HomeMy WebLinkAbout2012-Plumbing (replace dishwasher) CITY OF OSHKOSH No 151473
OSHKOSH PLUMBING
PERMIT -APPLICATION AND RECORD
ON THE WATER
Owner DAVID LELINSKI Create Date 08/02/2012
Job Address 1217 WASHINGTON AVE — — Plan
Contractor L.C.PLUMBING INC. _ Category 413-Res-Interior(Replacement Fixtures)
Inspector Jerry Fabisch__ Deduct Meters
Bathtub Clothes Wshr Classrm Sink Surgeons Sink Roof Drain Wed Deduct Me errs
_Lndry Tray Exam Sink Sterilizer Soda Disp
Shower ry y Coffee Maker Wtr Usage Mtrs
Whirlpool Sump Pump F Prep Sink RPZ Valve
Bidet Site Drain Misc.
FIr!Wst Sink
Lavatory San Sump/Pump Fixtures
Toilet
Water Softner Hand Sink Urinal Wait.St.
Kit Sink Standp Rec Lab Sink Beer Tap Ice Chest
Disposal
Gar Drain Plaster Sink Dip Well Comm Ice Maker
—
Sculry Dishwasher 1 Local Waste
Scul 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 1SFR/REPLACE DISHWASHER **debit acct
of Work
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
0203480000
.00 Permit Fees $25.00 E1 Permit Voided
Valuation �$250.00 Plan Approval $0 Date 08/02/2012
Issued By ��f Y I(
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. Date
Signature
Agent/Owner
Address N7012 STATE ROAD 49 FREEMONT WI 54940 -8529 Telephone Number (920)867-5051
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit e andyphof
Inspection(i.e. Footing,Service, Final,etc.),Access into Building if Secure(how do we gain entry),y our Nam
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.
Wentz, Sandra
From: PLUMBING PERMIT APPLICATION [Permit_App_Plumbing @ci.oshkosh.wi.us]
Sent: Wednesday, August 01, 2012 6:19 PM
To: Inspections, Inspections
Subject: PLUMBING Permit Application
PLUMBING PERMIT APPLICATION
Date:8/1/2012 6:18:47 PM
Permit Fee Account System: YES
Job Address: 1217 Washington Ave
Owner: Dave Lelinski
Contractor: LC PLumbing Inc
Use Category: Single Family
FIXTURES
Plaster Roof
Bathtub: Sump Pump: Sink: Drain:
Shower: San. Scullery Soda
Sump/Pump: Sink: Disp:
Whirlpool: Water Service Coffee
Softener: Sink: Mkr:
Lavatory: Standpipe Shamp Site
Rec: Sink: Drain:
Surgeons Waitrs
Toilet: Garage FD: Sink: Stn:
Kit Sink: Local Waste: Sterilizer: Ice Chest:
RPZ Comm
Disposal: Bar Sink: Ice
Valve:
Maker:
Int
Breakrm Bidet: Grease
Dishwasher: 1 Sink:
Trap:
Ext
Floor Classrm Urinal: Grease
Drain: Sink: Trap:
Beer Eye Wash
Hose Bibb: Exam Sink: Tap: Stn:
Water F Prep Sink: Dipper Deduct
Heater: Well: Meter:
1
Drink Wtr
Floor Sink: Fntn: Sewer
Mtr:
Clothes Wash Wtr
Wshr: Hand Sink: Fntn: Usage
Mtr:
Lndry Lab Sink: Catch Misc
Tray: Basin: Fixtures:
*USE /NATURE OF WORK replace
*VALUE 250.00
ELECTRIC CONTRACTOR
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
2