HomeMy WebLinkAbout0144458-Plumbing (water softener) (0) CITY OF OSHKOSH No 144458
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 902 EVANS ST Owner SALVADOR A RUIZ JR Create Date 12/27/2010
Contractor CULLIGAN WATER CONDITIONING Category 410 - Residential- Interior 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 #
1105800000
Valuation $450.00 Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided
Issued By WYN ' Date 12/27/2010
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.
12/22/2010 15:28 9209225822 CULLIGAN WATER PAGE 02/02
City of Oshkosh •
Inspection Services Division
P O 13ox 1130
Oshkosh, WI 54903 -1130
Phone; (920) 236 -5050 OfHKOJH
Fax;1920) 236 -5084
ON THE WATER
Plumbing Permit Application
I hereby apply 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 9o. _ $ Sr- Value 4206 Date /a ' O7o ` /0
Owner c -110h RA J , Contractor
(Single Family QDupiex []Multi- Family ❑Rental ['Commercial ❑Industrial
Number of Fixtures: •
Bathtub • Lndry Stmrdp Dent. Oper. Shame Sink
Whirlpool Disposal Dip Well Flr/Wsl Sink
1:,:i votary Dishwasher Drink Fin Catch Basin
Toilet Sump I'unip Wail. Si. Wash Iltn
Ito. Sink • 1:jectar /Grind Ice Chest Urinal
Bar Sink • Winer Soiling _� Exam Sink Gar Drain
Water 1 Wier Local Wash Sculry Sink Soda Dap
Shower (I WS In Wand Sink Coffee Maker
Flour Drain Ilidet F Prep Sink Ice Maker
•IJUIry'rray • • [leer Tap Scry Sink Site Drain
Lab Sink Classrm Sink Int Crease Trap Roof Drain
PIustcr Sink Surgnrn5 Sink ,ti Grease Trap Slandp Rev
Sterilizer Ilreaklm Sittk
Electric Contractor .
ot�
Use / Nature of Work ,, ; _ ,_ i ,,. ∎ Ir ∎ 1 - {� , . 6,4 1, et . — ., Or r
Ili
Size Material Type # Conn. Type
Sanitary Scwcr
Storm Sewer
Water Service •
Check here jvou Want this processed through your account ig,
cttri ; CD
Received Time Dec. 22. 2010 3:22PM No. 4157