HomeMy WebLinkAbout0144362-Plumbing (kit. sink & dishwasher) CITY OF OSHKOSH No 144362
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1545 ARBORETUM DR #219 Owner FLOYD R/MAVIS A ANDERSON REV TRUST Create Date 12/13/2010
Contractor C SWEETING PLUMBING LLC 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 1 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 / Hook up kitchen sink faucet and dishwasher. * *debit acct
of Work
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id #
1223320000
Valuation $250.00 Plan Approval $0.00 Permit Fees
$25.00 ❑ Permit Voided
Issued By tO, 1.4.Y Date 12/13/2010
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 1583 COUNTRY MEADOW CT OSHKOSH WI 54904 - 9316 Telephone Number 920 - 410 -4017
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.
Toilet [ins sin NB.M.�
City ofOshbosh
lespedisa Swaim Divide&
P 0 Hos 1130
(dim*, WI 54903-1130 -
Phew: (920)2364050
BCC (920) 236-5094 Qa-iUH
' -
Plumbing Permit Application
I hereby apply hr a permit to do and install the following plumbing an the premises henshadhsr dumbed, the west to ma= to the
Wirmnia Sate Pbvnb Code,,ia the portbossoce ofwhich all parties hereto astee to mod ne booed by said statutes.
• Applicata' o(a) and fee(s) cm be brought to City Ha% Rum 205 winded to Insolation ftervices, PO Box 1123, Oshkosh WI
54903-112S. r Commeadag we* without p.m(a) will needt ia ins being doubled or $100.00 plus the anneal penek he, white
ever
ev is toesse.
OR
If you are a contractor participants" in the Peresie Account Systeet and have adowegte fends. check here
if_you want this vroceezed through vour_accowst DI
** Advisory - For applicable Infects, an Ekctdad hradhdon Vaginae, Minions', lignd by thailedried
Cambintor or Beineownareir isslidtadens allowed tobepellasasedkrthe hameownta)-smorbe animined
with the permit application. Applications submitted witbout an EDF wiles such is reipdied, will not be
processed for Permit Ismanee and MN be it---r4 for completion.
Job Address /52/5 rbo f 41 I- Value oldimigbhor•ut ammo 2- -- D °I Date / — / — 10
°Wider Fio 441 Contractor Z 4,‘,._,.
pleb Fan* ODspbx 011ieltiriikuslly 011ental OCoannerchd Dindwarial
--- -
Number of Fixtuns: 1 (i 2/ 9 1
. ___ amp Poop _ Phew Ma Itt orDriim
_____
—
Shower Ses_Srapfrasep _ Seamy Mak %dare*
—
VnalP0 - Water Stamm - Service Twit Coffee Mkt
ittm Igo ri - BlerestAps Roe
._...,,_ _ Shoop Ask Site Dula
- -
Thad Ggrage FD _ Seisms Sot Wats Ste
— _
Kit Sink _L__ Lewd Wale Sterzer See Chest
— — _
Mined
LMINIMIIMMINI■ Bar Mk _ RPZValve - Camkesilimr
Didurastur _I_ Nat= &dr - Bkiet - lettkome Tap -
Near Theis Oman Mt - Med - Thetenternehap
Bern Bibb - DOM Sisk Bur Tap _ Bye Walk Ma
Water Buser P Pup reek - Dipper WM - DeellortMake. ____
0 nal El HMO ~An BoterSik - DtikAtbe 'Werikmerkftr
_
Mikes war Beled Slek wade Mg WIT lbw kir
__ -- —
Latin Tarr — Lab Sink Oath Swim Wee Piehees
__ — --...—
eellie Contractor Oar projects not repairing an FiV Forma)
to / Nature of Work ilook ... Ir",;i:_-,5, oil,/ 1 :54 L-4s 4 er
Wffe Magid TAX # COMM Type
&Ow Sewer ,
Storm aswor I RECEIVED
Wafer Service
: DEC 1 3 2010
DEPAP7 MENT OF
COMMUNITY DEVELOPMENT
. INSPECTION SERVICES- DIVISION 06/09