HomeMy WebLinkAbout0152684 - Plumbing (dishwasher) CITY OF OSHKOSH No 152684
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 80 FARMSTEAD LN Owner JASON J/JENNIFER L BROWN
- - Create Date 10/02/2012
Contractor L.C. PLUMBING INC. — — _ -
ategory 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 Dis
Whirlpool Sum - P __— Wtr Sewer Mtrs
P Pum p 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
- — k Ext Grease Trap
Hose Bibb Breakrm Sink Shamp Sink Catch Basin Eye Wash Statn
Water Heater — --
Use/Nature ISFR/REPLACE DISHWASHER *"debit acct
of Work
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
1528310000
Valuation $250.00 Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided
Issued By CL'\---/
Date 10/02/2012
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 N7012 STATE ROAD 49 FREEMONT WI 54940 -8529 Telephone Number (920)867-5051 _
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.
Wentz, Sandra
From: PLUMBING PERMIT APPLICATION Permit A
Sent: Sunday, September 30, 2012 4:20 PM — pp —Plumbing @ci.oshkosh.wi.usj
To: Inspections, Inspections
Subject: PLUMBING Permit Application
PLUMBING PERMIT APPLICATION
Date:9/30/2012 4:20:19 PM
Permit Fee Account System: YES
Job Address: 80 Farmstead Lane
Owner: Jason Brown
Contractor: LC PLumbing Inc
Use Category: Single Family
FIXTURES
Bathtub: Sump Pump: Plaster Roof
Sink: Drain:
Shower: San. Scullery Soda
Sump/Pump: Sink: Disp:
Whirlpool: Water Service Coffee
Softener: Sink: Mkr:
Lavatory: Standpipe Shamp Site
Rec: Sink: Drain:
Toilet: Garage FD: Surgeons Waitrs
Sink: Stn:
Kit Sink: Local Waste: Sterilizer:
Ice Chest:
Disposal: Bar Sink: RPZ Comm
Valve: Ice
Maker:
Dishwasher: Breakrm Int
Sink: Bidet: Grease
Trap:
Floor Classrm Ext
Drain: Sink: Urinal: Grease
Trap:
Hose Bibb: Exam Sink: Beer Eye Wash
Tap: Stn:
Water
Dipper
Heater: F Prep Sink: pp Deduct
Well: Meter:
1
Floor Sink: Drink Wtr
Fntn: Sewer
Mtr:
Clothes Wtr
Wshr: Hand Sink: Wash
Fntn: Usage
Lndry Mtr:
Lab Sink: Catch Misc
Tray: Basin:
Fixtures:
*USE/NATURE OF WORK replace
*VALUE 250.
ELECTRIC CONTRACTOR
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
2