HomeMy WebLinkAbout0154155 - Plumbing (water softner installed) CITY OF OSHKOSH No 154155
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1909 DELAWARE ST Owner ANNA M PHILLIPS Create Date 01/14/2013
Contractor CULLIGAN WATER CONDITIONING Category 412-Res-Interior(New/Relocated Fixtures) Plan
Inspector Jon Mueller
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 Flr/Wst Sink 0 Bidet 0 Site Drain 0 Misc. 0
Toilet 0 Water Softner 1 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 0 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 Sham p Sink 0 Catch Basin 0 Eye Wash Statn 0
Water Heater 0
Use/Nature SFR Water Softener installed.
of Work
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
1408620000
Valuation $450.00 Plan Approval $0.00 Permit Fees $30.00 Permit Voided
Issued By 3 T,` Date 01/14/2013
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 405 PROSPECT AVE N FOND DU LAC WI 54937 - 1498 Telephone Number 235-1490 OR 233-05
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.
01/14/2013 11:52 19209225822 CULLIGAN PAGE 02/02
City.of Oshkosh
•
1175 CCtlOtl SBI'VICC !
(� S DiViS1olir
I'.O Box 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
nx: (920, 2 6_5lJ84 of.HKofH
ON THE WATER
Plumbing_fermit Application •
I hereby apply for a perti1it to do and install the following plumbing on the premises hereinafter described, the work,to conform to the
Wisconsin State.Plumbing Code, in the performance of which all parties hereto agree to and are bound by said statutes.
',Tel).Address 19v� alnl Sf, Value Date 1 /11 /ià
Owner
. Peilf Contractor
[Single Family ODuplex DMulti-Family ORental ❑Commercial ❑ ndustrial .
Number of Fixtures:
•
tiuthtub Lndry St:mdp Dent.r)per- Skimp Sink
•
Whirl ool
1 . . Disposal Dip Well Ilr/Wst Sink
Lava iiy Dishwasher Drink Fin
Catch Basin'toile! Sump rump Wail,St. Wash Fin
Res,Sink l cIor/Grind Ice Chest
;1
Ilar Sink � -----° Urinal
Water Starner Exam Sink Gar Drain
Waver I lealer Sodn Dip Local Waste Sculry Sink r
Shower • Clothes Wsllr I land Sink
Cores Maker
Floor Drain Bidet �` F t'rep Sink lye Maker
Lndry Tray Beer Tarp Sere Sink • 'Slic Drain
•
Lab Sink C'lassrm Sink
1nt Grease Trap Roof Drain
Plaster.Sink _ Surgeons Sink
1.x1 C,ireage Trap Slandp Rye
Slcrilircr . ':' Iiret:krill Sink
Electric Contractor '4j.,;::..
r,1
Use I Nature of Worlc'';y, ;. ^, 1 ipi., ■ t, k 1 �! 1, rr.$ I• - '� "�
IF
Size Material Type # Conn.Type
Sanitary Sewer
•
•
•
3.torm Stwer
•
NAter Service
,i. .
:heck here f you Want this processed through your account i,, 0 0.-) - (- ,a/f
Received Time Jan. 14. 2013 10: 40AM No. 2083 �"