HomeMy WebLinkAbout0144986-Plumbing (water softener) la) CITY OF OSHKOSH No 144986
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 431 HAWK ST Owner RICHARD J SCHMIDT Create Date 02/24/2011
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 #
1609320000
Valuation $450.00 Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided
Issued By aVPlt/, jL Date 02/24/2011
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.
02/24/2011 08:36 9209225822 CULLIGAN WATER PAGE 02/02
i . )
Clty of Oshkosh
inspection Services Division
P O Box 1130
Oshkosh, WI 54903 -1130
Phone: (920) Fax: (920) 236 -5084 OJHKO TE
ON THE WATER
PZurnbina Permit A pplicatron
Thereby apply for a permit to do and install the following plumbing on the premises hereinafter described, the work to er
Wisconsin State Plumbing Code, in the performance of which all parties hereto agree to and are bound by said statutes. to the
Job Address,1 J14 3 • Value "V5
•
Date a 0?.3 /(
Owner ... Ill1 �n� iw, • �f
r+.+av�� Contractor •
•
(Single Fatuity ❑Duplex ❑Multi -Farm!
y ❑Rental ❑Commercial ❑Industrial
•
Nulnber of Fixtures: . •
Rnahaub Lndry Stand,' Whirlpa�i
Dent. Shamp Sink
Disl >usal Dip Well
i AI Villttry FIrJWeI Sink
Dishwasher Drink Fin
roilel Sump Pump Wail. Basin
Res. Sink Wail. Si. Wash Ft
I ?jecIorK)rind Ice Chest
ISrr Sink
Water & Urinal
Water t teeter Exam Sink Gar Drain
l.ucal Wass` Scttlry Sink
Shower. (lollies Wshr Soda Disp
Moor Uroin — band Sink Cake Maker
Bidet F Prop Sink
Lltdry'rrry tictr Tim Ice Maker
Scry Sihk
Lab Sink She Drain
('lassrm Sink Inc t;rcasc "trap
Plaster Sink Surgeons Sink Roof Drain
Stu
Grease Trop Smndp Rcc
Itrceknn Sink
Electric Contractor
Usc / Nature of VVorlc , ; _ I lb,. I \
Size Material T ype tt
Sanitary Sewer Conn. Type
Storm Sower
•
•
Water Service
Check {ire if you want this processed through your account
Received Time Feb, 24. 2011 8:30AM No. 4764