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Home My WebLink About0100804-Plumbing (dishwasher)OSHKOSH ON THE WATER ,Job Address 1628 N MAIN ST Contractor RAPID SOFT LLC Bathtub 0 Shower Whirlpool 0 Floor Drain Lavatory 0 Lndry Tray Toilet 0 Lndry Stndp Res. Sink 0 Disposal Bar Sink 0 Dishwasher Water Heater 0 Sump Pump Site Drain 0 Classrm Sink Roof Drain 0 Breakrm Sink CITY OF OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD Owner WOODLAND MANOR LLC Category 440- Industrial-Interior 0 Ejector/Grind 0 Dip Well 0 F Prep Sink 0 0 WaterSoftner 0 Drink Ftn 0 ServSink 0 0 Local Waste 0 Wait. St. 0 ShampSink 0 0 CIothesWshr 0 Ice Chest 0 FIr/Wst Sink 0 0 Bidet 0 Exam Sink 0 Catch Basin 0 1 Beer Tap 0 SculrySink 0 Wash Ftn 0 0 Dent. Oper. 0 Hand Sink 0 Urinal 0 0 Lab Sink 0 Plaster Sink 0 Standp Rec 0 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0 No 100804 Create Date 04/15/2003 Plan Gar Drain Soda Disp Coffee Maker Int Grease Trap Ext Grease Trap Use/Nature of Work MULTI-FAMILY/ Replace dishwasher from Sears. *EIV form from Drexler Electric. 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 04/15/2003 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 Address P.O. BOX4052 APPLETON WI 54915 - 0052 Telephone Number 920-757-6432 City of Oshkosh Inspection Services Division P O Box 1130 Oshkosh, WI 54903-1130 Phone: (920) 236-5050 Fax: (920) 2365084 RECEIVED APR 1 1 2005 DEPARTMENT OF COMMUNITY DEVELOPN1ENT Offt-KO_fH ON THE WATER Plumbing Permit Application I hereby apply for a pem-dt 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 partieshereto agree to and are bound by said statutes. · Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 11'28, Oshkosh WI 54903-I128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the normal permit fee, which ever is greater. OR If you are a contractor participating in the Permit Fee Account System and have adequate_funds, check here.. if you want this processed through your account ['] Job Address /~",~g' ~ Ir ~ ~ y ~ Value (lncluding labor and materials) ,,L___~"-:"~7-'~'; O ~.) ['-]Single Family [--]Duplex ~Multi-Family ~-]Rental r-]Commercial Date [-']Industrial Number of Fixtures: Bathtub Lndry Standp Dent. Oper. Whirlpool Disposal Dip Well Lavatory Dishwasher ~ Drink Ftn Toilet Sump Pump Wait. St. Res. Sink Ejector/Grind Ice Chest Bar Sink Water Sofmer Exam Sink Water Heater Local Waste Sculry Sink rn Gas E Elect ~ PwrVnt Clothes Wshr Hand Sink Shower Bidet F Prep Si~k Floor Drain Beer Tap Serv Sink Lndry Tray Classrm Sink Int Grease Trap Lab Sink Surgeons Sink Ext Grease Trap Plaster Sink Breakrm Sink Sterilizer Shamp Sink FlrtWst Sink- Catch Basin Wash Fin Urinal Gar Drain Soda Disp Coffee Maker Ice Maker Site Drain Roof Drain Standp Rec Electric Contractor Use / Nature of Work ~Electric Installation Verfficati6n form attached (if Replacement) Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service Ma~'24 ~1 08:40a ON T~£ WATE~ Code CiV of Oshkosh Division ofh:~pecho~n POBox 1130 Osl~osh %'/1 54902-1 O~=e 920,-236-5050 Fax 920~36-S054 En?orcement 920-23G-5084 p.1 q&c,- 75'7-- Electric Installation Verification (I) (we) (Electrical Contractor Name) (State.) (Zip Code) have been contracted to perform electric installation work for (Name of party contracted to) at the following address: /G/~ ~ ff/ff~t'/~ 'c~e (Address where work will be performed) The nature of the work consists of: (Check One or Describe thc Nature of Work) Reconnection or new circuit for replacement Heating Plant md/or AdC Condenser. Reconnection or new circuit for replacement Electric Water Heater. Reconnection of the Service Entrance Cable, Meter Box, alterations to receptacles and lighting fixture~ due to siding / soffit installation. Note: New Service Entrance Cables will require a separate permit. ~ Reconnection or new circuit for other permanently wired appliances / fixtures. Other The value of this work is $ ~. a:~ I l~ereby verify this work will be performed by an employee of this company and further verify the reconnection / installation will be done in compliance with manufacturer and Electric code requirements. (Signature o~t Company Officer) (Print Name of Officer) (Date)