HomeMy WebLinkAbout2003-Plumbing (dishwasher)OSHKOSH
ON THE WATER
.lob .Address 1605 RIVER MILL RD
Contractor RAPID SOFT LLC
Bathtub 0 Shower
Whirlpool 0 Floor Drain
Lavatory 0 Lndry Tray
Toilet 0 Lndry Stndp
Res. Sink 0 Disposal
Bar Sink 0 Dishwasher
Water Heater 0 Sump Pump
Site Drain 0 Classrm Sink
Roof Drain 0 Breakrm Sink
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner CHANDRALEKHA BOMMAKANTI
Category 410 - Residential-Interior
0 Ejector/Grind 0 Dip Well 0 F Prep Sink 0
0 WaterSoftner 0 Drink Ftn 0 ServSink 0
0 Local Waste 0 Wait. St. 0 ShampSink 0
0 CIothesWshr 0 Ice Chest 0 FIr/Wst Sink 0
0 Bidet 0 Exam Sink 0 Catch Basin 0
1 Beer Tap 0 SculrySink 0 Wash Ftn 0
0 Dent. Oper. 0 Hand Sink 0 Urinal 0
0 Lab Sink 0 Plaster Sink 0 Standp Rec 0
0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0
No 100946
Create Date 04/23/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature SFR/Replace dishwasher for Sears* Homeowner EIV form attached.
of Work
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
$760.00 Plan Approval $0.00 Permit Fees
Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
$20.00
Date
04/23/2003
Permit Voided
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address P.O. BOX4052 APPLETON WI 54915 - 0052 Telephone Number
920-757-6432
ofo o
P O Box 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Q/i-KO. fH
Plumbing Permit Application
I hereby apply for a permit to do and install the following plumbing on the premi.nes hereinafter described, the work to conform to the
Wisconsin S~ate Plumbing Code, in the performance of which ali parties.hereto agree to and are bound by said statutes.
· Application(s) and fee(s) emu be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1 I'28,
Oshkosh ~ $4903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
normal pe~-~fit fee, which ever is greater.
OR
If you are a contractor l~.artici~ating in the Permit Fee Account System and have adequg,te funds, check here
if you want this processed through, ),our q~count r~
Job Address f~c,5-f:ac~ ?~.'/!/~Value(xnc~ing~aborana~,s) '~* c~ O Date
Owner ,~'o ~ ~o ~'~/¢~ ~ ,; Contractor .. ,~,,f,-~:~/..- ,,~-~.C.,_c b ~ c_
'E~Single Family r-]Duplex [3Multi-Family [~Rental r-lcommereial r']Industrial
Number of Fixtures:
Bathtub Lndry Standp Dent. Oper. Shamp Sink
Whirlpool Disposal Dip Well FidWst Sink
Lavatory Dishwasher [ Drink Ftn Catch Basin
Toilet Sump Pump Wait. St. W~h Pm
Res. Sink Ejector/Grind Ice Chest Urinal
Bar Sink Wa~r Softner Exam Sink Gar Drain
Water Heater Local Waste Sculry Sink Soda Disp
D Gas E Elect [] PwrVnt
CloLhes Wshr Hand Sink Coffee Maker
Shower Bidet F Prep Si~k Ice Maker
Floor Drain
Beer Tap Serv Sink Site Drain
Lndry Tray ~ Sink Iht Grease Trap Roof Drain
Lab Sink Surgeons Sink Ext Grease Trap Standp Rec
Plaster Sink Breakrm Sink
Sterilizer
Electric Contractor
j~]Eiectric Instahfion Verifieatidn form attached
(If Replacement)
Use / Nature of Work ~/g/~ = < !~) ;~r / ~.~-y A~ ~ ~ f ~ = ~-_~
Sanitary Sewer
Stoma Sewer
Size Material Type #
08:
'Code' En~'orcemen~
920-P35-508q
Electric Installation VerifiCation
(print homeowner(s) name)
(address where work is to ~ performed)
accept the responsibility for performing the electrical-work as stated below for the property listed
above.
The nature ofthe work consists of: (Check One or Descn~be the Nature of Work)
-___ Reconnecfion or new circuit for replacement Heating Plant and/or A/C Condenser. :: __ Recormection or new circuit for replacement Electric Water Heater.
--_.__ Re, connection of the Service Entrance Cable, Meter Box, alterations to receptacles
and lighting P-xturcs due to siding / soffit installation. Note: New Service
~t,o~mecuon or new CLremt for other permanently wired appJianees/fixtures.
~ Other
The value of this work is $
I hereby verify this work will be performed by me and further verify the reconnection /
installation will be done in compliance with manufacturer and Electric code requirements.
Homeowner(s) .Sign,~aty, re
_
(Date)