HomeMy WebLinkAbout0151731 - Plumbing (dishwasher) CITY OF OSHKOSH No 151731
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 2349 HIGH OAK DR Owner RONALD DAMMON REV TRUST Create Date 08/15/2012
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 1SFR/REPLACE DISHWASHER **check#27042
of Work
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
1323391100
Valuation $113.00 ^ Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided
Issued By (,,L) Date 08/15/2012
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 O Box 1130
Oshkosh,WI 54903-1130
Phone: (920)236-5050
0
Fax:(920)236-5084
Plumbing Permit Application
veto agree to and are d, he work
by said t conform
statutes.
a 1 fora et•mit to do and install the following plumbing on theaprtr es he s her gnafter described,the work to conform to the
I hereby pp Y p
Wisconsin State Plumbing Code,in the performance of which a p
• Application(s)
shk sh W(s)
and fee(s)can be brought to City Hall,Room 205 or mailed ton fee
s tin doubled or$100.00 1128, the
Oshkosh WI 54903-1128. Commencing work without permit(s)will result in
permit fee, which ever is greater.
OR t , aL , ,v de uate and c eck here
1 ou are a contract f r r, ici�ati II�
i ou want this _ races ed t r , , . L �
- Date ��-s� � 2
IIP I I IG, �it'V aIue(Including labor and materials)
Job Addres �' i`qi.
Owner A A/ / ..e4/- Contractor I -
Single Family ❑Duplex [Multi-Family ❑Rental OCommercial ❑Industrial
Number of Fixtures: Catch Basin
Disposal Drink Ftn
Bathtub �_ Wait.St. Wash Ftn
Whirlpool Dishwasher Sump Pump Urinal
Sum Pum Ice Chest
Lavatory Gar Drain
Toilet Ejector/Grind Exatn Sink
Res.Sink Water Softner
Sculry Sink Soda Disp
Bar Sink Local Waste
Nand Sink Coffee Maker
Water Heater Clothes Wshr
F Prep Sink Comm.Ice Maker
❑Gas 0 Elect 0 PwrVnt Bidet Sery Sink Site Drain
Shower Beer Tap Int Grease Trap Roof Drain
Floor Drain Ext Grease Trap Standp Rec
Classrm Sink
Lab Sink Tray Surgeons Sink R.P.Z.Valve Eye Wash Stn
Lab Sink Breakrm Sink Shame Sink Wtr Sewer Mtrs
Plaster Sink Dip WellFldWst Sink Deduct Meters
Sterilizer Hose Bibs Wtr Usage Mtrs
Misc.
Fixtures
Electric Contractor OR DElectric Installation Verification form attached
(If Replacement)
Use/Nature of Work 01-7/ c-, /�fShi-r.xe-C L--- c7)\c.
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
11/C