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HomeMy WebLinkAbout0151625 - Plumbing (replace dishwasher) CITY OF OSHKOSH No 151625 OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD ON THE WATER Owner MICHAEL G/KAYE A TRESP Create Date 08/10/2012 Job Address 3105 QUAIL RUN DR Plan Contractor RAUSCH PLUMBING _ Category 413-Res-Interior(Replacement Fixtures) Inspector Jerry Fabisch Deduct Meters Bathtub Clothes Wshr Classrm Sink Surgeons Sink Roof Drain Deduct ct Meters errs Lndry Tray Exam Sink Sterilizer Soda Disp Wtr Shower ry y - Whirlpool _ Sump Pump F Prep Sink _ RPZ Valve Coffee Maker Wtr Usage Mtrs FlrlWst Sink Bidet Site Drain Misc. 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 7 FR/REPLACE DISHWASHER **check#27030 of Work Size Material Type # Conn.Type Sanitary Sewer Storm Sewer Water Service Parcel Id# 0660160000 $0.00 Permit Fees $25.00 El Voided i Valuation $113.00 Plan Approval Date 08/10/2012 Issued By (?�� 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 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 O Box 1130 oN n 1Oshkosh,WI 54903-1130 Phone:(920)236-5050 ;g18 FaX (920)236-5084 ligation Plumbing Permit App to the remises hereinafter described,the WO sa d statutesm plumbing on the premises to des rib d,the by permit m do and install the performance p arties hereto agree for a p eT{'ormance of which all p �Box 1 128, I hereby apply Code,in the p ection Services,P plus the Wisconsin State Plumbing doubled or$100.00 Hall,Room 205 or mailed to Insp can be brought to City permit(s)will result in fees being • Application(s) and fee(s) work without P Commencing nd c teCk here Oshkosh WI 54903-1128.ich ever is greater. ,ye ode�note permit fee, 1 t • u a = normal p OR ��' itracto •• 'ct• •t• • � •r •1 ou are a this ces ed t • . • 1 Date � you want this `��j7iQalue(Including labor and materials) j/� Job Address_13 `- Contractor � " � Industrial r S < it (]Rental ❑Commercial ❑ Owner OMVlulti-Family Y []Single Family ❑ Duplex Catch Basin -� Drink Ftn �� Wash Ftn Number of Fixtures Disposal i Wait.St. Urinal Whirlpool Dishwasher —5-_— — Ice Chest Gar Drain Lavatory Sump Pump Ice Sink Soda Disp Lavatory — Ejector/Grind Sculry Sink —� Coffee Maker Toilet Water Waste er ---- -- Hand Sink Comm.Ice Maker Res.Sink Local s Ws F Prep Sink -- Site Drain Bar Sink Clothes Wshr — Sery Sink Roof Drain Water Heater Bidet �- O Gas OElect 0 Pwr— Int Grease Trap Standp Drain Shower Beer Tap Ext Grease Trap Eye Wash Stn Surgem Sink — R,p.Z.Valve Floor Drain Eye Sewer Mtrs Wtr Plaster Tray Surgeons Sink Shamp Sink — Deduct Meters Lab Sink --- — Dip Well Sink — Flr1Wst Sink Wtr Deduct Meters Mtrs — Plaster Sink Dip Well Sterilizer Hose Bibs Misc. Verification form atta' Fixtures OR OFi lectric Installation v (If Replacement) A Electric Contractor / -F / r 1�L -e f--�''I S!Z `�`-f�i� Work iQ Use/Nature of W # Conn.Type Size Material Type Sanitary Sewer Storm Sewer Water Service