HomeMy WebLinkAbout0152447 - Plumbing (replace dishwasher) CITY OF OSHKOSH No 152447
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1259 WHEATFIELD WAY Owner DOUGLAS J/PAULA WATERS Create Date 09/18/2012
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
p 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 SFR/REPLACE DISHWASHER **check#27112
of Work
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
1340290000
Valuation $113.00 Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided
Issued By C// ' JW Date 09/18/2012
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party,if you perform the work
described in this permit application within an easement,the City strongly urges the permit applicant to contact the
easement holder(s)and to secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address 1606 W HASKEL ST, STE A APPLETON WI 54914 -5032 Telephone Number 920-830-9222
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type of
Inspection (i.e. Footing, Service, Final, etc.),Access into Building if Secure(how do we gain entry),your Name and Phone
Number. Unless specified otherwise,we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
City of Oshkosh
Inspection Services Division ,��
P O Box 1130 � ���
Oshkosh,WI 54903-1130 a
Phone:(920)236-5050
Fax:(920)236-5084
Plumbing Permit Application
I hereby apply for Sa tate permit m to do and install the following plumbing on the premises hereinafter described,b,the work to
said statutes.onfor to the
Wisconsin State Plumbing Code,in the performance of which all parties hereto agree to
�' plus the
t to City Hall,Room 205 or mailed to Inspection ti being doubled PO
r$Box 11 p
• Application(s)skh WI and fee(s)can be bough will result in
Oshkosh W1 54903-1128. Commencing work without permit(s)
normal permit fee,which ever is gr eater.
a�• ado uate ft, c ieC here
OR a et • e
ou are a e. 1 a If • c , •t ■
r ou marl II ' o e, ��/ Date
1 ' fW a`luee(I lading labor end starlets)ILL__
Job Address 1<`.I a A � � 9471--,. _
Contractor - Industrial
Owner _ � - " -''r"'� Commercial ❑
le Family []Duplex
['Multi-Family ❑Rental ❑
[�5ing Y
Catch Basin
Number of Fixtures: DrinkFtn Wash Ftn
Whirlpool Disposal -- F--
Wait.St. Urinal
Whirlpool Dishwasher Ice Chest ----
Sump Pump Gar Drain
Lavatory Exam Sink
Ejector/Grind Soda Disp
Toilet Sculry Sink
Water Softner Coffee Maker
Res Sink Hand Sink
Local Waste Comm.Ice Maker
Bar Sink F Prep Sink
Clothes Wshr Site Drain
Water Heater Sery Sink❑Gas❑Elect O PwrVnt Bidet Roof Drain
int Grease Trap
Shower Beer Tap Standp Rec
Floor Drain Classrm Sink
Ext Grease Trap Eye Wash Stn
R.P.Z.Valve
Lndry Tray Surgeons Sink Eye Sewer Mtrs
Shame Sink
Lab Sink Breakrm Sink Deduct Meters
FIrIWst Sink
Plaster Sink Dip Well Deduct
Usage ors
Sterilizer Hose Bibs Mtrs -
Misc
Fixtures OR ❑Electric Installation Verification form attach■
Electric Contractor (If Replacement)
Use!Nature of Work 0 _r
0 l'
Size Material Type
# Conn.Type
Sanitary Sewer
Storm Sewer
Water Service