HomeMy WebLinkAbout0151523 - Plumbing (replace dishwasher) (&) CITY OF OSHKOSH No 151523
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 856 W 18TH AVE Owner JARED UJENNIFER S VOIGHT Create Date 08/03/2012
Contractor RAUSCH PLUMBING Category 413-Res-Interior(Replacement Fixtures) Plan
Inspector Jerry Fabisch
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 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 SFR/REPLACE DISHWASHER **check#27006
of Work
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
1410090101
Valuation $113.002an Approval _ $0.00 Permit Fees $25.00 ❑ Permit Voided
� -
Issued By Date 08/03/2012
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 1606 W HASKEL ST,STE A APPLETON WI 54914 -5032 Telephone Number 920-830-9222
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.
City
of Oshkosh
Inspection Services Division
P 0 Box 1130
Oshkosh,WI 54903-1130 01 IV
Phone:(920)236-5050 on+
Fax:(920)236-5084
Plumbing Permit Application
I hereby apply for pemlt to do and install the following plumbing on the premises hereinafter described,the work'td con o sm to the
S
Wisconsin State e Plumbing Code,in the performance of which all parties hereto agree to and are bound by 1128,
and fee(s)can be brought to City Hall,Room 205 or mailed to Inspection Services,cabled PO
r$100.00 plus the
• Application(s)W(s) ( ) will result in fees being
Oshkosh WI 54903-1128. Commencing work without permit(s)
normal permit fee,which ever is greater.
OR . , , � � �ave ade�uate und check here• . . . it _
1 ou are a co tracto r. •ci' .t' . t -1 •r you want this .odes ed t
. . . I , r a .
1 '- � / 7 Date `7
�� � J � Value(Including labor and materials) �'11j�� `�
Job Address .
Owner i " 1 n
Contractor �-
Single Family ['Duplex
['Multi-Family []Rental ['Commercial ❑Industrial
Number of Fixtures: Catch Basin
Drink Ftn
Bathtub Disposal Wash Ftn
Whirlpool Dishwasher Wait.St. Urinal
Sump Pump Ice Chest
Exam Sum Water Gar Drain
Ejector/Grind Exn Sink
Toilet Soda Disp
ater Softner Sculry Sink
Res.Sink Coffee Maker
Local Waste Hand Sink
Bar Sink Loc Comm.Ice Maker
Clothes Wshr F Prep Sink
Water Heater Site Drain
❑Gas❑Elect 0 PwrVnt Bidet 5ery Sink
Shower Beer Tap
Int Grease Trap Roof Drain
Floor Drain Classrm Sink
Ext Grease Trap Standp Rec
Lndry Tray Surgeons Sink
R.P.Z.Valve Eye Wash Stn
Lab Sink Breakrm Sink
Shame Sink Wtr Sewer Mtrs
Plaster Sink FidWst Sink Deduct Meters
Dip Well Ded Usage ers
Sterilizer Hose Bibs r - Wtr
Misc.
Fixtures -.
Electric Contractor OR ['Electric Installation Verification form attached
(If Replacement)
Use/Nature of Work IL-P f/zf_its3 T Material Type
## Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
11/C