~l~kr~ Si.k
Electric Contractor
Use / Nature of Work__
Sanitary Sewer
Size Material Type # Conn. Type
$lorm Sewer
Water Service
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