HomeMy WebLinkAbout0154062 - Plumbing (dishwasher) CITY OF OSHKOSH No 154062
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 3810 WESTERN DR Owner SCOTT M/LAURA J VILSKI Create Date 01/02/2013
Contractor RAUSCH PLUMBING Category 413-Res-Interior(Replacement Fixtures) Plan
Inspector Jerry Fabisch
Bathtub 0 Clothes Wshr 0 Classrm Sink 0 Surgeons Sink 0 Roof Drain 0 Deduct Meters 0
Shower 0 Lndry Tray 0 Exam Sink 0 Sterilizer 0 Soda Disp 0 Wtr Sewer Mtrs 0
Whirlpool 0 Sump Pump 0 F Prep Sink 0 RPZ Valve 0 Coffee Maker 0 Wtr Usage Mtrs 0
Lavatory 0 San Sump/Pump 0 FIrIWst Sink 0 Bidet 0 Site Drain 0 Misc. 0
Toilet 0 Water Softner 0 Hand Sink 0 Urinal 0 Wait.St. 0 Fixtures
Kit Sink 0 Standp Rec 0 Lab Sink 0 Beer Tap 0 Ice Chest 0
Disposal 0 Gar Drain 0 Plaster Sink 0 Dip Well 0 Comm Ice Maker 0
Dishwasher 1 Local Waste 0 Sculry Sink 0 Drink Ftn 0 Int Grease Trap 0
Floor Drain 0 Bar Sink 0 Sery Sink 0 Wash Ftn 0 Ext Grease Trap 0
Hose Bibb 0 Breakrm Sink 0 Shamp Sink 0 Catch Basin 0 Eye Wash Statn 0
Water Heater 0
Use/Nature SFR/REPLACE DISHWASHER **check#27348
of Work
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
1261600000
Valuation $113.00 Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided
Issued By < n W Date 01/02/2013
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement,the City strongly urges the permit applicant to contact the
easement holder(s)and to secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address 1606 W HASKEL ST, STE A APPLETON WI 54914 -5032 Telephone Number 920-830-9222
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type of
Inspection (i.e. Footing, Service, Final, etc.),Access into Building if Secure(how do we gain entry),your Name and Phone
Number. Unless specified otherwise,we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
City of Oshkosh
Itispection Services Division
pN
P 0 Box 1130 1130
Oshkosh, 23b-5050
Phone.( 236-5064
fax (920) it Application to the
bin9 Perm aesaribed,the work to conform
Plum said statutes.
on the premises hereinafter
t r and are bound by
plumbing antes hereto agree ante of which all p Services,PO Box statutes.1 for a permit to do and ode install n the perform following P action S 100 00 plus the
1 hereby apply 205 or mailed to Inspection doubled or$
Wisconsin State Plumbing ht to City Hall,Room Will result in fees
s can be Comm nc work without permit(s) here
® Application(s)and fee(s) encing rid c ec
4903-1128. eater. .v ade'uate
Oshkosh permit 5 which ever is gr . . I
ertnit fee, , i t
normal p OR
are a c,n r Ctrr I , i ' ' ` .. c.l0 Date. �-r-`r
i ou -
o tt dd r t l s labor and materials)Value(including l/�
6 ■ `� ercial Oindustrial
job Address Contractor Corntt►
/' r Rental ❑
Owner O1Vlulti-Family
ODuplex
[,Single Family _
Catch Basin
Drink Ftn
Wash Fin
Number of Fixtures: _/ _ Wait.St. Urinal
Bathtub Disposal _� -----
Whirlp Gar Drain
Dishwasher Ice Chest
Whirlpool pump Soda Diap
Sump Exam Sink
Lavatory Ejector/Grind �– Sculry Sink Coffee Maker
Toilet – �— Hand Sink Comm.Ice Maker•Water Sof1ner
Res.Sink --- Local Waste F Prep Sink Site Drain
Bar Sink �– Sery Sink Roof Drain
Clothes Wshr
Waterlleater — — IntGreaseTrap ' SlandpRec
0 Gas❑Elect D pwrVnt Bidet Eye Wash Stn —
Beer Tap Ext Grease Trap
Shower –
Surgem Sink R.P.Z.Z,Valve Wtr Sewer Mtrs
Floor Drain surgeons Sink
Tray Shamp Sink Deduct Meters
Lndry — Sink —
Lab Sink
Dip Well FIrIWst Sink Wtr Usage Mtrs
Plaster Sink
Dip Well
Hose Bibs
Sterilizer form attar
Tvlisc. Verification
OR OElectri Installation Fixtures (If Replacement)
Electric Contractor . 4).1)i
Use/Nature of Work r # Conn.Type
Size
Material Type
Sanitary Sewer
Storm Sewer
Water Service