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
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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